The URL can be used to link to this page

Home My WebLink About450 ENCLAVE CIR - Building Permits. � �z1v ��i �i CITY OF COSTA MESA B{/ILO/NG DIVIS/ON 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • fax (714) 754-4856 •�.ci.costa-mesa.ca.us . FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BX07-00005 PERMIT TYPE B MISC STATUS: ISSUED DATE ISSUED: 07/25I2007 ISSUED BY: SOK JOB ADDRESS: 450 U ENCLAVE GI.CM:,;.�,--y': " "Suife/Unit: , U Vicinity: ,. Frimary Occ: �. � Gonst Type :?? SQ. FT: 743 ; Valuation . $52,010.00 SCOPE OF WORK: PHASE'3: CONSTRUCT NEW 743 S.F , 3 CAR, DETACHED GARAGE FOR "ENCLAVE APARTMENT HOMES":-ECECTRICAL � ;'';' ✓ � . INCLUDED. ^',:'•�: � t, . . OWNER: THE IRVWECO ��:'.._ _. ., Address:: 110INNOVATION :; , Unit City/State: IRVINE, CA'ZipCode;' ;� , 92612 Phone: 949-720-5536 � APPLICANT: PEGGY BLOCK Address: 8 EXECUTIVE CIRCLE . CitylState: IRVINE, CA ` ,' , Zip;Code> 92B14, i' Phone: 714-557-0244 - - _ . CONTRACTOR: WES?ERN NAiIONAL' CON7RACiORS '. �-. License No:;?. 840973- Address' 8 EXECUTIVE CIRCLE ' - ` -`- � - City/State: IRVINE GA � _'. - Zip Code: 92614 _. Phone 714-557-0244 Cell: ARCHITECT: �, ' ` License No . --• Phone � ,� ' ` , - � ENGINEER: ` ' Licenae No: �� Phone "�:" ' - :y 5 � <a � '� . ' `�:FEESUMMARY ;;:; f,, � T' �'. Building Plan Check: � ' , $166:19 ` , Building Permit: , $664:75 . � ` Electrical Permit: � - _ $97 75'" � " — SMIP Residential . $5.20 Unit: Unit: :� NOTICE: 7he work authorized by this permit shall comply with all applicable. handicap accass requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) ' EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. ' INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work musl comply with all apPlicable codes, and all required inspeotions and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE/. INSPEC710NTYPE j1A�F7 INiI71RL5 CODE/ INSPELTONTVPE O�TF NI7IlUL5 1618 Fixed System Final Fire Prevention � '� 206 � Final Mechanical . 1268 Pool Spa Final - 208 Final Plumbing 200 � Final Re-Roof • 270 Final Electncal � l0 � a%' a D�H%��" 201 Final Block/Retaining Wall 202 Final Factory fire Place 203 FinalSign 204 Final �emolition 212 Final Fire Prevention 220 Final Planning Approval 222 250 Final,Site Final Building/Occupancy � oa � ac�� mcc. �200 � t1w � � WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty ot perjury one of the tU,,,wing declarations: ❑ I have and vrill maintain a certifcate of wnsent to self-Insure (or workers' compensalion, as provided (or by section 3700 0( the Labor Cotle, (or the pe ormance o( the vrork for which Jhis permit is issueO. I have and vrill maintain xorkers' wmpensatbn insurance, as 2quired by ection 3700 0l the Labor Code, (or the peAormance ol the work for which ihis pertnit is issued. My workers' compensation Insurance carner and policy number are� �� Cartier: (iNssevnnne'e,d\no�ttee�l pr1e( dNepemWrs^vd�ll.eEalmyB��i/Mi9JWlars(5/00)bkss.) Palicy Number. W l..rX� b L'l ��T�� W� ❑ I ceeify Ihat in the pedormance of t�e woAc lor which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Calilomia, antl agree that if I should become subject to �he workers' compensation provisions ol Seclion 3700 of Ihe Labor C�I s II f � hwith comply with these prov1ision . Apoliwm's5ipnaWre � ( Date 0 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4R5 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CADE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensed under provisions of Chapter 9(wmmencing with Section 7000) 01 Division 3 01 the Bu5in855 and Profe55ions Code, antl my license is1inIfull force and eHect. Lic. # �-L Class # Convat s5ignaWre Date CONSTRUCTION LENDING AGENCV: ❑ I hereby affum that there is a construction lending agency for the peAormance ot the v.ork fa v.fiich this permit is issueC. (Sec. 3097, Civil Code). Lenders Name: Lender s Atldress: .•ra �vtire'Y�c• �' � SipnaWre R. _^'l Daie �a,.l�..��, � �.� O W 8E�[i-BS1ILD�R14nde�alty uf yc��ury Ihat I am EXEMPT FROM THE f�� Q CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5. Business antl Prolessions Cotle: Any city or wunty which raquires a permit to construct, alter, improve, demolish, or repair any structure, prior lo its issuanca, also requires the appliwm for such permit to Iile a signed statement �hat he or she is licensed Dursuanl lo lhe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle) or lhat he or she is exempt therefrom and Ihe basis (or tha alleged exemption. Any violation o1 Section 7031.5 by any appliwnt for a permit subjects the applicant lo a civil penalry of not more than fve hundretl tlollars ($500).): ❑ I, as ovmer of the property, or my employees with vlages as their sole compensation, WILL DO THE WORN, and the structure is not intended or oHered for sale (Sec. 7044, Business antl Prolessions Code: The Contrectors License Law dces nat apply to an owner of property who builds or improves thereon, and who dces such vrork himsel( or hersell or lhroug� his or her ovm employees, provided that�such improvements are'not intended or oHered for sale. If, however, the building or improvement is sold within one year of completion, Ihe ovmer-Duilder vnll have Ihe burden of proving that he�or she did not builtl or improve for purpose o1 sale.). � ❑ I, as ovmer of ihe property, am EXCLUSIVELY CON7RACTING WITH LICENSED CONTR4CTOR5 to conslrucl the project (Sec. 7004, Business and Pmfessions Code: The cont2ctors License Law dces not appty_to an ovmer of pmperty v,fio builds or impmves thereon, antl who cont2cls fw such project with a contractor(s) license pursuant totha Contractas License laws.�. ❑ I am exempt under sec. Business and Protessions Code for lhis reason: SignaWre Date . 3057�4fi�1V7) � � Owner ID verified by dnv� :ise. ❑ Yes ❑ No �Driver's License No. Expires: Venfication�oGOvmership by (type of tlocument, i.e. - properly tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: � ❑ I hereby certdy that no excavation frve (5) or mwe (eet in depth into wfiich a person is requiretl lo tlascend, will be made in connection with work authonzetl by this permit, an0 Ihat no building structure, scaHdtling, false�wrk, or demWition or dismantling thereol, vrill be more than thiAy-six (36) feet high. (Clup. 3.2, Grp 2, M 2, Sec. 341, Tille 8, Califwnia AdministraWe Code). ❑ As ovmer-builder, I will not employ anyone to tlo work which would require a permil lrom the Division of Industrial Safety, as noted above. unless such person has a permit to do such work from the tlivision. Applipnl's SiB�elure Division of Industrial Safety Permil NumDer. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or presenl or fuWre builtling occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous malerial� ❑ Yes ❑ No (Seclion 25505 of Ihe Califomia Health and Safety CoOe requires. with some exceptions, that a Business Plan be filed with lhe Costa Mesa Fire Department by every business which has at any one time during a reported year a quantiry of hazardous matedals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cu6ic feet of wmpressed gas at standard lemperature antl pressure). 2. Does or will the applicant or present or future DuilCing occupant neetl to file a regist2tion form for awtely hazardous materials? ❑ Yes ❑ No (Sec[ion 25533 of the Califomia Health antl Safety Code, vriN some exceplions, requires registralion with lhe Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume o( 55 gallons, or 200 cuDic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or Nture building cecuDant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazartlous materials)4 ❑ Ves ❑ No (Section 25534 of the Califomia Health antl Safery Code pmviAes that the Costa Mesa Fire Department may require the preparation, cenifiwlion antl filing wit� the Fire Department o( an RMPP by businesses which are requiretl to register acutely harardous materials with Ihe Fire Department. 4. I( an RMPP is presently required, has Seclion 25534 of Ihe Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will lhe applicant or present or future building occupant require for Ne wOrk which is the suhject of ihis application a Oe�it tor such consVuclion or motlifiwtion from Ihe South Coast Air Quality Management District or (rom any other air pollution control tlislncl or agency? ❑ Yes ❑ No (Seclion 65850.2 of Ihe Calilomia Govemment Cotle requires Ihal lhe requesteA information be fumiShed on applications !or non-residenlial builCing pertnits�. 6. Will any part of the faciliry to be consVucted under Ihis permit be wilhin 10001eet (rom lhe outer boundanes o( a school7 ❑ Yes ❑ No (If'yes", t�e facility must meet I�e requirement of Sections 25534 and 42303 of the Califomia Healih and Safety Code). 7. II a permit from tha South Coast Air Qualiry Management District or other air pollution wntrol tlisMcl or agency is required for the work which is Ihe subjecl ol this application, have all of the disclosures prescnbeC by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No, 8. (If yes", etlach certificate o/ compliance from the appropriate air pollution contml o�cer). � . , CERTIFICATE OF COMPLIANCE: I certify t�at. un0er penally of perjury the in(omiation given above is correci. I agree to wmply with all sWte laws and� cily ordinances regardingNazardous Materials and Emissions. � � CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: 1 certify under penalty of perjury that I have read this application and sWte that the informalion given is correcL 1 agree to comply with all state laws antl city ordinances relatinq to building construction, antl authonze represenWtives of the City o! Cosla MeSa to enter upon ihe above-described property for inspection purposes. I agree not to occupy or allow occupancy of any builtling . authorized by IhiS permil until fnal inspection. Sig�a� e o�Owner�s) ^� �e, L AnE/a Aulhonzetl ADP�� ¢ CITI:OF C�Cb'TA MESA - BUILDIN6 D/VIS/ON F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754d856 • www.ci.costa-mesa.ca.us �. FOR INSPECTIONS CALL: (714) 754-5628 4y�,r` PERMIT NUMBER: BX07-00012 PERMIT TYPE B MISC � STATUS: ISSUED ' DATE ISSUED: 07/25/2007 ISSUED BY: SOK JOB ADDRESS: 450 P ENCLAVE:CI;CM=-1 �� ,.� �Suite/Unit: P Vicinity: r;."� r�� :'�.Primary Guc: '�: Const Type :?? SQ. FT: 1230 . Valuation: $86;100.00', � SCOPE OF.WORK: PHASE`3: CONSTRUCT NEW 1,230 S.F., DETACHED;<5�CAR GARAGE WITH ELECTRICAL INCLUDED FOR "ENCLAVE • APARTMENT HOMES" � "� , ' ' ;.r, : � OWNER: THE IRVINE CO, `^, %_ : Address: 110 INNOVAT�ON ';�' Unit City/State: IRVINE, CArZip Code; �- . .