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Home My WebLink About3350 VIA TRENTINO - Building PermitsMay 12, 2003 ��'Y OF COSTA MESri P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMEN7 SERVICES DEPAR7MENT To: nuiiding �afeiy Givision 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 61 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 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 Pvlerano 3_3.6.3_V_ia_M, rano � 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 Bu�lding Division (714) 754-5273 • CoCe entortemeN (lyq) 754-5623 • Planning Division (714) 7545245 FAX (714) 754-4856 • TDD (714) 75<-524a • 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 33bU 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 Tivoll 3360 Via Tivoli 3362 Via Tivoli 3364 Via Tivoli 3366 Corte CassiS 3368 Corte Cassis 3370 Corte Casso-s 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 Sunflower Avenue NEW ADDRESS 3367 Corte Levanto 3369 Corte Levanto 3371 Corte Levanto 3373 Corte Levanto, 3375 Corte Levanto 337 i 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 Matfera 1323 Corte Maltera 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 13Q7 Corte Maltera 1305 Corte Maltera 3383 Corte Cassis 3381 Corte Cassis 3379 Corte Cassis 1 324 Corte Alemano 1322 Corte Alemano 1320 Corte Alemano 1318 Corte Alemano 1316 Corte Alemano 1 314 Corte Alemano 1 31 2 Corte Alemano 1310 Corte Alemano 1308 Corte Alemano 1306 Corte Alemano 1327 Corte Alemano 1325 Corte Alemano 1323 Corte Alemano 1321 Corte Alemano 1319 Corte Alemano 1317 Corte Alemano 1315 Corte Alemano 131 3 Corte Alemano 131 1 Corte Alemano 1309 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. — � � �� CJB-t.t2�/.x-dG�� Sincerely, /30 � /3a6 Willa Bou - dleen ��j$ S r Planner /3/D �3 �a c: Klrnberly 8randt �3 �� / 3 �,� Dana Bieber �31g Standard Pacific `3�0 15326 Alton Parkway i3o�a `�r Irvi�e, California 92618-2388 �3a� �r�- U,�-e�� l �� I:; � —, — ---r � " ' -- ,;r' i 7;�� ; � = �'�- �--. � �___l__ ,�-1-_ � ` , i,, �` L_Y�'-''�� ,t �,J �i� ` � � � ' � � y � � , i'� � t.. I �� ` � C7 r 0 ;� 1 �_ � � � _I. � ;, �i . '� , ,� r �� , ' '� � , � 4 ,r ,; � � : ��!I � , , , �r�,, � -.� . . zn" .'"� . .t' -.� -_r - �j�. - ' � - ' ;ct ' .�i'-- .;I� ---''k! i_ �,,� �� Gone Mailera . ..;. . . A. _. Y — -. 'fi= _ -J�� 7 dy' _ � __'�� - �.. H �.; i � e �-:i :: it' I - -*„ .'-m �'. .. _ ;, � � _ _ '-_>. �I ': I � ' � .� I ��. 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Norwalk�Blv,d�;'Santa Fe Springs;�CA.90670 � � "� ' " (562) 941-2990 •��7T4j 526-8441 • Fax (562) 946-0026 , • � . , � �� ... - . � � . � .. � �.� SWITJob No. � Date', � � REGISTERED INSPECTORS'S DAILY REPORT -�� Y 3� = •- i� � ' � • TYPE OF ' � . � � Reinforced Concrete . ❑ Siruciurol Sfeel , ❑ 9uality Conirol , � - , .' . INSPECTION � � � � � , � post-Tensioned Concrete� �, � �� Fire Proo' - . [] Other .. - . � - � � �HEQUIHED �- �� • � Reinforced Mosonry � . , . .� � Asph ' � . . - .lob Addre55 ' ' � . . . '. � � itY. . - 5 rl.SAn:' .S' ✓i✓i�l f7 w�/C ... � p S'"i A. hES A, Job Nome . � � ' ' � . � P i N . � Issuetl'8y� � - - , . -; if� L��R ,� s' .. v3_ ��;.� c;T, �y c.�. � Type of Siructure� � y � Archifecf ' � � � � ' - ' . � � �,�f'.!%GT/.� �;9H�LY '� ' - � ASSe,,.:n,.�� ::L;1�rao.� � � . . - � Materiol Descripfion (type, grode, source) � - � � � .� Engineer � � �f � � � . s�'�=G'/A�.-. r s� -[-- ' Y - - - � ' � Controdor � � � � Tf%/�- !� �lZ „27vI�C .l % /2iin.iJ SJA:.+l�/7R� /�r1Crr/G '. � fnspecior(s) Name � � � Subcontractor � ,C YV v AC C�. . U/JLz'.✓ i� �'�.��,�e�-; E - � � � � � �� - �TESTS PEFiFOfftMED . - . . � ' ' • TYPE OF SAMPLE �' � SLUMP QUANTITY IN SET � ADDITIONAL REMARKS ON SAMPLES - ' .t7n!L=� V ?G � 2 ' � � � �7�/� �t' � . . . . , . � . � ., . . � . �� ' . ..' .... . - s� �/2 y. . . . - . . . ' 4.y , ... `. . ; ��-�,;,i, .SFrS - . - . INSPECTION SUMMAflY — IOCATIONS OF WORK�INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED,:JOB PROBLEMS, r ROGRESS, flEMARKS, ETC. ' � � - � WCIUDES INFORMATION A80UT =AMOUNTS OF.MATERIAL PLACED OR WOflK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF � ., - .. , . .. �'TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC. - � .�.ol/� ' /� �H6,�/% ' O � �:� i '^� % OC�b � � � x'I � u, .� •�_N% /ON �.U- ,�, � '� /L �� ,�/ �'`_ � . ' ' 2 /1 C'"T � ✓ S� / �LL T�`-✓�o.✓S' .�l/U H�'/G"Hi .J rC,93 '<t.9i'n-..�c'ES' /�1sS/.✓':�J/..�c`, /�/l�t i d.t. ✓� 17 a.-' /JGL r�6�S �`02 �o.�Sas: i v�T�o.-! DfS�6.J C�f+.o<�f= 6U�rt/ �.�6. SPrC'iri�A:t��••�s /� o� -�S ��3 � ��l .a3c,2iToN� �+?�rri 46Yb/ 7C'.� lY/'t� �ei��F-�� G� �- Y Gu i C.�,✓: ho �' -1 �il.�r? ' L L' .�-a` o,✓ �J1-�Jt�Et 1.vc.?'7/<2 :'' F,q �° :.� ' �1i;� S/�`�, s. , . r� � - - . ._ . .. . .. - , , _ .. , , <. - . . -� � . . 't f - "��'CERTIFICATION,OECOMPLIANCE„ -. -' . CONTINUEDONNEXTPAGE ❑ � � PAGE �. � . OF� -� 5 �� . �- - �' . .� .. ..' : l. '. � '- .v. . ,� �. � �,4;IHEBEBYCERTIFVTHATIHA/EOBSEBVEDTOTHEBEST_OFMYKNOWLEOGE.ALLOFTHEAAOVEREPOflTE�p,: TIMEIN TIMEOUT ��REG.HOURS O.T.HOURS CYLINDEHS WOflK UNLESS OTHEBWISE NOTEq. I NAVE FOUND THIS WOHK TO COMPLV.iM1�TH THE APPfiOVED PLANS, ' • -.. � • . � � � SPECIFICATIONS, AND APPLICABIE � , ' SECTIONSOFTHEGOVEFNINGBUIL�WGLAWS„(t.��.,.- � :�UU %�J ��"' � �'% � r �,-;' �� AII inspecti�s ased on a minimum of 4 hours �and ove�A hours S hour ' � r � � � minimum. I ad i n, iny � o tion'exte�past noon hour will be an 8� � , hour minimum, . . nt-- � �GNA�REGIS7ERE9DINSPECTOA f �- -- � i� ` � ` - /': � _� �(�/s%L�'/ �. . �.O � �. oc�>7'i' � � �, Approved by ��. s�"�c_.` � / � 7 "#, SP�CIALTY.' - } .. > NO � A�ENCY �..' . '.,� : � � � - � PmjecLSUpetin(end2nL . , h . r ' s ...� .�- . ;. -.. n � ._. � s:. ' . rv�, � . ,r,_=,. , -pWN(TE "OFPICE�-COPY,;CANARX.��- ACCOUNTING�COPY, PINK �- INSPCCTOR'S COPY, GOLDENROD -. JOB S1TE'COPY.. �� , .. ,. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT JobAddress: 3350 VIATRENTINO Status: ISSUED Suite No A Applied: 11/25/2003 Vicinity: HOUSE METER - BLDG 11 Issued: 11/25/2003 Parcel Nunmber: TPN003185 Applicant: LONG, JEN Address: 505 NORTH TUSTIN AV - .��: �-� SUITE 272 � ;�, .-, � �, SANTA ANA, CA'.- - // � / . /,!- � '. , . � Owner:/ S,TANDARD PACIFIC : i,;� � �. Address,; 15326 ALTON PKWY �- - � � = � - i. �/ � � /: - �. - � IRVINE; CA "'-" � ; �/ Contractor: ` . Address: ' " Phone: 714-245-9760 Zip: 92705 �� , Phone: 949-789-1716 Zip: 92618 „Phone: Zip: License: ISSUED BY: ` ... SCOPE OF PERMIT . ' HOUSE METER�FOR-BUILDING A. FEES P.AID UNDER PERMIT NUMBER E03-01107. PERMIT FOR ''METER RELEASE AND TRACKING INFORMATION ONLY. REF: 803-02034. , . Quantity ISSUE FEE . $0.00 -�Temp service test �� $0.00 , Res. a/c package • $0.00 New Res (1-2�units) . ' $0.00 0 New Rea (3+units) �� ` � $0.00 0 Pool / Spa�_., � . : � ' ,1 $0.00 0 Lighting'Fixts, ��; �$OAO 0 Recept OutleGs � �� $0.00 0 . _ Switches �\�,�� $0.00�, '-' - 0 Non Res Appl;`� � �% $0.00��,? 0 Res Appl \ , � $0.00 ' � 0 Service to 200a � � $0.00 � � 0 �� Service to 1000a . � $0.00 � 0 Service over 1000a '� , . � $0.00 �. , � 0 Motors to 1hp � �, �� $0.00' ' .�� 0 - � Motors to 10hp , `$0:00 � � . � .' 0 Motors to 50hp �'�50.00- �. ' 0 Motors to 100hp $0.00 p Motorsovert00hp $0.00 `� .0 Communication drops $0.00 ' �0 � Sub panel to 200a $0.00 0` FEE SUMMARY Temp Dist System / Lighting Busway /100 ft. Standing�Section.' Misc ElecUical Equipment ,': Transformers up to 1 kva/kw .: �,'._�.'� " . . � � ....:....: ':...up to 10 kva/kw .` `�'��5 ' �� =. up to 50 kva/kw . " � .................up to :100 kva/kw = . > .........:........over 100�kva/kw. r � ' � Low Voltage Equipment � Low Volt Wiring System / Ckt Misc. Conduit � � . Misc. Conductor -Circus ( gen�or nde) , ' Circus (mech ride or lights) , , Christmas Tree Stand � Fireworks Stand ,Other Electrical Fee �, - Investigation Fee � .� � / � - . � '- �PIan�Check Fee - � �uantity $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 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 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 cod'es, and all requlred Inspectiona and final approval must be obtained. Failure fo obtain inspections and finaf approval will resull in ihe expiralion of this permit. � FOR INSPECTIONS CALL: (714) 7545626 2a46d8 (8�00) WORKEFS' COMPENSATION DECLARA710N: ` I hereby attirm under penelry of perjury ona ot the tollowing declarations: ❑ I heve antl will maintain e certificate of consent to self-Insure for workers' compensation, es provided tor by section 3700 oi Iha Labor Cotla, for the pertortnanca oi ihe ork for w�ich Ihis permit i5 i5sua4. heve and will maintain workers' compensation insurence, as requiretl by section 3700 oi Ne Labor Cotle, tor the pertortnance oi the work tor which this partnil is issuetl. My worke m en ntion Ins a ce cerd f9nd policy umber are: ^-7 ertier: ��L� � ��/. ��n . PolicyNumber: I.��/ (This section need n comO�eted il the pe ( one hundred dollero ($700) or less.) / ❑ I certify ihat in the perto compensetlon lews oi C wmply with Ihese pmvi: Applicam SigneNre: � WARNING: FAILURE TO SECUR TlIOUSlW D DOLUFE (5100.000). �r which this rmit Is Issuetl, I shall not employ eny person in any manner so as to become subject to ihe workers' i� I should ec ub�ecl to the workers' compensatlon provisions of Sectlon 3700 of the/,W bor Code, 1 shall fonhwith Date: I / . /� / ( / � ISATION COVERAGE IS UNLAWFUL AND SHALL Sl/BIECT AN EMPLOYER TO CRIMINAL PENAL ES D GVIL FINES UP TO dJE HUNDRED �ST OF COMPENSATIIXJ, DAMAGES AS PROVIDEO WR IN SECTIqJ 3/060F THE L4BOii CODE. II�frEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby aHirm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) ot Division 3 ot ihe Business and Protessions Code, and my license is in full torce antl ettect. Llc. # Class q ContractoYs SignaNre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm Iha� there is a construction lendinq agency for t�e performanca of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lentlers Name: Lender'S Address: Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby aHirm that untler penalN ot perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Buslness end Protessions Code: Any ciry or counry which requires e permit to construct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the aOPlicant tor such permit to fila a signed statement thet he or she is licensed pursuant to the provisions of the Contractors License Law (Chepter 9(commencing with Sectlon 7000) of Division 3 of the Business end Pmfessions Code) or ihat he or sha is exempt therefrom antl tha basis br the elleged exemption. Any violetian af Section 7031.5 by eny epplicant for a permit sub�ects the applicaM to a civil penalry ot not more then tive hundred dollars ($500).): ❑ I, as owner ol the property, or my employees wilh wages as iheir sole compen5aiion, WILL DO THE WORK, and the structure Is not intentletl or oHeretl lor sale (Sac. 7044, 8usiness and Pmfessions Code: The Coniractors License Law dces not appry to an owner of properry who builds or improves Iheraon, and who does such work himseli or herself or through his or her own employees, provided that such improvements are not intendetl or ottered for sale. If, however, ihe building or Improvement is �/�\ sold within one year o1 completion, tha owner-Duilder will haveAhe burden of proving that he or she did not huild or improve for purpose oi sale.). ' '�\I, as owner of the pro erty, Ct1�SIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions j-Cotle: The contrect nse Law tlodF noi apply Io an owner of property who builds or Improve5 �hereon, and who coNracts for 5uch projecl with a conlrettor(5) ❑ lam Signature: Owner ID v Vediicalion Business antl Professions Cotle for �his reason: licen58. ❑ Ves ❑ No Otiver's Licensa No. (rype oi tlacumen6 i.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity thet no excavetion tive (5) or more feet in depih into which a person is required to tlescend, will be matle in connection with work authorized by Ihis permit, and that no building sirucWre, scaHolding, talsework, or demWitian or dismantling theraoi, will ba more than thirty-six (36) teet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title B, Califomia Atlminisiretive Code). ❑ As owner-builder, I will not employ anyone to do work which would require e pertnit irom the Division of Intlustnal Sefety, es notetl above, unless such person hes e permi� Ia tlo such wark from tha division. Signeture: Date: Division ot Industrial Safery Permit Number: CEHTIFlCATE OF COMPLIANCE AND AUiHORVAl10N OF ENTFiV: I cenity under penalry ot perjury that I have reatl t�is application and state that the infortnation given is wrrect I agree to comply wit aws end ciry ordinances relating to builtling consiruction, and authorize represemetives of t�e Ciry of Coste Mese to enter upon the ebove-descnbed property inspection p e not to occuOY or ellow occupancy of any building au�horized by Ihis permit until finel inspection. COOE1, INSGELTIONTYPE �� 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 FInaI BIocWRetaining Well 202 Final Fectory Fire Place 203 204 Final Sign Final Demolition ��7.11�ILiidl4j ��S.c�� Date SppE� INSPECTIONttPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Qa7E I[�ELS � /I.'1l�r� (714) 754-5273 • Fax (714) 754-4056 • www.ci.costa-rrp�Ea9f1pRESSION PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3350 VIA TRENTINO Suite: Vicinity: Parcel Number: TPN003056 Zoning: Applirant FIRE SPRINKLER SYSl'EMS INC Address: 705 E HARRISON ST � SUITE 200 � Phone: (800) 9153473 CORONA, CA � . � Zip: 92879 Owner: STANDARD PACIFIC Address�� 15326 ALTON PARKWAY � - � � "i , � � , . Phone: 949-789-1716 � " IRVWE, CA � � � Zip: 92618 Contracror: FIRE SPRINKLER SYSTEMS INC -Address � . 705 E HARRISON ST Status: ISSUED Applied: 05/04/2004 Issued: 05/05/2004 ISSUED BY: � . � � � � _ SUITE�200 Phone: (800) 915-3473 ' • � � � � CORONA, CA � Zip: 92879 , , , � � , � " � " � �' License: 684600 �- ` ' � SCOPE OF PERMIT INCLUDES:.3350. 3352; 3354, 3356, 3358 AND 3360 VIA TRENTINO. - . f - REF: B03-02034. . . - -.' � � �. FEE SUMMARY � � Pian Check: . $108.71 -- ,` - - - _^ � . 'Calc Valuation: Sa,zao.00 Permit: $167.25 , Claimed Valuation: 3s,zao.00 Other: $0.00 � , , ,�TOtal: $275.96 .;�� ' �� ` � � � , � � , „ � . . - .�. � -- - � --'< " - � ' �. / - ,- ' - �� ,`�;. - ,� � �- � NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for �he work authorized under this permii to be considerad legal, such wo�k must comply with all applicable codes, and all requlred inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaves �sioo� WORKERS'COMPENSAnON DECLARAnON: I hereby aHirm untler penalry ot perjury one of the tollowing declarations: ❑ I have and will maintein a certiticata of consent to sel6lnsure for workers' compensation, es provided lor by section 3700 of the Lebor Code, for the paAortnance of the �ork tor which this pertnit is is5ued. have antl will maintain workers' compensation insurance, as requiretl Dy sectlon 3700 of the Labor Cotle, for tha peAortnance of the work for which Ihis pertnit is issuetl. My workers' yompensalion Insurancer� rner and policy number are: / pp�j ca��a,: �T��4-r� �uNrJ PolicyNumber. /6/�/07 — ��V � (This section need nat be cromplefed /l the permit Is valued et one hundred dollars ($ f 00) or less J ❑ I certity Ihat in the perfortnence ol ihe work for which this pertnil is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation lews of Califomie, end agree thet If I shoul ome sub�act to the workers' compensation provisions ot Sectlon 37 f the bor Code I shall torthwith comply with these pr // AppllcantSignature: ��G7� /�v Date: WARNING: FAILURE T ECU WORKERS' COMPENSATION WVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYEfl TO CRIMINAL PE1 ES N CIVIL FlNE UP TOONE HUNDRED THOU$lWODOLLARE(5100,000),INPDDITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDWRINSECTION3]O60FiHElABOFCODE,IMEREST,AND TTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am licep�etly �tlej provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Cotle, erC my license Is In full tome end ettect. Lic. N !oli7"(g�� Glass k Contractofs Signature: � .�.,� � '.=...—�— _= Date: ii � CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn Ihat Ihere is a conswction lending agency for the peAormance of the work for which this pertnit is issuetl. (Sec. 3097, Civil Code). lentler's Name: Lenders Address: Signature: Date: OWNER•BUILUER DECLARATIONS: I hereby ettirtn Ihat untler penalry o( perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professlons Cotle: Any city or wunty which requires e permit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuanca, also requires the applicanl tor such permit b file e signed stetement thet he or she Is Ilcensed pursuent to Ihe pravisions of the Contrectore License Law (C�apter 9(commencing with Sectlon 7000) of Divislon 3 of the Business and Profeuions Code) or that he or she Is exempt thereirom and Ihe basis for the elleged exemption. Any violation of Section 7031.5 by any applicant tor e pertnit subjecis the applicent to a civil penalry oi not more than five hundred dollars ($500).): � ❑ I, as owner ol the property. or my employees wilh waqes as their sole compensation, WILL DO 7HE WORK, and the structure is nol intended or oHeretl for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law tloes not apply to an owner of property who builtls or improves thereon, and who tloes such work himself or hersatl or through his or her own employees, provided thai such improvamants are noi intended or oHeretl for sale. If, however, the building or improvement is sold within one year of complelion, the owner-builder will have the burden of proving ihat he or she did not build or improve tor purpose of sale.). � ❑ I, as owner ol the property. am EXCLUSIVELV CONTRACTNG WIT}1 LICENSED CONTRACTORS to construc� the project (Sec. 7044, Business and Protessions Code: The contractors License Law does not epply to an owner oi propeny who builds or improves Meraon, entl who contracis for such projec[ with e contractor(s) license pursuant to ihe CoNrectors License Laws.). ❑ I am exempt under sac. Signature: Owner ID verilied by Criver's license. ❑ Yes ❑ No Business and Professions Code for this reason: Verification of Ownerehip by (rype ol document, i.e. - property tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Dnver's License No. Dale: Expires: ❑ I hereby certify that no exwvation five (5) or more teet in depth into which a person is requiretl to tlescenq will be made in connection with work authorized by this permit, antl that no builtling s�ructure, scatfolding, talsework, or demolition or dismantling ihereof, will be more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Califomia Atlministrative Code). ❑ As ownerbuiltler, I will nof empioy enyone to do work which woultl require a pertnit from fhe Division of IndusMal Safery, as noted ebove, unless such person hes e permit to do such work fram the division. Signature: Date: Division of Industnal Sefery Permit Number: CERTIFlCATE OF COMPl1ANCE AND AUTHORIZATON OF EMAY: I certily under penalry ol perjury ihat I have reatl this epplication and state that the iniormation given is corract. I agree to comply with ell stete lews end ciry ortlinances relating to building construc�ion, end authonze representalives of Ihe City of Costa Mesa to enter upon the abova-describetl propeAy tor inspection purposes. I agree not to occupy or allow occupancy oi eny building euthorized by ihis pertnit until finel inspection. COOE1, INSPECTIONTYVE 1616 Fizetl System Final Fire Prevention 1266 Paal Spa Finel 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Pd_TE IMRIRLS CQOEt INSPECTIONTYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Electncal 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuiltlinryOccupancy QAg IMff11LS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Addiess: Suite No Vicinity: Parcel Nunmber: Applicant: Address: 3351 VIA TRENTINO A BUILDING 12 TPN003057 LONG, JEN Owner. �STANDARb PACIFIC Address .'15326 ALTON PARKWAY Contractor: Address: ISSUE FEE , Temp service test Res; a/c package New Res (1-2 units) New Res (3+unitsp Pool / Spa � � Lighting FixLs` Recept Outlets Switches Non Res Appl Res Appl Service to 200a � Service to 1000a Service over 1000a Motors to 1hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a I RV W E, CA Phone: 714-245-9760 Zip: Phone: 949-789-1716 Zip: 92618 Phone: Zip: License: Stams: ISSUED Applied: 02/20/2004 Issued: 03/15/2004 ISSUED BV: SCOPE OF PERMIT REF: B04-00389; HOUSE METER PERMIT ONLY FOR BLDG.