�"� '-_ •• 92612 _ ' Phone: 949-720-5536 ' T � - - , APPLICANT: PEGGY BLOCK , . Address: 8 EXECUTIVE CIRCLE City/State: IRVINE,.CA, " . , -; ` ' ,- . ' _ Zip Code: 92614 Phone: 714-557-0244 , ' ' - � CONTRACTOR: WESTERN NATIONAL CONTRACTORS - Address: 8 EXECUTIVE CIRCLE -- - City/State: IRVINE,'CA �;;' Zip Code: 92614�' , Phone License No. 714-557-0244 ' ARCHITECT: �. " �'�. � , License No. Phone . . , ' .' - . . .. ENGINEER: �>� - �� n . License No. Phone �', . � �,_: _ �'` ; . , - .,'.,._ . , , - _ ' ,. ; ,. . �'::�FEE'SU,MMARY,. _ ,, " Building Plan Check: � . .5225:69.: _- ;;. ,' Building Permit: -,- , w $902.75 , , - Electrical Permit: `� �`'" `' � $105:45`'- ' SMIP Residential $8.61 Unit: 840973 Unit � , Cell: NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: PERMIT EXPIRES 780 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with�all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will resul[ in the expiration of this permit. OOE t. INSPELlION IYVE 1fit6 Fixed System Final Fire Prevention 1266 Pool Spa Final � 20o Final Re-Roo( � 207 Final Block/Retaining Wall 202 Final Fadory Fire Place 203 204 Final Sign Final Oertwlition �T[ �NTITIRLS 400E/ INSGEC710NTVGE 208 Final Mechanical 208 Final Plumbing 210 Final Electrital 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy 01T � IN7I7UL5 -Ib • 2�� L —�1--CLlL�L " WORKERS' COMPENSATION DECLARATION: 1 hereby affirtn under penalry of peryury one of the fo��uvnng tleclarations: �� ❑ I have and vnll maintain a certificate of wnsent to self=lnsure for vrorkers' compensation, as provitled for Dy seclion 3700 of the Labor Code, for the _p�e ortnance of lhe work (or which [his permit is issued. . �1�j I have and will maintain v.orkers' wmpensation insurance, as required by q�ectan 3700 of the Labor Code, for the peAormance o( the v.ark fw which this pertnit is issued. My vrorkers' compensation Insurance carrier and policy number a e: I ,,1 ��/�� l � — / Cartier: � Vl{ A��.1 S � l� \ 1�X ` (ThuserfionneMI.�ro'�tbe �] Iet/e�tlathap�erm/earv(aluetlatme�urn�Or�eCcbllars(S��laieul Policy Number. WCCJ``So L 1J�4 -��i��Lh ❑ I certify that in the peAortnance of the work for which Ihis permit is issued, I s�all no� employ any person in any manner so as to become subjec� to lhe vrorkers' compensation lavrs of Califomia. antl a9ree t�at if I should bewme subject to lhe workers' wmpensalion provisions of Sectio�3700 ot the Labor Cod�'h5hall f, orthvrith c/pmply with lhese provis_ ion�� O� '1-T ) UUI�P C� ,! p iwnl's5ignaWre Da�e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. # CIa55 # c �' .�� Com2dor's Sipnalure Date CONSTRUCTION LENDING AGENCV: ❑ I hereby affirtn ihat there is a constructbn lending agency for the peRormance of Ihe wvrk for wfiich this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Adtlress: Sigreture Date OWNER-BUILDER DECLARATIONS: I hereby aKrm that untler penalty of pery'ury tha[ I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Cotle: Any city or counry which requires a permit lo wnstruct, alter, improve. demolish, or repair any slructure, prior to its issuance, also requireS tl�e�applicant (or such parmit to fle a signed statement [hat he or she„�niedupursuant�rto�t�sions of the Contrac[ors License law (Ch r�Qc�m� '�'r�g withn ec i 7000) o! Division 3 of Ihe Business and Pro i s od,�� ,o�llhat'he•�r•ctre is exempt theiefrom and the basis for the allegetl e�emp�o�. Any violation of Section 7031.5 by any applicant for a permit subjects the' applicant$Sd,civil penalty of not more than (ve hundretl dollars ($500).): ❑ I, as ovmer of the property, or my employees with wages as [heir sole wmpensation, WILL DO THE WORK, and lhe structure is not intended or oflered for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law tloes not apply to an owner of property who builds or improves Ihereon, antl who does such work himself or herself or ihrough his or her own employees, provided that such improvements are� not intended or offered for sale. If, however, Ihe building or improvement is sold within one year of completion, the ovmer-builder will have lhe burden o6 proving that he o,r she tlid not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CON7RACTING WITH LICENSED CON7RACTORS to consiruct the projecl (Sec. 7044, Business antl Pmfessions Code: The contractars License Law dces not apply to an owner of property who builtls or improves Ihereon, and wh0 cont2cts for such project with a contracta(s) license pursuant to the Cont2ctors License Laws.). � I am exempt under sec. Business and Professions Code for this reason: SignaWre � Dale ]O5I<6�3/0"!7 � � N Owner ID verifed by Crivi nse. ❑ Yes ❑ No � �Dnvers license No. Expires: Verification of Ovmership by (type of documenl, i.e. - property tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certrfy Ihat no excavation frve (5) or more feet in deplh into which a person is required to desGend, will be made in connection with work auttrorizetl by Ihis permil, and that no building stmcture, scaffdding, falsework, or tlemolition or tlismantling Ihereof, will be more than thirty-sia (36) leet high. (C�ap. 32, Grp 2, M 2, Sec. 341, Title B, Califomia AdministraMe Code). � As owner-builder, I will not employ anyone [o do vrork which would require a permit from the Division ot Industrial Safety, as noted above, unless such pereon has a permit to do such work from the division. AOOlicanl's SignaWre Division of Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: t. Will the applicant or present or future builtling occupanl need to fle and certify a Business Plan (or emergency response to release or Ihreatenetl release of a hazardous material� � Yes ❑ No (Section 25505 of the Califomia Health antl Safety Code requires. with some exceptions, that a Business Plan be fled with tha Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazartlous materials equal lo or greater than a weight of 500 pounds, or a volume o� 55 gallons, or 200 cubic feet of compressed gas at stantlartl tempe2ture and pressure). 2. Dces or will the applicant or present or future building occupant need to file a registration fortn for acutely hazartlous materials7 ❑ Yes ❑ No (Section 25533 of the Califomia Healih antl Safety Code, with some ezceptions, requires regis[ration with Ihe Costa Mesa Fire Depariment by each business which at any one time has on hand a quantiry of acutely haurdous materials aqual to or greater [han a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic teet ot compresseC gas at slandartl temperature antl pressure). � 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management antl Prevention Program !or acutely hazardous materials)7 ❑ Yes ❑ NO (Section 25534 of ihe Califomia Healih and Safety Code provides that the Costa Mesa Fire Department may requira the preparation, certification and filing with the Fire Department of an RMPP by businesses which are requiretl to register acutely hazartlous materials with the Fire Department. 4. If an RMPP is presenlly requireC, has Seclion 25534 0( the Califomia Heal[h antl Safery Code been fully complietl vnth7 ❑ Yes ❑ No 5. Does or will lhe applicant or present or future building occupant require tor Ihe vrork which is the subject of this ap0�iwtion a Dermit for such construction or mOdiftati0n fmm the South Coast Air Quality Management District or from any other air pollution wntrol district or agency7 ❑ Ves ❑ No (Section 658502 of the Califomia Govemment Code requires that the requested infortnation be (umished on applications fv non•residential building permits). 6. Will any part of lhe faciliry to be constructetl under this permit be within 1000 (eet from the outer boundaries o1 a school? ❑ Ves ❑ No Qf "yes", the lacility must meet the requirement of Sections 25534 and 42303 ot the Calilornia Health and Safety CoCe). 7. If a permit from the South Coast Air Ouality Management DisMcl or other air pollution control tlistrict or agency is requiretl for the v.ork which is the subject of this appliwtion, have all of the disclosures prescribetl tiy Califomia Health and Safery Code Section 42303 been made7 ❑ Yes , ❑ No 8. (If'yes", atWch certificate of compliance from Ihe appropriate air pollution Control oKter). ' , CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury.the information given above is iortecL I agree to comply vrith all sfate laws antl _ city ortlinances regarding Hazardous Materials and Emissions. Signawre Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I ceAify under penalty of perjury that I have read this application and state that Ihe information given is correct. I agree to comply with all state laws and city ortlinances relating fo building consWction, antl aWhorize representatives of the City of Costa Mesa to enter upon the abovetlescribed property for inspection purposes. I agree not to occupy or allow occupancy of any builtling authonzed by this pertnit until fnal inspection. $rt$n�ppytyre of Legal pwner(s) � � �� O� 1 )(J-� 't- r � nElor Au��onzM Applifanl Dale CITY OF COSTA MESA , BI/ILDING DIVIS/ON 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us PERMIT TYPE B_MISC JOB ADDRESS: 450 S Vicinity: SQ.FT: 1474 SCOPE OF WORK: I APARTMENT HOMES" F '� FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER BX07-00016 STATUS: ISSUED DATE ISSUED: 07/25/2007 ISSUED BY: SOK \VE CI CM �, M' � t' Suite/Unit: S r"�'�" , Pnmary Occ: � i" � �`:Const Type :?? �l. .i . .. - f ' _ � ; , '., Valuation ":103,180.00 r NEW�;1 474 S.F., 6 CAR, DETACHED,GARAGE:FOR "ENCLAVE ECTRICAL WORK. ^''�,;�,;"�' ; y��, N .;.' OWNER: THE IRVINE CO ``. ,�< �� Address:: 110 INNOVATION: Unit City/State: IRVINE, CA,ZipCode;j',_ , , 92612 - � Phone: 949-720-5536 , .� �' s„ `� 9` r �x . _ � • APPLICANT: PEGGY,BLOCK "",� ,. - Address: 8 EXECUTIVE CIRCLE Unit City/State: IRVINE; CA' ' � Zip Code: 92614'. .' Phone: 714-557-0244 _ -- . . , —� , CONTRACTOR: WESTERN NATIONAL CONTRACTORS ' License No:: 840973 Address: 8 EXECUTIVE;.CIRCLE ..,,. .- —. . . - - � City/State: IRVINE CA ' ` ' � ' ;�,- - �� . , ,�- Zip Code: 92614,, ' • - � ' � Phone 714-557-0244, � `` c ", Cell: ARCHITECT: `:� �*.s , License No "` ` c � Phone � � �., ,, .t: , ENGINEER: � �,` �R�uF �7;',, �i i �>." 4''CICenSeNO ,�' , Phone � ' __ „� - +'- ' FEE�SUMMARYs' � Building Plan Check =�� •� " ��;p . � �, $254.04 � ,: �'1"� � Building Permit: �°,;5, , r ��, $1,016,15 '� ry� � ;;:i,•�"� Electrical Permit: - 4 u�;., �. � '$108.75 . SMIP Residential " : : $10:32' = - � SMIP Commercial $0.00 Unit: NOTICE: The work authorized by this pertnit shall comply with all applicable handicap access requven�a,._ _.. .. a,aii�omia su�mles and related regulations. (Ord. No. 9248, § 1, 12-21-92) - � EXPIRATION: PERMIT EXPIRES 160 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and Tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE/. INSPECTIONTYPE Q� IN7IlUL5 1618 Fined Syslem Final Fire Prevention 1286 Pool Spa Final 200 Final Re-Rool 20t Final BIocWRetaininq W all 202 Final Factory Fire Place 203 204 Final Sign Final Demoliiion GQDEI �NsrEcnoNrwe � 206 Final Mechaniwl ' � 208 � Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval � � 222 Final Site 250 Final Building/Occupancy DAT INTI R �r( ' .�ty=" —. 7 ' z.�""'__"'u WORKERS' COMPENSATION DECLARATION: I hereby aKrtn under penalty of perjury one ot the fo��uwing declarations: � ❑ I have and will maintain a certificate o( consent to sel4lnsure for workers' compensation, as provided for by section 3700 of tha Labor Code, for the peAormance of Ihe work for which this permit is issued � 1 have and vrill maintain v,orkers' compensation insurance. as required by tion 3700 of the Labor Cotle, for the peAortnance of Ihe work for which Ihis pertnit is issued. My wOrkerS' tompensation Insurance Garrier and policy Cameerar��_ 1 ^^ „�r �'� Y� l� ' � �/ < <� (Tnissed�onneetlridEe efeddlheperm�!is(va!lueda�onelruMiedddlars(Ei00)wlessJ PolicyNumber. WC� �L �b�l-��.06� ❑ I certify [hat in Ihe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws of Califomia, antl a9ree that if I should become subject to the vrorkers' compensation provisions ot Section 3700 of the Labo�o I all (orth th comply with these provisio s. - �uc.�� 'o AOd�� s SignaWre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 0( the Business and Professions Code, and my license is in full fo(�rce and eRect. Lic.# �'� \�� Class# �� C nvactw's Sie�amre a�e CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn lha[ there is a constructpn Ien0in9 agency for the performance o( the Mork fv wfiich this permit is issued. (Sec. 3097. Civil Code). Lender s Name: Lender's Address: Dale OWNER-BUILDER DECLARATIONS: I hereby aKrm ihal under penalty of perjury [hat I am EXEMPT FROM THE CONTRACTORS IICENSE LAW for the following reason (Sec. 7037.5, Business and Professions Code: Any ciry or county which raquires a permit to construct, alter, improve, tlemolish, or repair any structure, prior lo its issuance, also requires the appliwnt for such permit to file a signea statement lhal he or she is licensed pursuant ro the provisions of the Contractors License Law (Chapter 9(commencing with Seclion 7000) of Division 3 of t�e Business and Professions Cotle) or that he or she is exempt therefmm antl the basis for lhe alleged exemp[ion. Any violation o! Section 7037.5 by any appliwnt for a pertnit subjects the applicant to a civil panalry of not more than five hundred dollars ($500).): „� � ,_-�g -f' C�1"iA�a ( ❑ I, as ovmer of the property, onmy(e�rryloyees�vnthw} qei��s their sole wmpensation, WILL DO THE WOR and!the�atrucN`re'Is'hbTintendetl or oflered tor sale (Sec. 7044. Busine Prot s�ns Cotle:� h,g Contractors License Law dces not appty to an � o�p y who tidibs�oi impmves thereon, and who does such vrork hims�or he�or through his or her ovm employees, provided that such improvements are nol intended or oHered (or sale. If, hovrever, the building or improvemenl is so10 wilhin one year of completion, the ovmer-builder will have the burdan of proving that he or she did not build or improve for purpose of sale.). ' ❑ I, as owner of the properry, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Pro(essions Code: The contractors License Law dces nol apply to an owner of property who builds or improves thereon, and who cont2c[s for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for Ihis reason: SiB�alure .. 305)�46�3/0]) Owner ID venfietl by tlriv� nse. ❑ Yes ❑ No Driver'S Licanse No. Expire5: • Verification�of Ownership by�(type of document, i.e. - property tax bill �or tleed): -DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that rro ezcavation frve (5) or mwe feet in depth into which a person is required to tlescend, will be made in wnnection vrith wodc authorized by this permit, and that no builtlinq siructure, scaHdding, talsework, or demolition or dismanUing �hereof, will be more than thirty-s�c (36) (eet high. (Chap. 32. Grp 2, Art 2, Sec. 341, Tlle 8, Calitomia Adminisirative Code). ❑ As ovmer-builder, I will not employ anyone to do work which vrould require a permit from Ihe Division of Intlustrial Safety, as notetl above, unless such person has a permit to tlo such work from the division. ApPI¢anfs Signature Division of Induslrial Satety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will Ihe applicanl or present or future builtling occupant need to file and certify a 8usiness Plan for emergency response to release or ihreatened release of a hazardous material7 ❑ Yes ❑ No (Section 25505 of the California Health and Safery Cotle requires, with some exceptions, lhat a Business Plan De filetl with Ne Costa Mesa Fire Department hy every husiness which has at any one time Ounng a reported year a quantiry of hazardous materials equal to or greater than a v,eight of 500 pounds, or a volume of 55 gallons. or 200 cubic feet of compressetl gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need b file a regisiration form for acutely harardous materials4 ❑ Yes ❑ No (Section 25533 of the Califomia Health antl Safety Code. wiM some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantiry of acutely hazartlous materials equal lo or greater than a weighl of 500 pounds. or a volume of 55 gallons, or 200 cubic feet ot compressed gas at slantlard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous matenals)? ❑ Yes ❑ No (Sec[ion 25534 of Ihe Califomia Health and Safety Code provides lha[ the Cosla Mesa Fire Department may reQuire the preparalion, certifwtion antl filing with the Fire Department of an RMPP by businesses which are requiretl to register aculely hazarCous materials wilh ihe Fire Department. 4. If an RMPP is presently required, has Section 25534 0( the California Health anC Safety CoCe Geen fully complieA with7 ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or motlification from the South Coast Air �ualiry Management District or from any olher air pollulion control tlistrict or agency4 ❑ Yes ❑ No (Sectbn 65850.2 of the Califomia Govemment Code requires that the requestetl information be tumished on appliwtions fa non-residential builtling permi�s). 6. Will any part of the (aciliry to be consWcted under this permit be wilhin 1000 feet from the outer boundanes o( a school? ❑ Yes ❑ No pt yes", the tacility musl meet t�e requiremem of Sections 25534 and 42303 of tha Califomia Health and Safety Code). 7. If a permit (rom lhe South Coast Air �uality Management Disincl or other air polWtion wntrol tlislnct or agency is required tor [he work which is the subject of this application, have all of the disclosures prescribed by Califomia Health and Safery Cotle Section 42303 been made? ❑ Yes ❑ No 8. Qt "yes", attach certificate.of compliance from the appropriate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information given above is cortect. I agree to comply with all slate law4 and ciry ordinances regarding Hazardous Matenals and Emissions. � . � Signature Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury that I have read this application and state thal the information given is correcL I agree to comply with all state laws and city ordinances relating to builtling construction, and authonze representatives o( the City of Costa Mesa to enter upon the above-descnbed property for inspection purposes. I agree not to cecupy or allow occupancy ot any building authonzetl by this permit until final inspection. Sie�awre ` I Owner(s) � a� MOIpAuIM1onEe0A0Glit�ant 001e � CITY �F COSTA MESA � , . BYILDING DIVISION , i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754•5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us r �.�� FOR INSPECTIONS CAI.L: (714) 754-5828 PERMIT NUMBER: BX07-00015 PERMIT TYPE B MISC STATUS: ISSUED DATE ISSUED: 07125/2007 � . ISSUED BX: SOK - : , ., JOB ADDRESS: 450 R ENCLAVE CI CM " Sui(e/Unit: R Vicinity: l Primary Occ: �•�. -Const Type :?? SQ. FT: 1474 . :Valuation: 103,180.00 `f ' � SCOPE OF WORK: PHASE3, NEW.1;A74 S.F., 6 CAR, DETACHED GARAGE FOR "ENCLAVE APARTMENT HOMES" WITH ELECTRICAL WORK. OWNER: THE IRVINE CO. �`• �` t Address:: 110 INNOVATION; Unit City/State: IRVINE, CA Zip Code:,,' - ,� 92612 , Phone: 949-72q-5536 • , • '. � . - APPLICANT: PEGGY�BLOCK . Address: 8 EXECUTIVE CIRCLE Unit: City/State: IRVINE, CA , Zip Code:. 92614 . Phone: 714-557-0244 - • , � � CONTRACTOR: WESTERN NATIONAL CONTRACTORS License No.. 840973 Address: 8 EXECUTIVE CIRCLE - ` '. Unit: City/State: IRVINE, CA • ZipCode: 92614:,`-� _. Phone 714-557-0244�, ;'; Cell: ARCHITECT: � � - License No. � Phone . . . . . , ENGINEER: - � � " License No. , � Phone �, : , , , /,, FEE SUMMARY I Building Plan Check' �.�'� �, $254.04 . �• , Building Permit: � , $1,,016.15' �- .:. ;'%` El�ctrical Permit: . . $108.75. SMIP Residential � $10.32 - SMIP Commercial $0.00 '7 �r 9+r� , I NOTICE: The work authorized by lhis permit shall comply with all applicable handicap access requiremenls under Califomia slatutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. ' INSPECTIONS: In order (or the work authonzed under this permit to be wnsidered legal, such work must comply with all applicable codes, and all required Inspections ahd final approval musl be obtained. Failure to obtain inspections and final approval will result in the expiralion of this permit. 0/ INSPEL710NTYPE �jE L]j�[i�j COpE� �NSPECTIONTVPE Q�� IN1171�L5 1818 Fixed System Final Fire Prevention 208 Final Mechanical 7288 Pool Spa Final ' 208 Final Plumbing � 200 � FinalRe-Roof ' 210 FinalElectriwl �J'.