�12, FEES PAID UNDER ORIG. ELECT. PERMIT E04-00166. - - - - - - $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 $O.Op $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 FEE SUMMARY . Quantity 0 0 0 ' . ., 0 ' 0 0- 0 0 0 0 0 0 0 0 0 0 � 0 0 Temp Dist System / Lighting Busway�/100 k Standing Section � Misc Electncal Equipment Transformers up to 1 kva/kw ...........::...up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw -�„ ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit Misa Conductor Circus ( gen or ride) � Circus (mech nde or lights) Chnstmas Tiee Stand Fireworks Stand Other Electrical Fee Investigation Fee � - Plan Check Pee Quantity $0.00 0 $0.00 0 $0.00 0 ` $0.00 0 $0.00 0 $0.00 ,� 0 So.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 requirements under Cali(ornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and au requlred inepectlona and final approVel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 750.5626 264&46 (8/00) WORKERS'COMPENSAnON DECLARAnON: ' ' I hereby ettirm untler penalry of perjury one of Ihe tollowing tleclarations: ' ❑ I have antl will meintain a certificate of consent to self-Insure tor workers' compensation, es providetl tor by section 3700 of the Labor Cotle, for the peAormence of the /�work tor which lhi5 psqnit is issuetl. have ana will main � workers' compensation insurance, as raquired by section 3700 of t�e Labor Code, br tha pedormance of Ihe work tor which this pertnit is issued. Ay wodcers' comp n tion Insurance carner and policy number are: �; Policy Number. his secfion n cro7mp/etetl it the permit /s veluetl et one hundred dollais ($100) or Iess.J ❑ I certity that in Ihe l/ormance of ihe rl�f r which this permit issuetl, I shall not employ any person in any manner so as fo become subject to ihe workers' compensation lews of Califomj3,a e t a if I shoultl beco e subject to tha workers' compensation provisions of Section 3700 of tha Labor CoOe, I shall forthwith comply with these pro ' i� s __ _ � ^ � ` � � Applicant SignaNre: Date: �� WARNIN�:FAILURETOSEWR WORI SATIONCOVEPACaEISUNLAWFI/LAND5HML5UBJECTANEMGLOYERTOCPIMINALPENALTIESAN�GVILFlNESUPTOONEHUNDRED TFqU$ANDDOIlARE(5100,000), ADD COSTOFCOMPENSATIdJ,DAMFGESASPROVIOEDFOFINSECTION3lO60FTHElA80RCODE,INrEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I em licensed under pmNsions of Chapter 9(commencing with Section 7000) of Division 3 oi the Business antl Professions Code, and my license is in full force and eMecL Uc, x Cless # Comractor's Signeture: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that ihere is a construction lendinq egency for the pedormance of the work for w�ich this pertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lendels Address: Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby aHirtn that untlar penalty oi Derjury Ihat I em EXEMP7 FROM 7HE CONTRACTOqS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Protessions Cotle: Any ciry or counry which requires a Oermit to consiruct, eltar, improve, tlemolish, or repair any siructure, prior to its issuance, also requires the applicant for such pertnil to tile a signed atatement Ihat he or she is licensed puBuent to the provisions of the Contrecmrs License Lew (Chepter 9(commencing with Seclion 7000) ot Division 3 of ihe Business end Protessions Code) or thel he or 5he is exem0� �herefrom antl Ihe basis for Ihe alleged exemption. Any violetion oi Sectlon 7031.5 Dy eny applicanl for e pertnit su6�ects the applicent to a civil penalry of not more Ihan five hundretl dollars ($500).): � I, as owner ot the properry, or my employees with wages es iheir sole compensation, WILL DO 7HE WORK, antl the 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 properry who builds or improves Ihereon, antl who tloes such work himself or herself or through his or her own employees, provided that such improvements are noi intended or ottered tor sale. If, however, Ihe building or improvement is old within one year oi completio -builder will have the burden of proving that �e or she did not build or improve for purpose ot sale.). as owner ot the propert E%CLUSIVEL ONTRACTING WITH LICENSED CONTRACTORS lo conslruct Ihe project (Sac. 7044, Business antl Professions ode: Tlie contract a Lew does not ep ly to en owner of propeny who bullds or improves thereon, antl who coniracis for such prolect with a contrector(s) icense pursuan e C or Li nse La -- ❑ I em e:empt er sec. eusiness and Professions Code for this reason: SignaWre: . : / E:oires: � - Veritication of OwnSnM�by (t�p4 ot tlaument, i.e. - propeny tex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify Iha� no excavation five (5) or more faet in depih into which a person is requiretl to descend, will be made in connection with work euihorizetl by t�is permit. and that no builtling structure, scafloldinq, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title 8, Calilomia Adminisirative Code). ❑ As owner-builder, I will not amploy anyone to do work which wauld require a permit from the Division ot Industrial Satery, as noted a�ove, unless such person hes e permit to do such work From the tlivision. SignaNre: Date: Divislon oi Industrial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I cenify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all si n ciry ordinances relating to builtling consiructioq end authorize representatives ot the City ot Costa Mesa to enter upon the ebove-described pro,perty tor ins ction p se . I�gwapQt ro occupy or ellow occupancy of any building euthorized by Ihis Oermit until final inspection. COUE E INSPECTIONTYiE — 7616 Fixetl System Final Fire Prevention 1268 Pool SOa Final 200 Final Re-Rool 201 • FInaI BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 FinalOemolition QdjF � CODE� INSVELTIONTYPE 206 Finel Mechanical 20B Finel Plumbing 210 Finel Electncal 212 Final Fire P�aventlon 220 Final Planning Approval 222 FinalSite 250 Final Building/Occupenq �at / j (� Date QAg. L�L� /�. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 FIRE SUPRESSION PERMIT JobAddress: 3351 VIATRENTINO Status: ISSUED Suite: Applied: OS/24/2004 Vicinity: Issued: OS/28/2004 Parce� Number: TPN003057 Zoning: �SSUEo BY: Applicant FIRE SPRINKLER SYSTEMS INC Address: 705 E HARRISON.ST ��',�� - . . SUITE 200 � , � , Phone: (800) 9153473 , �� _ CORONA. CA - . �- � - Zip: , 92879 � . , . ' � � . � _� Owner 'STANDARD PACIFI6. � � � � � , � , � �� _� � Address -' ,15326 ALTON-PARKWAY � � -� � , � - � _ � � _� •, A i , , ' Phone: 949-789-7716 , ; ' � . � �IRVWE, CA" ' - � Zip: 92618 � - , � � ' � . � . t �. - '%.% . . ' . . Oontracror. FIRE SPRINKLER SYSTEMS INC � �� Addressi . 705 E HARRISON ST . �- �� _ � . - ' � , SUITE 200 Phone: (800) 915-3473 , � ' . . , .. CORONA, CA . ^'. Zip: �92879 ; � - � . � ` ` � - � � � ' License: 684600 , � , � . � � ' , SCOPE OF PERMIT AND 131 S.F. PORCH/DECKAREA. "BUILDING TYPE - B". ' � BLDG 1. ADDRESSES INCLUDE: 3361, 3359 3357,3355,3353. & 3351_VIA TRENTINO., SEE PA-02=41/T=16416 REF: B04-00389 , _ . ' _,'. ' . ; _ _ - � � . .,, FEE SUMMARY � , Plan Check: $108.71 -- -'- - -- - ' ' - . - Calc Valuation: Sa;zeo.00' Perrriit: • � $167.25 � � � � ` � � ` Claimed Valuation` $a,zao.00 � . . � Other. � �$0.00 � .�" � � � � � . _ ' �� \ Total:- � $275.96 1" �``� � ' �- �� : �.. � , i . , � , _ L'_ i " + . V : , . . '- . � _. �: ` • . ' , . . . . ' " , � 4 . .A � ' . � ' � A .. . �'. � � � . _ . ' . _ � /. \ � ` � ^ - " , - - - , � - '' � // i , . . � _�, • " , /•].: ' ' � . . - . _ .. . - .. _. , j'_;�" �%- _� �I NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related I regulations. (Ord. No. 92-28, § t, 12-21-92) II EXPIRATION: This permit shall auromatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned I for a period of_ 180 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 required Inspeetions and tinal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 f46-06 (fl�00) WORKERS' COMPENSATION DECIARATON: I hereby aHirtn under penalty ot perjury one of the following declarations: � ❑ I have end will maintain a cenificata ot consent to self-Insure for workere' compensation, as provitletl tor by section 3700 ot the Labor Code, for the pertormance of the �,[ �ark 1ar whiCh lhls pertnit is is5uetl. p[1�1 have flntl will maintain workers' compensation insurence, as requiretl by saction 3700 of the Labor Cotle, fo ihe'perfortnance of the work for w�iU t�is pertnit is issuad. /��idy workers' compensation Insurance wrder antl policy num6er are: � / �y/� Camer �TYi'TY ��1.� 1� � GPolicy Number: I l0 U j� p`1 � aOO 3 �(Thls section need not be comple(ed i/ the permlf is velued at one huntlretl dollars ($100) or less.) ❑ I certify that in the peAormance of the work tor which Ihis pertnit is Issuatl, I shall not employ any person in eny manner so as to become subject to the workers' compensation laws ot CaOfo� a,aa agree ihat if I shoultl bewma su 'e t to ihe workers' compensation provisions ot Section 3700 of the Lebor Cotle, I shall forthwlth /comply with Ihese provi "�ns. — �� / � � p�iceniSignature: — L'^-� a�� WARNING: FAILURE TO SECUR W (ERS' COlAPENSATION COVERAGE IS UNL4WFUL AND SHALL SUBIEGT AN EMPLOYER TO C IMINAL PE TIES PNO GVIL FINES UP TOONE HUNDRED TFKKISANDDOLLARE�5100.000). ADDITIONTOiHECOSTOFCOMPENSFTION,DAMFGESNSPROVIDEDFORINSECTION3]WOFTHELABORCODE,INTEREST,ANDATfORNEY'SFEES. CONTRACTORS DECLARATION: tiy attirm that I am antl eHect. Lic. M _ ectors Signature: Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Coda, antl my license Is In full Class k �— / (o — oa� s/as�oN CONS7RUC710N LENDING AGENCV: ❑ I hareby aRirtn that ihere is a conslruction lending agency for ihe peAormance of ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Neme: Lenders Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby attirm thet under penfllry oi perjury thet 1 am E%EMPT FROM THE CONTRACTORS LICENSE LAW for tha following reason (Sec. 7031.5, Business antl Protessions Cotle: Any city or county which requires a pertnit to consiruct, alter, improve, demolish, or repair any sWcture, prior to its issuance, also requires the applicant for such pertnit to tile e signed statement that he or she Is Ilcensed pursuant b the pmNsions of the Contractore License Law (Chapter 9(commencing with Section 7000) of Divislon 3 ot the Business end Professions Code) or ihet he or she Is ezempt thereirom and the besis tor the elleged exemption. Any vialation of Section 7031.5 by any eppliwnt for e pertnH sublec[s the applicant to e civil penelry of not more than five hundred dollars ($500).): ❑ I, es owner of the propeny, or my employees with we9es as their sole compensatioq WILL DO 7HE WORK, antl ihe structura is not intentlad or ottered for sale (Sec. 7044, Business and Professions Code: The Coniraciors License Law does not apply to an owner of property who builtls or improves Iheraon, antl who does such work himselt or herself or through his or her own employees, provitletl that such improvements are not intendetl or oHeretl for sale. I(, howaver, Ihe builtling or improvement is sold within one year oi completioq the owner-builder will have the burden oi pwving ihat he or she did not build or improve for purpose of sale.). ' 0 I, as ownar of Ihe properry, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to conslruct ihe project (Sec. 7044, Business and Profession5 Code: The contreciors Licanse Lew tloes not epply to an owner oi propeny who builtls or improvas thereon, antl who conirects tor such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am ezempt under sec. Business end Professions Cotle for t�is reason: Signa�ure: Date: Owner ID veniled by tlrivels license. ❑ Yes ❑ No Drivefs License No. Ezpires: Venlicetion of Ownership by (rype of document, i.e. � propeny tex bill or deetl): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hareby certity ihat no excavation five (5) or more feet in tlepth into which a person is required to descend, will be made in connection wilh work euthonzetl by ihis permit, antl that no building siructure, scalloltling, falsework, or demolition or dismaniling thereof, will be more than thirry-six (36) teet hig�. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Calitomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Indusirial Satery, as noted above, unless such person hes a permit �o do such work irom the divi,sion. Signature: Date: Division of Industrial Safery Permi� Number: CERTiFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTRV: I certity under penalry of perjury that I have read this application entl state Ihat the infortnation given is correct I agrea m comply with all slate laws and ciry ordinances relating to �uiltling construction, antl euthodze representatives of the Ciry of Costa Mesa to enter upon the ebove-descnbed Droperty for inspection purposes. I egree not to occupy or allow occupancy of any building authonzed by this permit until finel inspeclion. COOE1, INSPECTIONTYPE 7616 Fixetl SyStem Final Fire Pravention 1266 Pool Spa Final 200 Finel Re-Raat 201 Finel BIocWRetaining Well 202 Final Faciory Fire Place 203 Final Sign 204 Final Demolition 2�L � j�¢ COpE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 270 Final ElecMcal 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtlin<yOccupancy Date �g �� v I�"1 �� (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.�{iqLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3350 VIA TRENTINO Suite: Vicinity: 3350,3352,3354,3358, AND 3360 Parcel Number: TPN003056 .� 1 1 Applicank LONG, JENNIFER Address: J.L. H/ARE AND ASSOCIATES SANTA ANA, CA � � � 505`N TUSTIN AVENUE SUITE 212 - - Owner: STANDARD PACIFIC Address 15326 ALTON PARKWAY � , IRVINE, CA � � Contractor: ' � P.tldress: . Zip: Zonin9: Phane: 774-245-9760 Zip: 92705 Phone:� 94&789-1716 . Zip: 92618 � Phone: License: Status: ISSUED Applied: 11/24/2003 Issued: 12/03/2003 ISSUED BY: �, � � �' . � Arch : BASSENIAN/LAGONI Eng: RICHARD MOORE/MCE CONSULTANTS Address: 203t ORCHARD DR � Address: '1100 5 COAST HWY, 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 9,476 S.F. 6-PLEX WITH ATTACHED GARAGES AND 134 S.F: PORCH/DECK. "BUILDING TYPE - A". BLDG 11. .- INCLUDES: 3350, 3352, 3354, 3356, 3358 AND 3360 VIA TRENTINO ��" - � - � ' ' , SEE PA-02-41lf-'16416 � 3350/UNIT 70 - 684 SQ FT 1ST FLR, 1023 SQ FT 2ND FLR, 455 SQ FT GARAGE, 11 SQ FT PORCH. TOTAL LIVING 1707 S� FT. (3A) . 3351JUNIT 69 - 560 S� FT 1 ST FLR, 917 SQ-FT 2ND FIR, 436 S� FT GARAGE, 4 SQ FT PORCH. TOTAL LIVING 147Z-SQ FT. (tAR) 3354/UNIT 68 - 589 SQ FT 1 ST FLR, 965 SQ FT 2ND FLR, 436 S� FT GARAGE, 20 SQ FT-PORCH. TOTAL LNING 1554 SQ FT. (2A) 3356/UNIT 67.- 589 SQ Ff iST FLR, 965 SQ FT 2ND FLR, 436 SQ FT GARAGE; 20 SQ FT PORCH. TOTAL LIVING 1554 SQ�FT; (2BR) � 3358/ UNIT 66 - 560 SQ FT 1ST FLR, Q77 SQ FT 2ND FLR, 436 SQ FT GARAGE, 7 SQ FT PORCH. TOTAL LNING 1477 SQ FT. (1B) '. � 3360/UNIT 65 - 684 SQ FT 1ST FLR, 1023 SQ FT 2ND FLR, 455 SQ FT GARAGE, 16 SQ FT PORCH. TOTAI LIVING 1707,SQ.FT. (3BR) ; Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $867.43 ^ $5,338.00 $94.24 . , �$0.00 � , , $0.00 $0.00 $6,299.67 PLANNING & ZONING Calc Valuation: r Claim Valuation: ` � $942,368.68 � so.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 it work is suspended or abandoned for 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 required inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in lhe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zmses (erool WORKERS' COMPENSATION DECLARATION: — � I hereby effirm untler penalry oi perjury one ot the following tleclaretions: � I have entl will maintain a certificate ol consent to self-Insure lor workers' compensation, es provitletl tor by section 3700 of the Lebor Cotle, for the perf�rmance of ihe work for which ihis permit Is issuetl. n ave antl will gintain workers' compens ( f( in urar�e, as r q{iire0 6y section 3700 ot the labor Code, for ihe perfo�mance of the work for which this pertnii is Iss etl. � My worke orfipensation isurance r,p er nd polic nu er`are: j� �(C` ��y/,l/ Cerrier: �� L PolicyNumber. f�ll� "�/ l/�� (This secfion�ot e com efed il fhe Oerin/f� t n hundred dollars ($100J or Iess.) ❑ I cetlify Ihat in lhe perto compensation laws of C compty with these provi: .ApplicantSignaWre: � WARNIN(3: FAILURE TO SECURE THOUSAND DOLLARE (5100,000�. hich I�rtnit is issued, I shall not employ any person in any manner so as to come su�ject to t�e workers' f sh Id come subject to the workers' compensation provisions of Sectlon 3 00 the Lebor Code, I s�ell forthwith oa,a 123 UJ COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CFIMINAL PE TIES IL FINES UP TOONE HUNDPED OF fAMPENSATION, DPMAGES PS PRWIDE� FOR IN SECfION 3]O60F THE LABOR COOE, INrEPEST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I he y ettirm at I em licensed under provisions of Chapter 9(commencing with Section 7000) of Divislon 3 of the Business and Professions Code, end my license is in full fo e efl ct. ic. q. Glass # " on to' Signat " Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm that ihere is a wnsWction lending agency for Ihe pertormance ot the work for which ihis pertnii is issuetl. (Sec. 3097, Civil Cotle). LentleYs Name: Lentler's Atltlress: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I herahy aftirm t�at untlar penalry of perjury that 1 am EXEMPT FROM THE CONTRAC70RS LICENSE LAW tor Ihe tollowing reason (Sec. 7037.5, Business ena Professions Code: Any ciry or county which reQuires e permit to constmct, alter, improve, demolish, or repair any strucwre, pnor to its issuance, also requires the epplicant tor such pertnit Io tile a signed statement that he or s�e is Ilcensetl pursuant to the pmvisions of the Conirectors License Law (C�apter 9(commencing with Sectlon 7000) of Division 3 of the eusiness entl Prolessions Code) or ihat he or sha is exempt therefrom an0 the basis tor the alleged exemption. My violatian oi Sectlon 7031.5 by any applicent for e pertnit subjects ihe applicant to e civll penalry of not more than tive hundretl dollars ($500).): ❑ I, as owner oi ihe proDerry, or my employeas with wages as iheir sole compensation, WILL DO THE WORK, antl the stmcture Is not intended or oflaretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work himseN or harseli or through his or her own employees, provided Ihat such improvements are not intended or oflered for sale. If, however, the building or improvement is � /�°Id within one year of completion, the owneo-builder will have Ihe burden of proving that he or she ditl not builtl or improve for purpose oi sale.). �I, es owner oi the properry, a LY CON7RACTING WITH LICENSED CONTRACTOpS to construct the project (Sec. 7044, Business and Professions Code: The contreciy se w oes not ro en awner ol propeny who builds or impwves ihereon, antl who contracts for such project with a conireaor(s) license pursuant tyth Cont or , pse Laws. � , ❑__ I am exempt un er e2 SignaWre: � -Owner ID venfietl � tlnvers Vedfication of Owne BuSiness and Professions Cotle for Ihis reason: s ❑ No Dnver's license No. I.e. - praparry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby ceRlfy thet no exwvatlon ilve (5) or more feet in depth into which a person is required to tlescentl, will be mada in connection with work euthorizetl by this permi6 and that no building structure, scattolding, lalsework, or tlemolition or tlismantling Ihereof, will ba more than thirry-six (36) teet high. (Chap. 32, Gry 2, Ar12, Sec. 347, Title B, Califomia Atlministretive Cotle). ❑ As owner-builtler, 1 will not employ anyone to tlo work which would require a permit from ihe Division of Industrial Satery, as noted above, unless such person has e permit to do such work fmm the division. Signature: Date: Division oi Industrial Sefery Permit Number: CERTIFlCATE OF COMPLIANCE AND AIfT}fORIZATON OF EMRV: I certify under Oenalry ot perjury that I have read Ihis appiication antl state Ihe� lhe intormation given is corract. I agree to comply wlth all stata laws antl clry ordinances relating to huilding construction, end euthonze representetives of Ihe Ciry of Costa Mesa to entar upon ihe ebove-described property fo ' e' . ree not to occupy or allow occupancy of eny building authonzed by this permit until final inspection. CODE �. INSPECTIONTYPE �/ iei6 Fixetl System Final Fire Prevention 12fi6 Pool Spa Final 200 Final Re-Roof 201 FInaI BIocWRetaining Well 202 Final Faclory Fire PlaCe 203 Final Sign 204 Final Demolition o�re IMRIRLS � � � �� Date � Date COpE I INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fira Prevention 220 Final Planning Approvel 222 250 Final Site Final Buiiding/Occupancy �9.11�.111 Il/.