�0�8 HM 201 Final Block/Retaining Wall 212 Final Fire Prevention � 202 Final Factory Fire Place 220 Final Ptanning AOVroval �p �— f �O • 2�� 203 Final Sign 222 Final Sile 204 FinalDertwlition 250 FinalBuilding/Occupancy -7- i-ado{F Hl�✓� WORKERS' COMPENSATION DECLARA� � I hereby affirm under penalty ot perjury one o fo owing deUarations: � ❑ I have and will maintain a tertificate o( wnsent to Setbin5ure (of vroAcers' compensation, as provitletl (or by section 3700 of the Labor Code, lor �he peAormance o( the vrork (or which4his permit is issued. � . . I have and will maintain v.wkers' cwnpensation insurance, as required by section 3700 of Ihe Labor Code, for the peAwmance o( the work tor which this pertnit is issued. My v.orkers' compensation Insu2nce carrier and policy number a�: ,�� Carriec A �/� / (Tlvssecimneetl,n.\ofGne^�� eOLlf�MpemY161vaNMra�tarrohunCietlhilars(ff00lakul PolicyNumber l.Ul'.rH� 11��Y S 1�� ❑ 1 certify that in the performance o( the work lor which lhis permit is issued, I shall nol employ any person in any manner so as to become subjecl b the �+orkers' compensation laws of Califomia, and agree that if I should bewme subject to �he workers' compensation provisions of Seclion 3700 of �he Labor 8. I hall (oAhvrith comply with Nese provisions. l�'�� AppionY59greWrc Pale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENAITIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CADE. INTEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn lhat 1 am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, and my license is in full force and eflect. Lic. # � �Q� Class # c� ^-7 /. ��--� � / GoniraeoYs Signawre Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby affum that there is a wnstructbn lending agency for the perfortnance of the v.ark (or wfiich tfris permit is issued. (Sec. 3097. Civil Code). Lender's Name: LenAer's Atldress: s nawre yy�, Dz�e * r• ,� ,�� „^�y �` OWNEFi R FCIA ONS: I hereby a rt tl�t undar ' alty o{ per7u��tha1 I am EXEMPT FROM THE CONTRAC 5�!LIO�15E` W for�7ih,�1ollowing reason (Sec. 7031.5, Business and Prof�ssions Code: Any ciry�or coun[y which requires a permit to construct, alier, improve, demblish, or repair any sWcture, D�or to its issuance, also requires the applicant for 5uch permil lo file a 5igneC slatemen� that he or she is licensed pursuant to the provisions of �he Contractors License Law (Chapter 9(commencing �ith �ection 7000) of Division 3 of the Business°and Profe§sioas C4de) a that �e�ar she is exempl therefrom and the basis for th9,alfeged exemption: Any violation of Section 7037.5 by any applicanl (or a pertnit subjects�the applicant to a civil penalty of not more lhan fve hundretl dollafs.($500).): � � y • � 1, ❑ 1, as dimer of lhe aropelFy, o� my em�oyees with wages as their sole compensation, WILL DO THE WORK, and t�e structure is not intenCed or oKered for sale (Sec. 7044. Business and Professions Code: The Contrectors License Law does not apply to an owner of property who builds or improves thereon, and who dces such work himself or hersetl or through his or her ovm employees, provitleC that such improvements are not intended or offered for sale. If, hovrever, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to construa the project (Sec. 7044, Business and Professbns Code: T�e contractors License Law dces not apply to an owner of pmperty vfio builds or improves thereon, and who contracts lor such project with a cart2ctor(s) license pursuaN to the CAntrac10r5 license LawS.). ❑ I am exempt under sec. Business and Professions Code for this reason: Owper ID verifed by�nse. ❑ Yes ❑ No Driver s License No. Expires: Verificalion o( Ownership by (rype o( document, i.e. - property tax hill or tleedJ: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certHy that no excavation frve (5) a more feet m tlepth into which a person is required to descend, vnll be made in cannection with wwk author¢etl by this pertnit, and Ihat no building stnuture, scaffdtling, falsev.ork, v demolition or dismamling thereof, will be more than thirty-siz (36) leet hig�. (Chap. 32, Grp 2, M 2, Sec. 347, Tille 8, Califomia Administ2tive Code). ❑ As ovmer-builder, I will not employ anyone lo do vrork which would require a pertnil from the Division of Industrial Safery, as noted above, unless such person has a permit to do SUCh work from the divisi0n. AOGlionl's Signalure Date Division of InAustnal Safety Pertnit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicaN or preseN or �uNre building octupant neetl to file and certify a Business Plan for emergency response lo release or threateneC release of a hazardous material? ❑ Yes ❑ No (Seclion 25505 0( the Califomia Health and Safety Cotle requires, with some exceptions, lhat a Business Plan be filed with Ihe CosW Mesa Fire Department by every business which has at any ona time during a reportetl year a quan[ity of hazardous materials equal to or greater than a weight of 500 poun05, or a volume o( 55 gallons, or 200 cubic feet af wmpresseC gas at stantlard temperature and pressure). 2. Does or will the appliwnt or present or tuture building accupant neeC to fiie a registralion form tor aculely hazardous matenals? ❑ Yes ❑ No (Section 25533 ot the Calilomia Health anC Safery Code, wiN some exceptions, requires regisiration with the Costa Mesa Fire Department by each business which at any one time �as on hand a quantiry of acutely hazarclous matenals equal to or greater Nan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl temperature and pressure). 3. Does or will the applicanl or present or fuWre building occupant need to prepare an RMPP (Risk Management and Preven[ion Prog2m for acutely hazardous matenals)7 � Yes ❑ No (Sec[ion 25534 of [ha Califomia Health anC Safery Code provitles lhat Ihe Cosla Mesa Fire Department may require the preparalion, certifitation and filing with the Fire Departmant of an RMPP by businesses which are requiretl to regis[er acutely hazartlous materials with t�e Fire Department. 4. If an RMPP is presently required, has Section 25534 of ihe Califomia Heallh and Safely Code been fully complied vrith7 ❑ Yes ❑ No 5. Does or will Ihe applicant or present or fuNre builtling occupant require for the vrork which is the subject of this aDP�ication a permit for such consWction or motlificatian fmm Ihe SoWh Coast Air Oualily Manapemen� Dislrict or from any other air pollution wntrol district or agency7 ❑ Yes ❑ No (Sectbn 65850.2 of the Califomia Govemmenl CoEe requires that the requestetl in(ortnation be fumished on applicatlons lor non-residential buildirg pertnils). 6. Will any part o! the lacilily lo be ton5lructed under this permit be wilhin 7000 (eel from Ihe ouler boundaries of a sch001i ❑ Yes ❑ No Qf 'j�es", lhe (acility musl meet the requirement o( Seclions 25534 antl 42303 of the Califomia Health and Sa(ety CoCe). 7. If a pertnit Irom Ihe South Coast Air �ualily Management Distnct or olher air polWtion conlrol districl or agency is required fot Ihe work which is lhe subject ol lhis application, have all of Ihe tlisclosures prescribed by Calitomia Health and Satety Code Section 42303 been made? ❑ Yes ❑ No, 8. (If'yes", attach certifcale o( compliance from the approD�ate air pollution control officer). � • CERTIFICATE OF COMPLIANCE: I certify that under penalty. of perjury Ne information qiven above is correcL I a9ree lo comply wilh all sWte laws and city ortlinances•regarding HazarCous Materials and Emissions. � S'�gnaWre Data CERTIFICATE OF COMPLIANCE AND�AUTHORIZATION OF ENTRY: 1 certify under penalty of perjury that I have read this appliwtion and sWte that the inlormation givan is correcL I agree to comply with all state laws and ciry ordinances relating to building construction, antl authorize representatives of the Ciry of Costa Mesa ro enter upon the above-described property for inspection puryoses. I a9ree not to occupy or allow occupancy o( any Duiltling authorizetl by this permit unlil final inspection. ' Si t�9Jp -I �Legal Owner�s� Date SipnaWre �ate �Y 1 � (2� � 1 ) J_� 3051�46 3I0) - q�piormm�onzeEnpd�� a�e CITY OF COSTA MESA BIIILDING D/VISION F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us �, FOR INSPECTIONS CALL: (7'14) 754-56,26 , , - �� PERMIT NUMBER: BX07-00020 PERMIT TYPE B MISC STATUS: ISSUED "4TE ISSUED`. 07/25/2007 ISSUED BY: SOK , JOB ADDRESS: 450 M trv��H��- Vicinity: ;' •�� SC2. FT: 1718 �, SCOPE OF. WORK: I APARTMENT HOMES" OWNER: THE IRVINE CO'; ; City/State: IRVINE, CA Zip.Cc Phone: 949-720-5536 - -�; ,., APPLICANT: PEGGY:BLOCK City/State: IRVINE;°`CA;:_, ; Phone: 714-557-0244 ` CONTRACTOR: WES Address: 8 EX City/State: IRVI I Zip Code: 9261 ARCHITECT: Phone ' ENGINEER: Phone CA �' /aluation L1 r : ,.. . �,_. CT 1,718 S.F., WORK. AddFess:: 110 INNOVATION `F 92612. �- '� - � Address: 8 EXECUTIVE CIR( - Zip Code 9261 ; � ONTRACTORS LLLicense N� „ �' � Phone 714-557''0244 , License No � M � ' FEE SUMME Building Plan Clieck t " Building Permit ;;� � � c $1 Electrical Permit: , SMIP Residential . SMIP Commercial , e M `TYPe :�� FOR"ENCLAVE LE, E'�840973 .'r `:� FCeI ;H' Y 77 8_4 �`,' 11.35 ,� 13.15 ,y 12 03 ' $0.00 ,. _ i Unit ' Unit: Unit: 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � ' INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wilh all applicable codes, and all required inspections and final approva� must be obtained. Failure to obtain inspections and f nal approval will result in the expiration of this permit. COpE/. INSPEC710NTYPE DATE INIIlULS �� DE INSPELTIONflPE ' DATE . � INIIMLS 1616 FixedSystem Final Fire Preventiom � 206' Final Mechanical ' � � � 1268 . Pool SDa Final .- 208 Final Plumbing 200 Final Re-Roo( � ' 210 Final Electrical r7' ��ZO 0�i i'� m 201 . Final Block/Retaining Wall 212 Final Fire Prevention � � 202 Final Factory Fire Place -- ' -220 Final Planning Approval - 203 Final Sign 222 Final Site '�-� � � � 204 Final Demolition 250 Final Building/Occupancy �=� �� WORKER5' COMPENSATION DECLARATION: I hereby affrm under penalty of perjury one o( the fouuwing tleclaralions' ❑ I have and will main[ain a certificate of consent to self�lnsure�for workers' compensation, as provided for by sec[ion 3700 0( [he Labor Code, for the performance of the vuork (or which this permil is issued. ' �I have and will mainlain workers' compensation insurance, as required by ec[ion 3700 0( the Labor Code, for ihe peAortnance of the work for which Ihis permit is issued. My workers' compensation Insurance carrier and policy number a e�f,�� L ,�a Carrier �/11at'nl\��(� (Thksedia�neetlnol6e pletedAthepermaisvaluedalonehuntlre00dlars(SfoO)wlessJ Policy Number: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor C�, s II forthwith comply with these pr� iqns. � C_- � 6 Appliwnfs Signawre Oale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAFtS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensed under provisions of Chapter 9(commencing vnth Section 7000) of Division 3 of lhe Business and Professions Cotle, and my license is in full /fo7�rce 2antl effect. lic. # �6"� `J Class # r7 2 6 CanVatlor's Signalure Date CONS7RUCTION LENDING AGENCY: ❑ I hereby affirtn that there is a constructbn lentling agency for the perfwmance of the work far wfiich this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: Signalure Da�e OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalry of peryury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 703L5, Business and Professions Cotle: Any ci[y or coun[y which requires a permit to construct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires ihe applicant for such Dermit to file a signed statement lhat he or she is licensed pursuant to [he pmvisions of the Contractors License Law (Chap[er 9(commencing with Section 7000) of Division 3 of ihe Business antl Professions Code) or that he or she is exempt therefrom antl ihe basis for lhe alleged exemption. Any� violallo�aNSection 7031.5 by any appliwnt for a pertnit subjects the�'applicant to a uvd �lehalty of not more ihan A.