��j ♦ � If MEWPORT-MESA UNIFIED SCHOOL DlSTRlCT CER7IFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND A8 181 To: ( City of Costa Mesa ( ) City of NewpoR Beach ( ) Counry of Orange Applicant: ��Y� � Address: � Telephone Number: Tract/Parcel and Lot Number(s): Location of Project: �� Number of Square Feet o(: Residential Space Commercial and Industnal Space CommerciaVlndustrial Project is: (Check One) _ Warehouse R8D _ Movie Theater _ Mini-storage _ Heavy Industrial _ Regional Shops _ Light Industrial _ This project is exempt because _ Motel Bank _ Neighborhood Shops _ RacqueiMeaRh _ Hotel Medical Otfice O(fice Park Total Total / ' � N° 4923 Distrid Receipt No. Plan Check No�Q3 �� 2� _ Preschool _ Auto Repair _.____ Hospital _ Large Oifice _ Office Bldg. _ Restaurant _ Fast Food This certifies that the above-named Developer/Applicant has paid school faalitly fees in compliance with Government Code sections 53060 and 65995. The Building Pemit, for this square footage in this proposed development may now be issued by your jurisdictlan. Checks are to be made payable to Newport-Mesa UniAed The abave representation as to square (ootage is true. App6cant true, then this certificate shall automatically terminate and the ai Date: p � is later determined fhat such representa6ons are not 3) pqlf 17435.84 kCPT�:81-U1�i�J3% 128834 (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3350 VIA TRENTINO Suite No Vicinity: BUILDING 11 Parcei Nunmber: TPN003056 Applicant: LONG, JEN ,.�, , : Address: ,/ % � � / ; ," , � /.!_ 7, i � � /�,,j; ;- �� _ �- Owner /�STANDARD-PACIFIC- � � Address � 15326ALTON�PqRKWAY � � �i'. � � : /,� IRVINE, CA . Contractor. � ,.. Address � , Arch / Eng : � � � Address: PLUMBING PERMIT . ISSUED BY: �� ,. „ � Phone: 714-2459760 ,"� Z�p, � Phone: 94&789-1716 Zip: 92618 Phone: Zip: License: ;.�� " � � � : _� f � � , . Status: ISSUED Applied: 11/25@003 Issued: 12/03/2003 Phone: Zip: � - - — = Licensei ;� '-- SCOPE OF PERMIT_ ; , - � ' -, REF: 603-02034. 6 UNIT MULTI- FAMILY BUILDWG. INCLUDES ADDRESSES: 3350, 3352, 3354, � � � , �,, 3358, AND 3360 VIA TRENTINO. � � - , � ` '� _ . � ._ �. _ " i ` V �,. `. . TR 16416, BLDG 11 -,,_��:' `: � .. � ' , \ .r : i . � '� �. `� �'' ,� . . ,. . . , .� � , PLUMBING WORK TO INCLUDECB BATHTUBS, 6 CONNECT (ICE,-,SODA, ETCJ, 6 DISHWASHER3,.6 , GAS SERVICES, 8 GAS (1-G OUTLETS), 6 GAS OUTLETS OVER 4, 6�LAUNDRY TUB/WASHER,'6�-' �C�� PRESSURE REGULATORS, 6 SEWER CONNECTS, 6 SHOWERS, 26 WASH BASINS, 6 KITCHEN SINKS,18� \�� ` WATER CLOSETS. 6 WATER HEATERSNENTS, AND 6 WATER SERVICES. �- -'. � �� ., � �',;� ' FEE SUMMARY- , , , � -� ' V'AMT � QTY�', AMT QTY� ' ' AMT QTY ISSUE FEE $23.50 � - � ��Laundry Tub / Washer $58.80 6 Sump Pump� $0.00 0 BackFlow irrigation $0.00; 0 � � Landscape Irrigation $0.00 � 0 Swimming Pool $0.00 0 BackFlow Preventer $0.00 �-. 0 - P-Trap $0.00 . 0 Trap Primer $0.00 0 Bathtub $78.40 8' �, . �pressure Regulator • $58.80 6 '. Urinal $0.00 0 Clarifer System $0.00 0 �.; �Process Piping (per 10 ft) $0.00 ;- - 0��-.- Vacuum Brkr Bkflow(1-4) $0.00 0 Connect (Ice,Soda,etc) $58.80 6 Receptors � ' "$0.00 0� Vacuum Brkr Bkflow(S+j $0.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all requlretl (nspections and itnaf approvel musf be obtained. Failure to obtain inspeclions and final approval will resutt in the expiration of this psrmit. FOR INSPECTIONS CALL: (714) 7545626 244Bd8I8�00) WORKERS'COMPENSAnON DECLARAnON: I heraby eXirtn untler penelty of perjury one ot the followin9 declaretions: ❑ I have end will meimain a certitiwte of consent to self�lnsure tor workers' compensation, as providad tor by section 3700 of the Lebor Code, for the pertortnence of ihe � /work for whiCh this pertnit is is5ued. py I �ave and will maintain workers' com sation insurance, as required by section 3700 oF the Labor Cotle, for the pertortnance of the work for which Ihis pertnit is Issued. �� M worker571 em ensati9n Insuren rrler and di nu� re^: /) -�,/`� �].�%�,`% Cartier.Y 1�� 1 l� � �� ' / �'" . Policy Number. / � . /��o / y� / (This section need n t e c plefed il t e pe ' is valued ef one hundretl tlollars ($ f00) or IessJ ❑ I certly Ihat in the perfortn o or w�ich ' pertnit is issued, I shell not employ any parson in any manner so es to become subject ro tha workers' compensation laws oi C or ta, 9�e ihat if I shou become subjact to ihe workers' compensation provisions ot Seci' n 37 0 of ihe Lebor Code, I shell forthwith comply with Ihese pro � ion . Applicent Signeture: � Deta: 1 WARNING: FAILURE TO SECUR WORKERS' PE TIqJ CAVERAGE IS UNLAWNL AND SHALI SUflIECT AN EMPLOYEF TO CRIMINF E FLT 5 fWDE IL FlNES UP TOONE HUNDRED THOUSANDDOLLARE($100,OW),I TH CQSTOFCAMPENSATION,DAMAGESASPROVIOE�FOiiINSECTION3)O60FTHELABORCOOE,IMEREST,ANDATTOFNEVSFEES. LICENSED CONTRACTORS DECLARA710N: I hereby atfirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) oi Division 3 ot ihe Busineu and Professions Code, and my license is in full force and ettect. Lic. a Cless x ' Contrectors SignaWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm Ihat there is a construction lending agency for the peAortnance ol Ihe work for w�ich Ihis pertnit is issued. (Sec. 3097, Civil Code). Lentlafs Name: Lentler's Atltlress: Signature: Date: OWNER-BUILDER DECLARA710NS: � I hereby ettirm t�at under penalry ot perjury that I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business flnd Profassions Code: Any ciry or counry which requires a permit to construcl, alter, improve, demolish, or repair eny structure, prior to its issuance, also requires lhe epplicant tor such pertnit to tile e signad stetement Iha� he or she is licensed pursuent to Ihe proWsions oi Ihe Cantractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of t�e Business antl Pmfesslons Cotle) or Ihet he or she is e:empt therairom and the basis tor Ihe allegetl exemption. Any violetion of Section 7037.5 by any applicant for e partnit subjects Ihe appliwm to a civil penelry oi nm more than tive hundred dollars ($500).): ❑ I, as owner ot tha properry, or my employeas with wages as iheir sole compensation, WILL DO THE WORK, and the structure Is not intended or oNeretl for sele (Sec. 7044, Business and Professions Code: The ConVactors License Law does not apply to an owner ot property who builds or improves thereon, end who does such work himselt or herseli or thmugh his or �er own employees, provitletl ihat such improvements are not intended or otteretl for sale. tl, however, the building or improvement is �soltl within one year of completion, the owner-builder will have.the burden ot proving that he or she tlid not Duila or improve for purpose of sale.). I, es owner of the property, e XCLU IVELV CONTRACTING WITM LICENSED CONTRACTORS to conslmct ihe project (Sec. 7044, Business and Protessions Cotle: The contractors Li se tl notapply�tv owner of property who builds or Impmves thereon, antl who wntracls for such prolect wilh a coniraclor(5) license pursuant b th tre r e se Laws.). ❑ I am exemp`Sunder c. Business antl Professions Code tor this reason: Signature: /� / Expires: ,_(p � �� Venficalion of Ownership by�l�e o1 doLGment, I.e. - properry las bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certity Ihet no excevation five (5) or mora teet in depth into which e pereon is required to descend, will be made in connection with work authonzetl by this permit, end ihat no builtling sWCNre, scaHolding, falsework, or demolition or dismantling thereof, will 6e more than thirry-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). � ❑ As owner-bullder, I will not emploY anyone to tlo work which would require a permit trom ihe Division of Indusinal Safery, es notetl above, unless such person has e permit to do such work irom ihe diNsion. Signature: Date: Division ot Indusirial Safery Pertnit Number: CEHTIFlCATE OF COMPLIANCE AND AUfHORVA710N OF ENTAV: I certity under penalry of perjury that I have read ihis epplication and stale lhal the iniormation given is correct. I egree to comply with ell state laws end ciry ordinences rela�ing to building construction, and authorize representetives ot the Ciry of Costa Mesa to enter upon �he ebove-describetl properry for inspectionyyfposes. I no upy or allow occupency of any building authorized by this permit until iinel inspeclion. COOE I. 767B 1266 Fixetl System Final Pire Prevention Pool Spa Finel 200 Final Re-Roof 201 Final BIocWRetaining Well 202 203 204 Final Fectory Fire Place Final Sign Finel Demolition P99IE INTIfIRLS COUEt INSPECTIONTYiE 206 Final Mec�anical 20B Final Plumbing 210 Final Electncal � 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Qdg �$ 7f`Zb� � (714) 754-5273 • Fa�c (714) 754-4856 • Www.ci.costa-mesa.ca.us 77 FAIR DFiIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: 3350 VIA TRENTINO BUILDING 11 Parcel Number: TPN003056 App�icant: LONG, JEN �,i' Address: i �: �' / . ; r� . /// �'i Owner/",STANDARD PACIFIC L � // Address:- ' 15326 ALTON PqRKWAY � � ' '.