#- k..+r' -v,.�.A6�ti. ' five hundred dollars ($500.}'�: � � � '�2��, �,, � ❑ I, as owner of the pro �or mys ployel�',4ith_ wages as their sole compensation, WILL DO 7HE WORK, and the structure is not intendetl or offeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or oHered for sale. If, however, the building or improvement is sold within one year of completion, the ovmer-builder will have the burden. of� proving that he or she did not build or improve for puryose of sale.). �� ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construcl the project (Sec. 7044, Business and Professions Cotle: The contmctors License Law does not apply lo an ovmer of property who builds or improves thereon, and who comracts for such project with a contracta(s) license pursuant to the Contraclors License Laws.). ❑ I am exempt under sec. Business and Pro(essions Code for �his reason: Siqnature 305�-46�3I0]) - - ' Owner ID veri(ietl by drivi nse. ❑ Yes ❑ No Driver's License No. Expires: Verifcationb/ �Ownership by pype of tlocumen[, i.e. - propeAy tax bill or tleed): 'DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . � ❑ I hereby certity thal no excavation frve (5) or more feet in deplh into wfiich a person is required lo descend, will be made in connection with work authonzed Dy this permit, and that no builtling sirucWre, scaffdding, falsewnrk, a demolition or tlismantling thereof, will be more than Ihirty-six (36) (eet high. (Chap. 3.2, Grp 2. Art 2, Sec. 341, Ttle 8, Califomia Administ2[ive Cotle). ❑ As owner-builder, I will not employ anyone to do vrork which would require a permit trom lhe Division of Industnal Safety, as noted above, unless such person has a permit to do such work trom the tlivision. AppIiWN's SiB�aWre Division of InCustrial Safery Permil Numbar: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre building occupant need to file and certity a Business Plan for emergency response to release or threatene0 release of a hazardous material� ❑ Yes ❑ No (Section 25505 of the Califomia Health and Satery Cotle requires, with some exceptions, thal a Business Plan be filed with [he Costa Mesa Fire Department by every business which has at any one time tlunng a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature antl pressure). 2. Does or will the applicant or present or future Duilding occupant need to file a regislration form for aculely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety Code, with some ezceptions, requires registralion with ihe Costa Mesa Fire Department Dy each business which at any one time has on hand a quantiry of acutely hazardous materials equal to or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressed gas at standar0 temperature antl pressure). 3. Does or will the applicant or presenl or future builCing occupant need to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 ot the Califomia Healih and Safery Code provides that the Costa Mesa Fire Department may require the preparelion, certification and filing with ihe Fire Department of an RMPP by businesses which are required b register aculely hazartlous materials with the Fire Department. 4. If an RMPP is presently requireC, has Section 25534 of [he Calitomia Health and Safery Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or (uNre building occupant require for the work which is the subject of this ap0lication a Dermil for such consWction or modification from Ihe South Coast Air Quality Management Distric[ or trom any other air pollution control dislnct or agency7 ❑ Yes ❑ No (Secibn 65850.2 of the Cali(omia Govemment Code requires that Ihe requested information be fumisheC on applications for non-residential building pertnits). 6. Will any part of the faciliry to be construc[ed under this permit be within 1000 feet from the outer bountlaries of a school? ❑ Yes ❑ No Qf yes", the facility must meet the requirement of Sections 25534 antl 42303 of the California Health and Safety Coda�. 7. If a permit from the Soulh Coast Air Quality Management DisMct or other air pollWion control district or agency is required for the work which is the subject of this application. �ave all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No. 8. Qf "yes", atlach certifcate of compliance from the appropriate airpolWtion control officer). , . � CERTIFICATE OF COMPIIANCE: I certify that under penalty of perjury the information given above is cortect. I agree to comply�with all state laws and city ordinances regarding Hazardous Materials and Emissions.. � , SignaWre ; �ate CERTIFICATE OF COMPLIANCE �AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct I agree to comply with all state laws and city ordinances relating to building constmction, and authorize represen[alives of the City of Costa Mesa to enter upon the above-described property tor inspection purposes. I agree not to occupy or allow occupancy of any building authorized by Ihis permit until final inspection. . Slgn �LeBel Owner(s) � I�� )n ( V An IorAWForizetlAOPlicanl Oa�e CITY OF COSTA MESA " . BI/ILpING pIVIS/0N i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • www.d.costa-mesa.p.us : � �. FOR INSPECTIONS CALL: (714) 754•5626 �� UMBER: BX07-00004 PERMIT TYPE B MISC - � STATUS: ISSUED , '•- '' i�A i E ISSUED: 07I25/2007 � � . . ISSUED BY: SOK JOB ADDRESS: 450 N ENCLAVE GI CM, "" : Suite/Unit: N Viciniry: ,. Primary Occ: ' �. Const Type :?? SQ. FT: 497 � Valuation:' $34,790:00 r, . SCOPE OF WORK: PHASE 3: CONSTRUCT NEW 497 S.F., DETACHED 2 CAR GARAGE FOR "ENCLAVE APARTMENT HOMES"ECECTRICAL INCLUDED. OWNER: THE IRVINE CO Address: 110 INNOVATION ' Unit City/State: IRVINE, CA Zip Code: '._ . 92612 Phone: 949-720-5536 � - • - �' .' - APPLICANT: PEGGY BLOCK . Address: 8 EXECUTIVE CIRCLE Unit City/State: IRVINE, C� Zip Code:, 92614 Phone: 714-557-0244 � - "" " CONTRACTOR: WESTERN NATIONA� CONTRACTORS �' = License No. •� 840973 Address: 8 EXECUTIVE CIRCLE - .- -- „ Unit City/State: IRVINE, CA . �„ - - Zip Code: 92614� -- , Phone 714-557-0244 ,;,�' - Cell: ARCHITECT: License No. � ' Phone • ENGINEER: License No.. ; Phone . , FEE SUMMARY " " Building Plan Check: . $123.19 � , � Building Permit `' , $492.75' ', . Electrical Permit: $31.20 SMIP Residential ` $3.48 ' SMIP Commercial $0.00 NOTICE: The vrork authorized by this pertnit shall comply with all applicable handiwp access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) �. _ EXPIRATION:� PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applipble codes, and all required inspections and final approval must be obtained. Failure to obtain insDections and final approval will result in the expiraQon of this permit. CODEt, INSPEC710NTYPE �¢ INTffl1�5 �QQ[� INSYECTONTYVE DAT INifMLS 1818 Fixed System Final Fire Prevenfion ZO6 Final Mechanical � 1268 Pool Spa Final ' 208 Final Plumbing Z00 Final Ra-Ro01 210 Final Electncal 201 Final BIocWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Plannin8 APO�oval � 203 Final Sign 222 FinalSite "� ^ �/1� 204 Final Demolition 250 Final Building/Occupancy /�� P� 1 11"` WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty of perjury one o( the to��uwing decla2tions: ' ❑ I have and will mainlain a certificate o( wnsent to sel(-Insure"lor vrorkers' compensalion, as provided for by section 3700 0( the Labor Code. for lhe peAormanCe o( Ihe work (or whiCh thi5 pertnit is issuetl. . �I have antl will maintain v.orkers compensatbn insurance, as required by ion 3700 of the Labor Cotle, ta the pertortnance of the v.ork fa vfiich this permil is issuetl. My workers' wmpensatlon Insurance cartier and policy numher a(�e: �� 1.1 l.`(l�-l� Carrier. � /ihis nee'd'nd\/� m''m�pj ��ed/lrtm0e�kvaM*�eOatme�u/dratlablars(f100)wbssl PolicyNumbe[ Wl.�d'+IcQ_.�� l��CJ ❑ I certify that in ihe peAormance of the work for which ihis permit is issued, I shall not employ any person in any manner so as lo bewme subject to lhe workers' compensation laws o( Califomia, and agree Nat it I should become subject to the workers' wmpensation provisions of Section 3700 of the Lab I II lorthvrith wmpty wiN Nese pmvisio �. � L � AOd��'s SpnaWre Da�e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLL4RS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CADE, INTEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm Ihat I am IicenseC untler provisions of Chapter 9 �commencing wilh Section 7000) of Division 3 of Ne Business and Professions Cotle, anC my licensQe i's( inj ful/l �force an0 effect. Lic. # l� i �`L �� Class # �p-, 7 0� GonvaqaYs S�p�uture Daie CONSTRUCTION LENDING AGENCY: ❑ I hereby affmn that there is a construction lending agency for the perfortnance ot the �+ork for which tltis permit is ssued. (Sec. 3097, Civil Code). Lender's Name: Lender's Adtlress: Signawre OWNER•BUILDER DECLARATIONS: I hereby affirm Ihat untler penally ol perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe (ollowing reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a pertnil to consWcl, alter, impmve, demolish, or repair any structure, prior to its issuance, also requires the applicant tor such permit to flle a signed statement that he or she is licensetl pursuant to the provisions of tha Contractors License Law (Chapler 9(commencing wilh Section 7000) of Division 3 of the Business anC Professions Code) or,Nat.he�orshe is exempt lherefrom antl tha basis for the alleg�tl'$icempUor�. Any�viol io '�b'f Section 7031.5 by any applicant lor a permit s ct�lbe apql�canhto a��i penalry of not more than five huntlretl dollars4$� :i ;,�,k� �ea �!s' ❑ I, a5 ovmer o( Iheprv�er�. Or� employees wilh wage5 a5 iheir sole compensation, WILL DO THE WORK, and the structure is not intended or ofleretl for sale (Sec. 7044, Business and Prolessions Code: The Contrectors License Law tloes not apply lo an owner ot property who builds or improves thereon, and who dces such work himself or herself or through his or her ovm einployees, provided ihat such impiovements are not intended or oRered for sale. If, however, lhe building or improvement is sold wilhin one year ol completion, the owner-builder will have the burtlen o(,provinq tha[ �e or she did not build or improve for purpose of saleJ. ' � ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRAC70RS to conswct the project (Sec. 7044, Business antl Professions Code: The contractors License Law dces not appty to an o.vner of property who �uilds or improves lhereon. antl wtro contrdcts iw such project vrith a contraUor(s) license pursuant ro the Contractors License Laws.). ❑ I am exempt uMer sec. Business and Professions Cotle tor this reason: SB�lure Date 305]<6 (3IOl) Ovmer ID verified by driw nse. ❑ Yes ❑ No Driver's License No. Expires: � Verification�of Ownership by (type of document, i.e. - properry tax bill or tleed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ' ❑ I hereby certify that no excavation frve (5) or more feet in depth into v.fiich a person is require0 to descentl, will be made in connection with �.ork authorizetl by lhis permil, antl that no building stnuture, scaffdding, false�wrk, or demolitbn or dismantling thereof, will be more than thirty-si�c (36) feet �igh. �Chap. 3.2, Grp 2, Art 2. Sec. 341, Title B, Califomia Atlminisl2tive Cotle�. ❑ As owner-builder, I vnll not employ anyone lo Eo work which wvuld require a permit Irom the Division of Industrial Satery, as noted above, unless such person has a permit to tlo such work from the division. A071ipn1's Sipnawre Division of Indusinal Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will tha applicanl or present or fulure Duiltlinq occupant neeA to file and ceAify a Business Plan for emergency response to release or threatened release of a �azardous material7 ❑ Ves ❑ No (Section 25505 0( the Califomia Health antl Safety Code requires. with some exceptions, that a Business Plan be filed v+ith the CosW Mesa Fire Departmant by every business which has at any one time during a reported year a quantity ol hazartlous materials equal to or greater ihan a weight of 500 pounds, or a volume of 55 gallons. or 200 cubic feet of wmpresseC gas at standard temperature and pressure). 2. Does or win the applicant or presem or fulure building occupant need lo �le a re9istralion form for awtely hazardous materials? ❑ Yes ❑ No (Seclion 25533 of the Cali(omia Health and Sa(ety Code, with some exceptions, requires regisiration with Ihe Cosla Mesa Fire Department by each business which at any one time has on hantl a quantiry of acutely hazarCous materials equal to or greater ihan a weight ot 500 pountls, or a volume of 55 gallons, or 200 cuDic feet of compressed gas at standard temperawre and pressure�. 3. Does or will the applicant or present or future building occupant neetl ro prepare an RMPP (Risk Management and Prevention Program for acutely hazar0ous matenals)7 ❑ Yes ❑ No (Section 25534 0( the Califomia Health and Safety Code �provides Ihat Ihe Costa Mesa Fire Deparlment may require the preparation, certification and filing with tha Fire Departmenl of an RMPP by businesses which are required IO feqi5ter aCulely hazaftlous materials wiM the Fire Departmenl. 4. If an RMPP is presendy required, has Seclion 25534 of [he Calitomia Health and Safely Code been fully complietl vnth? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupam require for the work which is Ihe subject of ihis application a permit (or suth tonstruclion or modification Irom the South Coast Air Qualiry Management DisMct or from any other air pollution control districl or agency? ❑ Ye5 ❑ No (Section 65850.2 0l the Calitomia Govemment Code requires that the requested infortnation be fumishetl on aDPlications lor non-residential builtli� permits). 6. Will any part of t�e facility to be conslructed untler this permit be within 1000 leet from lhe outer boundaries of a school? ❑ Yes ❑ No (If'yes", lhe facility must meet the requiremenl of Sections 25534 and 42303 01 the Cali�ornia Health and Satery Code). 7. II a permit from the Soulh Coasl Air Oualiry Management District or other air polWtion control district or agency is require0 tor the xork which is 1�e subjecl of this appliwlion, have all o( the disclosures prescribetl by Califomia Health and Safety Code Section 42303 been matle? ❑ Yes � No, 8. QI'Yes", attach certificate of compliance from the appropriate air polNfion control offcer�. . . , CERTIFICATE OF COMBUANCE: I certity thal under penalty of perjury the infortnation given above is covecL I agree to comply wilh all slate laws anE ciry ordinances regarding Hazardous Materials and Emissions. � CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application antl state lhat the information given is correct. I agree to comply with all state laws and cily ortlinances relating to builtling construction, antl authorize representatives of the City of Costa Mesa to enter upon tha abave-described property tor inspection pu es. I agree not to occupy or allow occup ncy of apppy building authonzetl b his �t until final inspection. —) �^� /�� I�' ) � o� L SignaWreo egalOvmer(s) .Oate " MNOr AW�OnzM Applitmnl Ddl[ • � CITY OF COSTA MESA , BI/ILDING DIV/S/ON 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa.w.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: r BX07-00019 PERMIT TYPE B MISC STATUS: ISSUED DATE ISSUED: 07/25/2007 ISSUED BY: SOK .-;...,.�_.r.:. . � / .> JOB ADDRESS: 450 L ENCLAVE CI CM ,_:= � Suite/Unit: L Vicinity: �,.,' � Pnmary Occ ', , , k � .Const Type :?? SQ. FT: 1718 u�, ',; Valuation ',: , 120,260 00� "`� SCOPE OF WORK: PHASE'3 CONSTRUCT 1,718 S.F., DETACRED '7 CAR GARAGE FOR "ENCLAVE APARTMENT HOMES" WITH ECECTRICAL WORK. '"�� :` �' � e7 �'u�.: - . OWNER: THE IRVWE;CO,`, �, *'� Address:: 1101NNOVATION.', � Unit City/State: IRVWE,CA,ZipCode;�.�'.... 92612 � " Phone: 949-720-5536 -' ., •� ' � , � -� • . .. APPLICANT: PEGGY. BLOCK .'r� �,.• � Address: 8 EXECUTIVE CIRCLE Unit: City/State: IRVINE,CA'. , . ZipCode: 92614 Phone: 714-557-0244' i: .. I. . CONTRACTOR: WESTERN NATIONAL CONTRACTORS License No. 840973 Address: 8 EXECUTIVE CIRGCE r _ --_ '� Unit: City/State: IRVINE CA --' "" ' "= � � Zip Code: 92614�� ' � Phone 714-557-0244� � : - < ,Cell: " ARCHITECT: "e,i: � :� - License No. Phone , , , . ENGINEER: � License.No.- � Phone . � . � , z , .. � ; ., .'� � , ' -. : . , , . . " ., ,, .. ' , , , '^ + FEE SUMMARY � � Building Plan Check �". , ,, . $277.84 - ' Building Permit: �' . � $1,111.35 � , , Electrical Permit _ $113.15,, , SMIP Residential � ' .� $12:03 �- SMIP Commercial �0.0o NOTICE: The work authorizeC by this permit shall wmply with all applicable handicap access requirements under Califomia stalutes and related regulations. (Ord. No. 92-28, § 1, 12•21-92) � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 inspeetions and final approval must be obtained. Failure to oblain inspections and final approval will result in the expiration of this permit. CODE1, IMSGECTION7YVE 1616 Fiaed System Final Fire Prevention 1266 Pool Spa Final . � 200 Final Re-Rool 201 Final Block/Retaining Wall 202 Final Fadory Fire Place 203 Final Sign 204 Final Demolition ptg iN n�i cooe� ixweenoxrvve 208 Final Mechanical 208 Finai Plum�ing 210 Final ElecMcal 212 'Final Fire Prevenlion 220 Final Planning Approval 0� INTITIpLS 222 Final Site 9� 2 f��1� 250 Final Buil0ing�OccuOancy P��- o - WORKERS' COMPENSATION DECLARATION: ` , I hereby aKrtn under Denalry of perjury one o! lhe q....+dng declarations: ❑ I hava and will maintain a cenificate o( consent to SelFlnsure (or vrorkers' compensation, as provided lor by seclion 3700 of the Labor Code. !or lhe ��pLLLeR111ortnance of t�e work for which Ihis permit is issued. � �I have aixl will mainlain wvrkers' compensatbn insurance, as required by section 3700 0( tha Labor Code, la the peAwmance of lhe work (or which lhis pertnit is issued. My workers' compensation Insurance wrrier and policy number ar `,.,',,I� �'�(\� ��{-� � Carrier. �/I.�I�LtC`'I 1 �ll.��l.� (Tlasserfonr�eMn.d\ee /�plerod/Lmepehml//iarva�lueda�rmlanurM,edIOMars(S�OO1a.buJ Policy Number. �NC. CJ'-� �C.i V t7�1 5 l�dv� ❑ I certify that in the peRortnance of ihe v.ork for which this permit is issued, I shall not employ any person in any manner so as lo become subjecl to the workers' compensation laws of California, and agree that if I should become su 'ecl to the vrorkers' compensalion provisions of Section 3700 ot the Labor I s II forthwi/th comply with Ihese provision �C...� � � � Apd��nl's Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37W OF THE LP.BOR CODE, INTEREST, AND ATfORNE1^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby afflrtn that I am licensetl unCer provisions o( Chapter 9(wmmencing vrith Section 7000) of Division 3 0l the Business and Professions Cotle, antl my license is in( full �fo}rc-�e and eHect. � Lic. # L "� � � Class # � I2� � Coniraclor's 9pnaWre Date CONSTRUC710N LENDING AGENCY: ❑ I�hereby a(fmn that there is a constmctbn lending agency fa ihe peAortnance of tha v.wk for which this permit is issued. (Sec. 3097, Gvil Code). Lentler's Name: Lender'S Address: SipnaWre Oa�e OWNER-BUILDER DECLARATIONS: i nereby aRirm that unCer penalry of perjury Iha[ I am EXEMPT FROM TNE CONTRACTORS LICENSE LAW tor the following reason (SeG. 7031.5, Business and Professions Code: Any tily or county which requires a permit to conswct, alter, improve, demolish, or rapair any sWcture, prior to its issuance, also requires Ihe applicant for such parmit to file a signetl statement that he or she is licensed pursuant to the provisions of the Cont2crors License Law (Chapter 9(wmmencinq wit� Section 7000) of Division 3 of the Business and Professions Cotle) or that he or she is exempt therefrom anC the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry of not more than five hundred dollars (5500�.