\ _� -// �_ . /< . ,� IRVINE,CA,� � Contractor. " � Address: r �� MECHANICAL PERMIT � Phone: 714-245-9760 ' Zip: Phone: 949-789-1716 Zip: 92618 Fhone: Zip: License: Status: ISSUED Applied: 11/25/2003 Issued: 12/03/2003 ISSUED BY: � �'� � '„ A r\ .'� '' ' �� \ , � �. :�` '= '��.�� . r�A �� SCOPE OF PERMIT . , REF: B03-02035. 6 UNIT MULTI- FAMI�Y BUILDING. INCLUDES ADDRESSES: 3350, 3352, � 3354, 3356, 3358 AND�3360 VIASRENTINO.,TR 16416,-BUILDING 11 ,- -, -, , � . , � . � i , . , . . ', MECHANICAL WORK TO INCLUDEi 6 A/C COMPRESSORS�UP TO 3 HP, 6 FAU'S LESS THAN 100 , , K BTU, 24 VENT FANS, 6 APPLIANCE VENTS, 6 FACTORY FIREPLACES. Quantiry ISSUE,FEE - $23.50 Insl FAU <100 k BTU � $88.80 6 Insl FAU >100 k BTU �' $0.00 0 Repair(,Alt Cooling/Heet _, $0.00 0 Inst / Rep; Recess Wall Htr� =-. � $0.00 0 Refrig Sys`<100 k BTU � $0.00 0 Refrig Sys ?100 k BTU � �� : �$0.00 0 Gas Piping, �.. � ��..� $O.OP-, _0 - Hood w/Me hl E aust ./, %� ��$0.00�': 0 VAV Box , ' $0.00� 0 Vent Fan / Single Duct :, � $774.00 24 Appllance \ �;: � � $0:00� 0 . Fire Dampers \ � � � �. $0.00-� A �. Smoke Dampers �- � "�., $0.00� r 0.�-- � Inst or Relocale Appl Vent � .$63.90 - 6 � Air Handlers < t0000cfm ' �$0.00 0 ' � Air Handlers > 10000cfm � $0.00 , o Floor Furnace $0.00-. ,0 c , Floor or Suspend Heater $0.00 0� -_ _ FEE SUMMARY _ Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillatlon System Evaporative Cooler � ��Commerciallncinerator - . . , - Domestic Incinerator - - _ Compressors / Absorption Svstems� � , '=% Up to 3 hp / 100 k BTU+-� -, _ - . • 3To15fip%SOOk�BTU�' , ��" ' 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-- ' . � i5to30hp , 30 to 50 hp . . , Over 50 hp " Other Mechanical Fe�� - InvestigatiodFee-' � Plan-Check Fee �uantity $0.00 0 $0.00 0 $0.00, 0 ' $0.00 , 0 $0.00� -0�- .� $0.00 0 ,' $0.00 0 $0.00 i 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 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatiqally expire and become void if work is not commenced vnthin 180 days, or if work is suspended or abandoned for 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 cotles, antl all requ(red Inspect(ons and itnai approval must be obtained. Failure fo obtain inspections and final approvai will resutt in the expiratlon of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 zaas-as �eiao) WORKERS'COMPENSAnON DECLARAnON: I �ereby aHirtn under penelry of perjury one of ihe following deClerelion5: ❑ I have and will maintain a certificate of wnsent to self-Insure tor workers' compensation, es provided for by section 3700 oi the Lebor Cotle, tor the pedortnence of the work for which Ihis permii is i55uetl. . � I have entl will maintain workers' co� nsation insurance, as required by sectim 3700 of the Labor Code, tor Ihe pertormance of t�jk work �or which this permit is issued. Mywo — pensa'i� Insura rder� �Ilc�umb� /��^ l�� Carner: Policy Number. � �'l (This section neetl not be mp e ed i/ e p lued et one hunored tlollars ($100) oi less.) ❑ 1 cetlify that in the pertorma w rk for which Tis permit is issueQ I shell not employ any person in any manner so as to become subject to ihe workers' compensation laws of Cal ia, tl t If I sh uld �ecome subject to ihe workers' compensatlon provisions of Section 3700pp f the Labor Code, I shall forthwiih comDly wIN these provis' /7 /�/� -ApplicantSignaWre: �� Date: ��/�� WARNING FNILUiiE TO SECURE ORK ENSATION COVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED T/qUSAND Dd1ARE (5100,000f, I TI TO E COSTOFCAMPENSATION, DNMGES AS PROVI�ED FOR IN SECTION �O60FTHE LABOR CODE, INTEREST, ANDATTORNEV'S FEES. LICENSED CON7RACTORS DECLARATION: I hereby ettirm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of DiNsion 3 of the Business and Professions Code, end my license Is in full force end eflecL Lic. a Glass M Contrectofs Signature: Date: CONSTRUC710N LENDING AGENCV: ❑ I hereby attirm ihat there is a construction lending aqency for Ihe pedormance oF the work tor which this permit is issued. (Sec. 3097, Civil Code). � LentleYs Name: Lenders Address: Signawre: Date: OWNER-BUILDER DECLARATONS: I hereby ettirtn thet undar penelry oi perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires e permit m construct, alter, improve, tlemalish, or repair any sWcture, prior ro its issuance, also requires the epplicant for such permit to tile e signetl statement thet ha or she Is Iicensetl pursuant to the provisions of ihe Conlractors Ucense Law (Chepter 9(wmmencing with Section 7000) of Division 3 of ihe Busineu antl Professions Code) or ihet he or sha is exempt Iharefrom antl the basis for the alleged exemption. Any violation ot Section 7031.5 by any applicant for e pertnit sub�ects tha applicant to a civil penalry of not more than five hundred tlollars ($500).): ❑ I, as axner ot ihe property, or my employees with wages es iheir sole compensation, WILL DO 7ME WORK, and ihe structure is not In�ended or ottered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not epply to en owner of property who builds or improves �hereon, and who dces such work him elt or �ersetl or thwugh his or her own employees, provitletl ihat such impmvemen�s are no� intendetl or oHered for sale. If, however, tha building or improvement is s within one year of comDlelion, lhe ov+neo-huilder will have.the burtlen of proving that he or she did not builtl or improve for purpase ot sale.). I, as owner of the prope mYXC6lLSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimct Ihe project (Sec. 7044, Busin85s end Protes5ions Code: The cani�9ciQr c nse Lew doe3,not appy to an owner ol pwpeny who builds or improves Ihereon, and who contracts for such project with a contractor(s) ❑ I am ex� SignaNre: _ Owner ID ver� Vedficetion ot Bu5ine55 and Profes5ion5 COtle for thi5 re85on: s ❑ No Onvefs License No. i.e. - pmperty tax bill ar Aeetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � I hereby certiy thal no excavali0n fiVe (5) or more feet in depth into which e per5on i5 required to de5cend, will be made in cOnnettion with Work euthOri2ed by �hi5 parmit, and that no builtlinq swcture, scaHolding, talsework, or demolition or dismantling thereof, will 6e more than ihirry-six (36) teet high. (Chap. 32, Grp 2, An 2, Sec. 347, Title B, Calilamia Adminisiretive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit trom ihe Division of IndusMal Satery, as noted ebove, unless such person hes e permit to do such work from the tlivision. Signature: Date: Division ot Industnal Satery Permit Number: CERTIFlCATE OF COMPLUWCE AND AIJiHORVA710N OF ENTRY: I certify under penalry oi perjury ihat 1 have read this applicalion and sta�e �ha� �he infortnation given is correct. I egree to comply with all stete laws and ciry ordinances rela�ing to building consWction, and euthorize representetives of Ihe City ot Costa Mesa to enter upon the ebove-tlescnbetl propetly for in ion p . to occupy or ailow occupency of any building authonzed by this permit un�il tinal inspection. SOpE t. INSPECTONTVPE — `� 1616 Fixetl System Final Fire Prevention 1266 Paol Spa Final 200 Finel Ra-Raaf 207 Final BIocWReiaining Wall 202 Final Factory Fire Place ' 203 Final Sign 204 Final Demolition . , � � COUE� INSVECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Elactrical 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 � Final Builtling/Occupancy �l.\L Iuu11.1F i 9� �T (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 Viciniry: Parcel Nunmber: 3350 VIA TRENTINO BLDG 11 TPN003056 npplicant: LONG, JEN Address: ' , . � � i/' . %/� � � i ' �\ / � OwnerJ�jTANDARD�PACIFIC �_ Address � : 15326 ALTON PARKWAY � � ' � �'i . . � �IRVINE, CA'�"�%" � � � , j. i . , Contracror: , . Address: Phone: 714-245-9760 � Zip: Phone: 949-789-1716 Zip: 92618 , Phone: Zip: License: Status: ISSUED Applied: 11/24/2003 Issued: 12/03/2003 ISSUED BY: � �\ ti .. �� _ i, . � �� V `. �� ,�, SCOPE OF PERMIT REF: B03-02034. - NEW 6 UNIT MULTI- FAMILY BUILDING�. INCLUDES ADDRESSES: 3350, 3352, . 3354, 3356, 3358, AND 3360 VIA TRENTINO. TR 16416, BCDG 11. • - - � . . � � � ELECTRICAL WORK TO INCLUDE: 6 LIGHT FIXTURES, 12 RECEP7 OUTLETS, 6 SWITCHES, 1- - � � 1000 AMP SERVICE, AND 7- 200�AMP SUB PANELS. RES ELECTRICAL SQUARE FOOTAGE IS 9566 , . ..5�. FT. INCLUDES SUB PANEL FOR HOUSE METER. HOUSE METER IS ADDRESSED AS 3350 A VIA . � TRENTINO. - . . , . - � ' v . : . ISSUE FEE Temp service Res. a/c pack New Res (1-2�unl New Res (3+units Pool / Spa � Lighting Fixls Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 100 Motors to 1hp Motors to 10hp �� Quantity $23.50 test _ �_$0.00 age � - � �$0.00 , ts) � $0.00�, �1� '0:' . ). .�$478.30-= '. 9566 �� $0.00 � 0 ' �, $6.60 � � 6 � - �` : � $1320 -... 12 - � ��A $6.60 , - 6 � � � $0.00' � `' 0 , -� $0.00 �' - 0 ��$0.00 � '' 0 $62.15 1 oa So.Oo 0 $0.00 �.. 0�_ '. ,�, $0.00 0 ' i; FEE SUMMARY - Temp Dist System / Lighting 8usway /100 R,.� Standing Section ��`,. .., Misc Electrical Equipment' �� ' Transtormers up to t kva/kw � .......:........up to 10 kva/kw .................up to 50 kva/kw .....:.:.........up to 100 kva/kw � ..................over 100 kva/kw � Low Voltage Equipment Low Volt Wiring System / Ckt - Misa Canduit Misa Conductor Circus ( gen or ride) - Circus (mech ride or lights)'" � 'ChriStmas Tree Stand i ,+: • 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 ' r 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 NOTICE: Tha 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 vnthin 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, end all reqWred inapeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiratlon of this permi4 , FOR INSPECTIONS CALL: (714) 7545626 244646 (B/00) WORKERS'COMPENSAnON DECLARAnON: I hereby aHirm under penalry oi perjury one of the following declarations: � I have and will maintain e certificate ot consent to selt-Insure for workers' compensation, es proNdetl For by section 3700 ot the Lehor Code, For the pertormance ot the work for which ihis permit i5 issuetl. - I have and will maintain work compensapon insurence, as raquiretl by section 3700 oF the LaDor Cotle, for the pertortnance of Ihe work br whiU �his pertnit is issued. My w(�p��'y^ comppnnsatlon ranc¢ oerrier artd poli r ere: /�2 %�� Cerrier: Y. F�i� W �� L � Policy Number. I S V J�'1 V/�� (This secNon need no be canp/efetl �l e penr Lisra/t(ed et one hundred dollars ($100J or less.) ❑ I certity Ihat In the perto compensatlon laws of C � comply with these pro `Applicent SigneNre` � WARNINO: FAILURE TO SECUR TIqUSAND DOLURE (5100.000). vork for whic this pertnit is issued, I shall not employ any person in any manner so as to become subjecl to �he workers' �r e hat ii I s oultl become subject to Ihe workers' compensetion provislons of Sectlon 3700 ot the bor Cotla, I shall torlhwith De�a: ' ��V � l� APENSATION COVERAGE IS UNLAW FUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES !WD CIVIL FlNES Ui'"f0 ONE HUNDRED THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, AN� ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby attirm that I am licensed under provisions of Ghapier 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and eHec�. Lic. » Class q Contractors Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm that there is a consimction lending egency for ihe peAormance of the work for which this pertnit is issuad. (Sec. 3097, Civil Code). Lentler's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARAT10N5: � I hereby atllrtn thai under penalry of perjury ihat I am EXEMPT FROM TT1E CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, eusiness entl Professlons Code: Any ciry or counry which requires a permit to constmct, alter, impmve, demWish, or repair any siructure, pnor to its issuance, elso requires the applicant for suc� pertnit to file a signetl statement that �a or she is licensed pursuant to ihe provisions of the Contractors License Law (Chapter 9(commencing wit� Saction 7000) ai Dlvision 3 of the Business and Profes5ions Code) or ihet he or sha is exempt therefrom end the basis for the alleged e:emption. Any violation oi Section 7031.5 Dy eny applicent for a permit sublecis the applicant to e civil penalry of not more than fiva hundred Collars ($500).): ❑ I, as owner of Ihe properry, or my employees with wages es Iheir sole compensetlon, WILL DO THE WORK, and the siructure Is not intended or offered tor sale (Sec. 7044, Business and Protessions Code: The Contractors License Law dces not apply to an owner oi properry who builds or improves thereon, antl who does such work � himsetl or herseN or through his or her own employees, provided that such improvements are not intended or ottered for sale. tl, however, the building or improvement is soltl wit�in one year oi completioq t�e ownerbuilder will have the burden of proving that ha or she tlid not 6uiltl or improve for purpose of sale.). I, as owner of lh�rope IV L CONTRACTING WITH LICENSEO CONTRACTORS to consWc� �he project (Sec. 7044, Business end Professions Code: The contr or c tloes not appty Io owner ot pmperty who builtls or improves therean, antl who contracts lor such project with a conirecior(s) license pursuant o�.Zontra �cens Laws.). ❑ I em eaempt und Signawre: '. Ownar ID venfied by tl VE Verlfication ot Ownership �Bwiness and Professions Code for this reason: ^^ Date: s ❑ No Dmefs License No. Expires: h• I.O � i.e. - properry ten bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION: ❑ I hereby cenify that no excavetion five (5) or more feet in dapih into which e person is required to descend, wlll be made in connection with work authorized by this pertnit, and that no building sirucwre, scattolding, talsework, or demolition or tlismantling ihereof, will be more ihan �hihy-six (36) teet �igh. (Chap. 32, Grp 2, Art 2, Sec. 341, 71tle 8, Califomia Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit from the Division of Intlustnal Safety, as noted ebova, unless such person hes e permit to do such work trom Ihe division. SignaWre: Date: Division Of InduSMal Safety Permit Number. CERTIFlCATE OF COMPLJANCE ANO AUTHORIZATION OF EMRY: I certify under penalry of Derjury ihat I have read Ihis applicetion and state Ihat Ihe infortnation given is correct. I egree ro comply wllh all stete laws entl clry ordinances relating to building conslruction, end authonze representetives oi the Ciry oi Cosia Mesa to enter upon tha above-descnbed pmperry for inspeetion p�s. I agree not to occupy or allow occupancy of eny building euthorized by this permit umil finel inspection. CODE 1. INSVECTIONTYPE 1 1616 Fixetl System Final Fire Prevention 1286 Pool Spe Final 200 Finel Re-ROoi 201 Final BIocWRetaining Well 202 Final Fac�ory Fire Place 203 Final Sign 204 Final Demolition � PdIE 1[�6fl i � � (-y� Data 1 U� �/ Date CODEI INSGECTONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Finel Fire Preventlon 220 Final Planning Approval 222 Final Site 250 " Final Building/Occupanq QAIE V�LY (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ELECTRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3350 VIATRENTINO Status: ISSUED Suite No A Applied: 17/25/2003 Vicinity: HOUSE METER - BLDG 11 . Issued: 11/25/2003 Parcel Nunmber: TPN003185 Applicant: LONG, JEN Address: 505 NORTH 7USTIN AV SUITE 212 SANTA ANA, CA Owner: -' STANDARD PACIFIC Address � , �5326 ALTON PKWY Contracror. Address: ISSUE FEE �. � Temp service test Res: a/c package New Res (1-2 unils), 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 1hp Motors to �Ohp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a IRVINE, CA Phone: 714-245-9760 Zip: 92705 Phone: 949-789-1716 Zip: 92618 Phone: Zip: License: ISSUED BY: e SCOPE OF PERMIT HOUSE METER FOR BUILDIIJG�A. FEES PAID UNDER PERMIT NUMBER E03-01107. PERMIT FOR �. METER REL�ASE AND TRACKING INFORMATION ONLY. REF: 603-02034: . $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 $0.00 $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 Electrical Equipment ,.' Trans(ormers up to 1 kva/kw ................up to 10 kva/kw ..............:..up�to.50 kva/kw .................up to 100 kva/kw--� ..................over 100 kva/kw" . Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor - Circus ( gen or ride)� ' Circus (mech ride �or lights) . Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee - Plan Check Fee Quantity $0.00 0 ' $0.00 0 ' �� . $0.00 0 $0.00 Or $0.00 -" 0.' � $OAO .. " 0 � $O.OD �- �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 requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permlt 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 780 days. � INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all ' required Inspectlons end final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expira�ion ot this permit. FOR INSPECTIONS CALL: (714) 754-5626 244F481H�00) WORKERS'COMPENSAnON DECLARAnON: � I hereDy effirtn unaer penalry of perjury one oi the following daclaretions: , ❑ I have end will maintein e cetlificate of consent to sell-Insure for workers' compensation, as providetl for by section 3700 of the Lebor Code, br the pertormence oF Ihe work for which this pertnit is issuatl. ❑ I have antl will maintain workers' compensatbn insurence, as required by section 3700 of the Lebor Code, tor the peAartnance of the work lor which this pertnit is issued. My workers' wmpensetion Insurence carner and policy number are: Carrier: Policy Number: (Triis section neetl not be campleted ll !he permit is valuetl ef one hundred dallars ($700) or Iess.) ❑ I certify ihat in Ihe pertormance oi ihe work for which ihis permit is issued, I shall not employ eny person in eny manner so as to become subject ro tha workars' compensatlon laws ot Califomia, end egree that if I shoultl become subject to Ihe workers' compensation provisions of Sectlon 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant Signature: Dete: WARNINO: FAILURE TO SECURE WORKERS' CAMPENSATION CAVEPAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVIL FlNES UP TOONE HUNDRED TMOUSAND OOLLARE (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMNGES AS PROVIDED WR IN SECTION 3]O60F THE LABOR CODE, INTEREST, AND ATTOqNEV'S fEES. LICENSED CONTRACTORS DECLARATION: I hereby eMirtn that I am licensed under provisions of Chapter 9(commencing wich Section 7000) ot Division 3 of the eusiness and Professions Code, end my license is in full force antl eHect. Lic. a Class k Conireaofs Signewre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aRirm that there is a construction lentling agency for the pertormance of Ihe work for which this permit is issuetl. (Sec. 3097, Civil Cotle). Lenders Name: Lendefs Address: Signature: Dala: OWNER-BUILDEP DECLARATIONS: I herehy attirm t�at unaar penalty of perjury that I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business en0 Protesslons Code: Any city or county which reQuires a permit to constmct, alter, improve, tlemolish, or repair any structure. prior to its issuance, elso requires the applicant tor such permit to file a signe� statement that he or she is licensea pursuant to the D�a�sions of Ihe Conirectors License Law (ChaD�er 9(wmmencing with Section 7000) of Division 3 of t�e Busineu end Professions Code) or thet he or she is ezempt therefrom and the hasis for Ihe elleged exemption. Any vialetion of Section 7031.5 by eny epplicant for e parmit subjects the applicant to e civil penalry of not more Ihan five hundred dollars ($500).): � ❑ I, as owner oi Iha property, or my employees with wages es iheir sola compensation, WILL DO THE WORK, and the structure is not intended or oXeretl for sale (Sec. 7044, Business and Proteuions Code: The Contractors License Law tices not appty to an owner of properry who builds or improves thereon, and who tloes such work himself or herselt or ihrough his or her own employees, providetl Ihat such improvements are not intended or ottered for sale. tl, however, ihe building or improvement is sold within one year of completion, ihe owner-builder will have the burden ot proving that he or s�e did not build or improve tor puryose oi sale.). ' ❑ I, es owner ot Ihe pmperty, am E%CWSIVELY CONTRAC7ING WITH LICENSED CON7RAC70RS to consiruct ihe project (Sec. 7044, Business antl Protassions CoOe: The wmractore License Lew tloes not appty to an owner ol pmperry who builtls or improves thereon, and who comracis tor such project wlt� a contrector(s) license pursuent to iha Contractors License Laws.). ❑ I em exempt untler sec. Business and Professions Code for this reason: Signatura: Date: Owner ID venfied by dnvers liCen58. ❑ Yes ❑ Na Driver'S LiCen58 No. Enpires: Venficetion of Ownership by (Iype of dxument, i.e. - propeny tex bill or tleetlJ: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: ❑ I hereby certify Ihat no excavation five (5) or more feet in depth into which e parson Is requirad to descenq will be made in connection with work euthonzed by this permit, and that no building siructure, scattoltling, talsework, or demolition or dismantling thereot, will be more Ihen Ihirty-si: (3fi) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title e, California Administretive Cotle). � As owner-builder, I will nat employ enyone to do work which would require a pertnit from the Division of IndusMel Safety, es noted ebove, unless such person has e permit to do such work from the division. Signature: Date: Division ot Intlustrial Sefery Permit Number. CERTIFlCATE OF COMPLIANCE ANO AUiHORIZATON OF ENTRV: I certify under penalty ot perjury that I have read ihis epplica�ion and state Ihat ihe information given Is correct. I agree to comply wit� ell state laws and city ordinances relating to building construction, and authonze representatives ot the Ciry ot Costa Mesa to enler upon the ebove-descnbed properry for inspection purpases. I egree not to occupy or allow occupancy of any building authorized 6y this permit until finel inspection. Signature OI Legal Owner(s) Date Antl/OrAut�onzed Applicant COOEI. INSPECTIONTYVE p1g INTRIALS 1616 Fixed System Final Fire Prevention 126fi Pool Spa FIn91 200 Finel Re-Roof 201 Finel BIocWRetaining Wall 202 Final Facrory Fire Place 203 Final Sign 204 Final Demolition � � COOE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical $—Z.'�� 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy pAIF It�Lfl �' . . SE2-941-�990 SOL:,w;;��WE5l" INSF'ECTION RND 'fESTI' INC. 1�8c6 5. Norwalk #A ' Sznta Fe Springs, CR 90E7�Z� 714-5�6-8441 Fax-5��-94E-0��E FIELD DRTp ON TEST SF'ECIMENS --- RSTM C31} C138, C143, C17::, C173, Cc?,1, C1�E4 --- CONCRETE: X �ROUT: MORI"AR: 5HOTCRETE: CORE5: GUNI1"E: (aDDRESS: 335iT VSA TRENTINO.COS"fF-1 MESFI ,70R #: 3014D DfaTE: 02/1'._/��4 J08 IVAhtE: THE LAUREL itl GROVIDENCE F'N..GERMIT 4#: 803-�c034 IS'S'UEU tiY: COSI'A MESF� RRCHITECT: BASSENIAN/LR60NI pRCH. ENGINEER: G.T.D.INC/SF'ECIRLTY STEEL CONTRRCTOR: STANUAh'D F'RCIFIC HOMES' SUB CONTRACTOR: VRLENI"E CUNL'RETE INC. LOCATION TN STRUCTURE: TR 1E41E �'H 3/ L�LD6 11 UNIT # 70 N!W SLAB / SET # C-4 CONL'RETE SUF'F'LIER: R08ERTSON"S F'LAN'f: #�1 MIX #: 4G9�1DCI "fYRE OF CEMEIVT : V ADMIXTURE: WRDA--E4 TICIiE'f #: 9:iEc871 SLLJMF' : 5 1/'._" WATER RDDED: ,.�i GAL RIR TEMF': 55 F CONCRETE TEMP: 71 F h7IXING TIME: 50 MIN TIME CAST: 9:SQ� AM DRTE CA5T: 1/5/2�D�J4 ' SF'ECTMENS I�IRDE BY: CLYDE LHCHER FIELD IUENTIFICFITIOIVI R LRB IDEN"(IFICR7ION : 4Q�0N14 AGE DAYS DRTE TESI' SIZE -IN. AREA-SG?. IN. CRUSH �ORD-LPS COMP-STR. -F'S' I . I H/U CORR FRCTOR CORR. STR. -GSI TIME TESTED RREAK TYF'E C: T. M. USED REMRRIiS: COMGLIES: X 7 1 / 1c/��DiD4 E.(� a�z�x 1 � GO� r'IF� 888:'0 . �ia�a . R FORNEY I P : 400014 : c8 : c/c/c0�4 : E.�s7xi� . �8. 34 : 1�21E0 : 4?�10 RECETVED R"f LRS: 1/6/��04 SF'ECIFIED F'SI: G�Z�OQ� I C i ll : 4N0N14 . c8 c/c/'�0�4 E.p a�Exi� LV� JJ i1�69k� 4ccS (aSTM C,?�9� Ci74} C19c, C470} CE17, C42 DOES NO"f CDMPLY: I E THIS REF'ORT SHRLL NOT NE REPRODUCED� EXCEF'T TN FULL WITHOUT 7"HE f�PROVpL OF STTT SAMF'LES CAST 8Y OTHERS: ASTM C39 BRERFCS A= cone RESF'ECTFULLY SURMITTEll SOUI"HWEST INSGECTION RNU TESTING n � . 4' RENRN R.0 � L�aH. M - .^.:L $=� cone and split C= cone ll=sYiear• E=columnar p SOl' 'WES"f INSGECTION ANU TESI"T.' INC. 108�E S. Nor•walk #R Santa Fe Springs, CA 90670 SEc-`�41-c'390 714-��6-8441 Fax-5E2--�46-�0�E ------------------------------------------------- FIELD DATA ON TEST 5F'ECIMENS' --- RSTM C�1� C1,'8� C14�, C17c, C172�, C2?.�1, C1Q�64 --- CONCRETE: X GROUT: MORTAR: SHOTCRETE: CORES'; GUNITE: ADDRESS: ,?,350 VIA TREN"fIPdD.COS"fR MESfl JOB 11: :.0148 DRTE: 02/1'c/�i7104 JOH NfaME: THE Lf-�UR�L @ PROVIDENCE F'K.F'ERMIT #: SN3-0c034 ISSUED BY: COSTA MESA ARCHITECT: B(�SSENIqN/LRGONI �RCH. ENGINEER: F'.T.D.INC/SPECIRLTY STEEL CONTF2RCTOR: STfiNDARD F'RCIFIC HOMCS, SUB CONTRACTOR: VALENTE CONL'RETE INC. ----------------------------------------------------------------------------------- LOCRTION IN STRUCI"URE: TR 1641E F'H 3/ PLDG'.11 UNIT #'70 / SET # C-3 CONCRETE SUF'F'LIER: RORERTSONyS' PLRNT: # �1 MIX #: �+E9�LDCI "fYF'E OF CEMENT : V RDMIXTURE: WRI)R-64 TICIiE"f #: 956�838 SLUMF' : 4" WRTER RDDED: 0 GRL AIR TEMF': 5'� F CONCRETE TEMF': 71 F MIXING TIME: 50 MIN TIME CRST: 7:45 RM DRTE CGS"! : 1 /5/cl"�1�4 SF�ECIh1ENS MRDE RY: CLYDE LRCHER FIELD IDENTIFICATIONI LF�P TDENTIFICATION RECEIVED A'f LAR: 2/E/cC4�D4 SF'ECTFIED F'SI: 4000 R I P I C I : 40N�13 : 4@�013. : 4��DN1� . RGE DRYS : 7 : c8 DRTE l"EST : 1/1�/c004 : c/�/c:004- SIZE -IN. : 6.0N7Xlc : 6.003X12 FaRCf-1-SG7.:[N. : c8.34 : c8.30 CRUSFI LOHll-LPS : 1@`,340 : 15G9�0 COMG--STR. =F'SI. : 3715 : JJ�#J 1 H/D . . CORR FACI'OR . . CORR. STR. -F'SI . . TIME TESTED . • B�2EAN, TYGE : C : B C. T. M. USED : FORNEY : RIEHI_E REMARM:S : --------------- . �8 : �/�/��4 : 6.��1Xlc . �8. �8 : 15718@ : S.`-�E�O . ll : RILHLE F1STM C,:'3� C174, C19c� C470� C617, C4c COMGLTES: X DOES IVO'f COMRLY: D 1 E ----------------------------- ----------------- THIS REF'ORT SHRLL NOT RE REF'RDDUCED, EXCEF'T IN FULL WITFiOUT THE AGROVRL OF SLTI 0 SAMGLES CRST BY �THERS: RSTM C39 BREAF(S p= cone ---------------------------------------------------- RESGECTFULLY SUNMI"fTED SOUTIiWEST INSF�ECI"ION AND TESTINC, RENA R. C LAB. vh��. A= cone and spiit C= cor�e D=sheat• E==col�_imnar , •-.� _1- �6:�-941-�990 �� .._ . �.,,.�ti'::r;V ' ' SOUT.�jWE5"f INSF��C7TGIV'"q�liY-�T.ES:[I:Iytd,,vINC. a" ..i � �t 108�E• S. Nor-wal!< #fa �' �.--3anta Fe Springs� C;R 9fnG'?cF'� ' 714-52E-8441 Fax-• �E�-94F-�?O�=G � --------r----�-----�-�----�------------.------------------ F'LELD Dq'Tp ON TEST SPF'CIMEN:3 --- pSTM C�1�' Ci38, C143, Ci7c_� C173, C�_31� Ci064 ---- CONL'I',ETE: X GRnUT: MORTAR: SHOTCRETE: C�JRFS: GUNI"fE: ADDRC5S: 3:,5c VIR 'TRE:NTINO.COSTR MESA JDA #: ?��1�r8 DRTE: �2/09/��71Q�4 JOB NAME: THF LAUREL rd PROVTDENCE Gt�,.GERMIT #: ��-��783 IS"SU�D BY: COSTA MF_SA pRCHITECT: Hf�SSENIpN/LF�GQNI RRCH. ENGINEER: S7RUC7UkAL DE5I6N 6ROUP/SGECIRLTY CONTRACTOR: S1"ANDARD FRC1FTf: HQMES SUB CON'TRRCTOR: VFILEIVTE CONCRETE INC. LOCf-1TION IN STRUCTURE: l"R 16416 / BI_DCi # 11 UNIT 69 - GfaRAGE STEMS / SET # C-•1 CONCRETE SUF'FLIER: I�ORERI"SQIV' S NLANT: #� i MIX #: 469�iDCI TYGE OF CEMEIV7 : V ADMIXTUkE: WFtI)R-E4 7TCI'.ET #: 95�1�15 SLUI*iF' : 4 1/2" WATER qDDED: 0 GAL AIR TEMF': 51 F GONCRETE TEMHa 68 F MIXING 7IME: 40 MIPJ TIMF. CA6T: 7:c:,r-� AM DRTE CRST:Y1�/31/c�Z�03 RECEIVEI) Ft"( L_AP,: 1/51�0�r4 SF�ECTMENS MADE BY: CL.YDE L_RCHER FIELD IDENTTf�If,p�'IONI C-d 1 LAP T.DENTIFICqTSON : 31678`:3 AGE URYS DAl'E TEST SIZE -IN. RRER--SG�. IN. CRUSH LQRI)-Lfl5 COMG-STR. -F'5:[. I H/D L'ORR FACTOR CORR. STR. -F'SI TIME TESTED PRERFC TYF'E C. T. M. USED REMflt2KS: : 7 : 1/7/'c'L04 : �,.m�ix.i� . =8. �8 : ais�� : �aom . C . R. N. SF'ECIFIED F'SI: �fO�Q� P I C I : 3 ]. E,789 : 31678`3 . . c:El . �8 . . 1 f28/c�D�D4 : 1128lc004 : : 6.0�4X12 : 6.000X12 . . �8.3i . �8.27 > : i2�3sEm : i._�iia . : 4590 : 4495 . . C . B . : RILH�E : RIE4LE . � D I _----- --------- •-•------ ASTM G39, C174� C19c^.� C47V.i� C617, C4� COMF�L.IES: X DOES IVO7 COMPLY: 7HISNREF'ORT SHRLL_ NOTYHE REPR011UCEL�� EXCEPT TN FULL. ��JTTHGUT THE RF'ROVAI_ OF S7:TI --------------_.__ ------- RESF'ECTFULt_Y SUBMITTED SOUTHWES7 INSFEC:TION RND TESTING SAMPLEi', CRST RY 07HEI�S: RENAN R. CRIJZ LAR. MANAGER qSTM C39 BREf�KS A== cone FS°= enne ancl split C= cor�e D=sF� e ar i' �=co 1 u.rti�nar �=� : S6c-9'+1—c990 S01' 'WEST INSGECTICIN AND TE5TI INC. 1�826 5. Nor•wal.k #A Santa Fe Spi^ings, CR 9�uE,7� 714--5c E-844 ). �=ax-5E::-946—�Z�Z�c 6 FIELD DATR ON TEST S'GECIMENS --- ASTM C31. C138, C143, C17;_, C1.73, Cc31, C1iD64 —•-- CONCf��TE: X 6ROUT: M0131"(�R: 5Fi0TCR�:TF_: COI�ES: GUNITE: FIDDRESS: ;35�= VIR TRENI7IN0. COSTR MESR JQP #: ?�0148 DflTE: 0c/09/'c�04 JOP IVAME: TI-IE LAURFI_ iF� F�ROVIDENCE F'N. F'ERMIT f�e 0:i-00783 ISSULD RY: COSTR MESA f7RCHITECT: BASSENIRN/LRGONT ARCH. ENGINEER: SGECIAL7Y STEEL CONTRRCTQR: STA�IDARD F'flCIFTC HOMES SUS CONTRRCTQR: VALFNTE= CONCRETE INC. , �OCATION IN STRUCTURE: TR i641E / Bl_DG 4� 11 UNIT E'� — S1t= CORNER SL.RB /5ET # C-2 CONCRE'T'F_ SUGF'LIER: ROL�ERTSON'S P�qNT: i� �1 MLX 1#: 469�D1DCI TYF'E OF CEMENT ; V RDMIXTURE: WRDA—E4 TICKET #: 9��105s SLUMF' : 5" WATFR RDDEll: 5 6A!_ AIft 1"EMF': �;5 F CGNCRETE TEMF�': 7� F MIXING TIME: �r�i MIN TIME CAST: 9:�5 F1M DRTE CRST: lc/?,1/�� RECEIVED AT l_RB: 1/�/?�04 SGECIMENS P1ADE F3Y: CLYDF LACHER SF'ECIFTEd F'SI: 4000 FIELn IDENTIFICFITIONI LAB SDENTTFICRTION . R�E DAVS pAr� r�sr SIZE —IN. AREl�—SG!. IN. CRUSH LAF1D—L��5 L'OMt=�—STR. --F'5I. i H/G CORR FRCTOP. CORR. STR. �-F'SI T I ME: l"ES"�'ED IIRERK TYGE C. T. r4. USED Fl I R 1 31 E7'3Q� : 7 : ii�i�aa� : E,.�01X1� , 28. 28 e E�JJ�O� . �,020 : C : B. K. C I D : 31679Q� : 31E79� , . �8 . �8 . . �i�ai�aa� : ii��i2m�aa : . G.�01Xic . E.O�D�Xlc . . ."_'Ci. 28 . 28. c9 . . 1�9440 . t371�� . . 49�� . 4854� . . P . G . : RIEHL� : RIEHLE . I E REMAI�KS : ------------ -•---- -------------------- RSTM C.:�9, C174, C19�, C47@, C61'7, r_4�_ COMF'L.IES: X DOES NO"f CGMG�Y; ---_.___----•----•----._...---------- - -------__...-------•----•-------- THIS REGORT' SHRLL NOT FE REF'RODUCED. EXCEF'T IN FULL WITHOUT THE APROVAL QF SITI ---_ _ _----------_ ._. _ _ _ _ RESGECTFULLY SURMITTED SOUTHWEST TNSF�EC1"ION AND TC5'TING SAMPLES L'AST IIY L]THE'RS: RENAN R.CRUZ 1_REt> MANAGER ASTM C37 EikEAkS F= cone B= cone and split C= cone D=shear E=co1�_imna+-