�: ❑ I, as owner of ihe propeAy, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the structure is not intendetl or oftered for sale (Sec. 7044, Business and Professions Code: The Con[ractors License Law does not apply to an owner ol property who builds or improves thereon, antl who dces such work himsell or herself or through his or her ovm employees: provided that such improvements are not intentletl or offered for sale. If, however, lhe building or improvemenl is sold within one year of completion, the ovmerbuilder will have ihe bwden of provinq that he or she ditl not build or improve for purpose of sale.�. ❑ I, as ovmer of ihe qropeny, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct lhe project (Sec. 7044, Business anC Professions Cotle: The contractors License Law dces not appty to an owner of property who Duiltls a impmves thereon, and who cont2cts for such.project with a cont2ctor(s) 4cense pursuant to Ihe Contractas License lavrs.). ❑ I am exempt under sec. Business and Professions Code tor this reason: JOS]-a6(YO]) .dx�ner ID verified by dnv nse. ❑ Ves ❑ No Driver's License No. Expires: Verificalion of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT GERTIFICATION: ❑ I hereby cetlNy ihat no excavation frve (5) or more fcet m depih inio wtiich a person is required to descend, will be made in connection with work authorizetl by this pertnit, and Ihat no building siructure, scaffdtling, false�wrk, a tlemolition or tlismantling ihereo(, will be more than thirty-six (36) (eel high. (Chap. 3.2, Grp 2, M 2. Sec. 341, 7itle 8, Califomia Administ2tive Code). ❑ As ovmer-builder, I vrill not employ anyone to do work which would require a parmit from Ihe Division of Industrial Satety, as noted above, unless such person has a permit to do such work (rom lhe division. Aoo��nfs Signamre oa�e Division of Induslrial Safety Permit Number: HAZARDOUS MATERIAlS AND EMISSIONS CERTIFICATION: 1. Will the aDPlicanl or present or future building occupant neetl to fle and certify a Business Plan for emergency response to release or threatened release ol a hazardous material? ❑ Yes ❑ No (Section 25505 of t�e Califomia Health and Satety Cotle requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Depanment by every business which has at any one time during a reporteC year a Quantlty of hazartlous materials equal to or greater than a weight of 500 Dounds, or a volume of 55 gailons, or 200 cubic feet of compressed qas at sUndard temperaWre and pressure�. 2. Does or vrill the applicant or present or future building occupanl need to file a reqistration form for acu[ely hazarEous materials7 ❑ Ves ❑ No (Section 25533 of the Califomia Health and Safety Code, with some axceptions, requires registralion with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standarcl temperature and pressure). 3. Does or will the appliwn[ or present or (uture building occupant need to prepare an RMPP (Risk Management antl Prevention Program tor acutely hazarCous matenals)? ❑ Yes ❑ No (Seclion 25534 of the Califomia Health anC Safery Code provides ihal the Costa Mesa Fire Department may require the preparalion, certification and filing with the Fire DeOartment of an RMPP by businesses wliich are requiretl to register acutely hazardous materials vrith the Fire Departmenl. 4. I( an RMPP is pre5ently required, has SeGtion 25534 01 the Cali(omia Health and Safety Code been fuly wmplied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require tor the vrork which is the subject o1 this appliwdon a permit for such wnstruction or motlifiwtion (rom the South Coast Air Qualiry ManagemeM Dislnct or from any other air pollution contral aistrict or agency? ❑ Ves ❑ No (Section 65850.2 of the Calitomia Govemment Code requires lhat the requested inlormation be fumished on applica[ions (a non-resitlenlial Duilding pertnits�. 6. Will any part o( the facility to be constructeG under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (I('yes", the facility musl meet the requirement o( Sections 25534 and 42303 of the Califomia Health antl Safery Code). 7. I! a permil from the South Coast Air Qualiry Management District or other air polNtion coNrol disMct or a9ency is required for the work which is the subjecl of this application, have all of the disclosures prescnbed by Calitornia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No, 8. (If'yes", attach cenifcate of compliance from the aDPropnate air pollution Cantrol oHlcer�. � CERTIFICATE OF COMPLIANCE: I certify that under penalty ot perjury the intormation given above is fArtect. I agree to CAmply with all state laws and city oitlinances regarding Hazardous Materials and Emissions. Signalure Dale. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I ceM1ify untler penalry o( perjury that I have read this application and stale that the information given is conecl. I agree lo wmply with all state laws and city ordinances relating to building wnswction, and authorize representatives ol the Ciry of Costa Mesa to enter upon the above-described property tor inspection purposes. I agree not to occupy or allow occupancy of any building. authorizetl by this permit until final inspec[ion. .Sig W of Lepal Owner(s) D te `7 �Ya �� An IarAutM1onzeEApditvn� Date � CITY OF COSTA MESA i BUILD/NG D/YISION i � � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.w.us : ° FOR INSPECTIONS CALL: (714) 754-5626 �m'F PERMIT NUMBER: BX07-00003 PERMIT TYPE B MISC STATUS: ISSUED DATE ISSUED: 07i25i2007 1SSUED BY: SOK JOB ADDRESS: 450 K ENCLAVE CI CM;,=�; •, � ' ^. Suite/Unit: K Vicinity: ,` �,-.' Primary Occ: Const Type :?? SQ. FT: 497 ': Yaluation: . . �$34;790.00; ' SCOPE OF WORK: PHASE 3: CONST.RUCT NEW 497 S.F:, DETACHED 2 CAR GARAGE FOR "ENCLAVE APARTMENT HOMES',: ELECTRICAL . INCLUDED. ' , OWNER: THE IRVINE CO .. Address:: 110 INNOVATION Unit City/State: IRVINE, CA Zip Code: . � . � 92612 Phone: 949-720-5536 . �_',; - ' APPLICANT: PEGGY BLOCK � Address: 8 EXECUTIVE CIRCLE City/State: IRVINE, CA ' ;�• -. .. Zip Code: 92614 Phone: 714-557-0244 � CONTRACTOR: WESTERN NATIONAL CONTRACTORS • Address: 8 EXECUTIVE CIRCLE - City/State: IRVWE, CA ' Zip Code: 9261A ARCHITECT: �' . ' ` License No. 840973 Phone 714-557-0244 Cell: License No. Phone = , , ENGINEER: " , License,No. Phone � . r' � -' FEE SUMMARY. . , Building Plan Check: `' - � : �123.19 . : Building Permit: � $492.75 Electrical Permit: $31.20- � SMIP Residential $3.48 1�L11A Unit: NOTICE: The vrork authorizetl by this permit shall comply with afl appliwble handicap access requirements urWer Califomia statufes and related regulations. (Ord. No. 92•28, § 1. 12•21-92) . . E%PIRATION: PERMIT EXPIRES 160 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In oMer tor lhe work authonzed under this pertnil to be considered legal, such vrork must comply wilh all applicable codes, and a11 required inspections and Flnal approval musl be obtained. Failure to obtain inspectlons and final approval will result in the expiration of this permit. WDEt, INSPECilON7YPE pa� n�muyg COOEt ixsa�cnoxTrre DA ixmu� tetfi Fixetl System Final Fire Pravention � 206 ' Final Mechanfwl 1288 Pool Spa Final � 208 Final Plumdig 2� Fina� Ra•Root � 210 Final Electriwl y01 Fin21 BIocWReWining Wall 212 Final Fire Prevention y02 Finel Factory Fire Place ' 220 Final Planning Approval 203 Final SiB� 222 Final Site J � i�—L_ 2(14 Pinal Oemolition 250 Final Building/Occupancy P/� �7M / H c WORKERS' COMPENSATION DECLARATION: I hereby aKrtn under penalry of perjury one o( the lo��wing Ceclaralions: ' ❑ I have antl will maintain a Certifiwte of consant ro 5e161n5ure fof.vrorkers'. compensa[ion, as provided for by section 3700 0( the Labor Code, for the performance of the vrork tor which [his permit is issuetl. � I'have and will maintain v.orkers' cwnpensation insurance, as requiretl by � lion 3700 of Ihe LaDor Code, tw lhe pedortnance of lhe wnrk fa which this permit is is5ued. My vrorkers' compensation Insuranca carrier antl policy numberare_ �� Camec � il i(Jhisseqionneedrid6�e f/de�te�tldl�epemr4kvnaluedatorn�e��undredtlol�ars(St001alessJ Polic"y'Number. ��,1'� iy.l h(;l � � [ � �J= r.. � ❑ � certify thal in the peAormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject [o the vrorkers' compensalion laws of Califomia, and agree that if I should bewme subject ro the workers' compensation provisions ot Section 3700 of the Labor s I forthwith wmply with these provision . ��C= -7 0 1�ltlt�llF'�qpptitsnfs Sipmlwe..,,.�,...,.-.-^' ale—��'�'�. �_ . . t..' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERP.GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS �ECLARATION: I hereby aKrm Ihat I am licensed under provisions of Chapter 9(commencing vnth Section 7000) of Division 3 of the Business and Protessions Code, and my license is in (ull force and effect. � g�� (�"1'7� •,�a�; �. � '.��!!7'S�,'Co'nVan ngnamre--�—„ `o5ia��' i _..--�� CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that there is a consWction lentling agency fa the peAwmance of the v.ork fa vfiich tNs pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lendeis Address: Dale OW NER-BUILDER DECLARATIONS: I �ereby affirm lhat under penalry of perjury lhat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the (ollowing rea50n (SBG. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance, also requires the applicant for such permit to Ne a signed sWtement Ihat he or s�e is licensed pursuant to the provisions of Ihe Contraclors License Law (Chapter 9(commentinq with Seclion 7000) of Division 3 0( the Business antl Professions Cotla) or that he or she is exempt there(rom antl lhe basis for the alleged exemp[ion. Any violation of Section 7031.5 by any appliwnt tor a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with vrdges as their sole compensation, WILL DO 7HE WORK, and the strucWre is not intentletl or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves [hereon, and who does such work himself or herself or through his or her ovm employees, provided tha[ such improvements are not intended or oHered tor sale. If, however, the building or improvement is sold within one year of wmpletioq [he ovmer-builder will have the burden.of proving that he or she did not build or improve for purpose of sale.). � ❑ I, as ovmer of the property, am EXCLUSIVELY CON7RAC71NG WITH LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business antl Professions Code: The wnt2ctors License Law dces not apply to an ovmer of property who builds or impmves [hereon, and who cont2cls for such pmject vrith a contractoqs) license pursuant to the Contrectas Ucense Laws.), ❑ I am exempt untler sec. Business and Pro(essions Code for this reason: ]OS]<6 �]i0)� Owner ID verified by tlriv� ise. ❑ Yes ❑ No Driver's License No. Expires: Venfication o/ Ownership by (type of document, i.e. - property tax bill or deetl): � DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICA710N: ❑ I hereby certify Ihat no excavation frve (5) or more feel in depth inlo which a person is required to tlescentl, will be made in connectbn with work authorized by ihis permit, and that no builtling structure, scaHdding, falsev.ork, or demolition or dismantling thereof, will be more than Ihirty-soc (36) feet high. (Chap. 32. Grp 2, M 2, Sec. 341, Title 8, Califomia Administra[ive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit fmm the Division of IndusMal Safery, as noted above, unless such person has a pertnit to do such work (rom Ihe division. Applican(s $ignalure Division of IndusMal Safery Permit Number. _ HAZHRDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupaN need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material7 ❑ Ves ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be �led with the CosW Mesa Fire Department by every business vmich has at any one time during a reported year a quantity of hazardous matenals equal to or greater lhan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet ot wmpressed gas a[ standard temperature and pressure). 2. Does or will the applicant or presenl or fuNre building occupant need to file a registration form tor acutely nazardous matenals? ❑ Yes ❑ No (Section 25533 of lhe California Health and Safety Cotle, with some enceptions, requires registration with the Costa Mesa Fire Depariment by each business which at any one time has on hantl a quantiry of acutely hazallous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Managemenl antl Prevention Program for acutely hazartlous materials)7 ❑ Yes ❑ No (Section 25534 of lhe Califomia Health and Safely Code provides that the Costa Mesa Fire Department may require the preparelion, certification and filing with the Fire Department of an RMPP by businesses which are required m register acutery hazardous materials wifh the Fire Department. 4. I( an RMPP is presently required, has Seclion 25534 of the Califomia Health antl Safety Code been fully complietl vnth? ❑ Yes ❑ No 5. Oces or will the appliwnt or present or future building cecupant require tor the work vfiich is the subject of this application a permit for such conswction or modifiwtion from lhe South Coast Air Qualiry Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Sectbn fi58502 of the Califomia Govemment Code requires �hat Ihe requestetl intormation be (umi5hed On applications fa rarnresidenlial builtling pertnits). 6. Will any parl of lhe lacility to De wnstructed under Ihis permit be within 1000 feet (rom the ou[er bountlanes of a school? ❑ Yes ❑ No Qf yes", the faciliry must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cotle). 7. If a permi[ fmm Ihe SONh Coast Air Quality Managemenl District or other air pollution conlrol dis[rict or agency is required for the vrork which is Ihe subject of this application, have all ot the disclosures prescribetl by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No. 8. Qf yes", attach certificate o� compliance from the appropriate air polWtion control oKcer�. . CERTIPICATE OF COMPLIANCE: I certity that undar-penalty of perjury Ihe • information given above is wvect. I agree to comply with all state lav+s and city ordinances regartling Hazardous Materials and Emissions. , � SignaWre CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this aOPlication and state that the infortnation given is cortecl I agree to comply with all state laws and ciry ordinances relating to building construction, and authorize representatives of the City of Cosla Mesa to enter upon Ihe above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until fnal inspecli0n. . Sig a� � oi legal Ovmer�s) � a e r ;w:pov..qAn o onzed,Ap0liranl,.�.-.�_r,..,�.'+ �e� r�"� -.:�..�r-'v' 'w � -� R CITY OF COSTA MESA BlIILDING DIVISION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754•5273 • Fax (714) 754-4856 • www.ci.wsta=mesa.ca.us : °. � FOR INSPECTIONS CALL: (714) 754-5626 �� PERMiT NUMBER: BX07-00014 PERMIT TYPE B MISC STATUS: ISSUED DATE ISSUED: 07125/2007 ISSUED BY: SOK JOB ADDRESS: 450 H ENCLAVECI CM " Suite/Unit: H Viciniry: ,, , . Pnma,ry Occ � � ; �. `' =Const Type :?? SQ. FT: 1474 . �.Valuation:= . , - 103,180.00 �'� .: `` ;` '�F'_'".� �. - . .. ,!'�'.!n .. ,.. � " ....� �-". ' ��. ' . � SCOPE OF WORK: PHASE�.3,,NEW �1;474 S.F., 6 CAR, DETACHED�GARAGE,FOR "ENCLAVE APARTMENT HOMES" WITH ELECTRICAL WORK. .-,.. OWNER: THE IRVINE ('QMBANY � r Address:: 110 INNOVATION:' '+` Unit CitylState: IRVINE, CA;Zip Code ' - -_ 92612 - , . , Phone: 949-720-5536 ;� f , ' .� - , ; • ' APPLICANT: PEGGY,BLOCK �� Address: 8 EXECUTIVE CIRCLE '. Unit City/State: IRVINE, CA , : Zip Code: 92614 •. Phone: 714-557-0244 .;..: • .. . " , " . . '`,, .. . _ ._ _ �o._,,. . CONTRACTOR: WESTERN NATIONAL CONTRACTORS License No. 840973 ' Address: 8 EXECUTNE�CIRCLE . -- ;: �-� - `" �„ � . ' Unit: .. . ;, .. City/State: IRVINE CA ' ' - ZipCode: 92614'.• Phone 714-557-0244 � �:,Cell: � ��.,. � � _ -. i�� : ARCHITECT: ` ' '.' License No. � Phone � ;,�:, � � : , ENGINEER: " :Cicense No. r � +� .' � e' c Phone � < -, * .� • "' FEE SUMMARY =.. � � Building Plan Check ; �- � ,,;_ $254,04 Building P�rmit: _ � �:,-, $1,016:15 , � Electrical Permit: �,.,.$108J5. . � SMIP Residential � $10.32 ' SMIP Commercial $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handirap access requirements under Califomia slatutes and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) • EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE Of LAST INSPECTION. INSPECTIONS: In order ior the work authorized under this perm'rt to be mnsidered tegal, such work must comply with alI applicable codes, and all required Inspectlons and final approval must be obtained. Fail�re to obtain inspections and final approval will result in the expiration of this permit. Cooe �• ixswecnoN ttae pn� iH � gQp�� INSPEGTION TYPE p� ixnnnu 1818 Fixed Syslem Final Fire Prevention _ 208 Final Mechanical, �- 7288 Pool Spa Final ' 208 Final Plumbing 200 Final Ra-Rool 210 Final Electrical 201 Final BIocWRetaining Wall 212 Final Fire Prevention � 202 Final Factory Fire Place ' 220 Final Planning Approval 203 Final Sign 222 Final Sita p `J�� ' , 204 Final Demolition 2$p Final Builtling/Occupancy P/� � O 41 ��.btlJ �� -- WORKERS' COMPENSA710N DECLARATION�. , I hereby aHirm under penally ol perjury one of the p.,�wring deGarations: � ❑ I have and will maintain a certifiCate of wnsent to self-Insure (or v+orkers' compensation, as provideC tor by section 3700 0l the Labor Code, for the peRormance of I�e work•lor vRiich this permit is issued. ) I have antl will maintain workers' compensation insu2nce, as required by ection 3700 ot Ihe Labor CoCe, fa the perfortnance of the woB for which Ihis permit is issued. My vrorkers' compensation Insurance carrier and policy number aje: �f � Carrier. V(,�/��-1��,( Q� _ (�hissMionnee1tlIn`olnEe^ feCLl�tlia�p,ervm�ffsvaW^Mentp/re�liwwibedqYars(tf001aku1 Policy Number. �`' l. d-� 6 �1 lJ0`t'� ! W� ❑ I certify thal in the peAortnance of lhe work for which ihis permit is issued, I shall nol employ any person in any manner so as to become subject to the worker5' compensation laws of California, and agree that il I shoWC become subject b lhe vrorkers' compensation provisions of Section 3700 of ihe labor C . sh fotlhvnth comply with [hese provisio s. � �'�tL- � 7 APpI¢anfs Si8^aWre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CAST OF COMPENSATION, DMMGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CADE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm t�at I am licensetl under provisions of Chapter 9(wmmencing with Seclion 7000) of Division 3 0( the Business anC Professions Code, and my license is in full lorce antl eflect. Lic. # Class # `? 2 Con racmr's Sipriature Date CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affrm that there is a construction lending agency for Ihe peAormance of �M v.ork !or wfiich this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's AtlCress: Sigrelure OWNER-BUILDER DELLARATIONS: I hereby affirm that untler penalty of perjury that I am EXEMPT FROM THE CONTRAC70R5 LICENSE LAW for lhe following reasOn (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to cons[ruct, alter. improve, tlemolish, or repair any SWcture. pnor to its issuance, also requires the applicanl (or such pertnit lo Ne a signed stalement Nat he or she is licensetl pursuant to the provisions of the Contractors License Law (C�apter 9(wmmencing wilh Section 7000) ot Division 3 0l the Business and Professions Cale) or lhat he or she is ezempt therefrom antl the basis for the alleged exemption. Any violation ot Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner ot the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and Ihe structure is not intended or oHered for sale (Sec. 7044, Business antl Professions Code: 7he Contrectors license Law does not apply to an ovmer of property who builtls or improves ihereon, and who tloes such work himself or �erself or lhrough his or her own employees, provided that such improvements are not interMed or offered for sale. If. however, lhe building or improvement is sold wit�in ona year of completion, the ovmer-builder will have the burden of.provinq Nat he or she did not build or improve for purpose of sale.). - � ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH 110ENSED CONTRACTORS to conswct the project (Sec. 7044. Business and Professbns Code: The contractors License Law dces not appy to an owner of property who Duiltls or improves thereon, and who contrects for such project with a contracta(s) ticense pursuant to the Conlractps License Lav+sJ. ❑ I am exempt under sec. Business and Professions Cotle lor this reason: r Ovmer ID verified by drio :nse. ❑ Yes ❑ No Driver s Litense No. Expires: Verifiwtion of Ownership by (rype of document, i.e. • property tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � ❑ I hereby cert"rfy lha[ no exwvation frve (5) w mae leet in depth into vfiich a persm is required to descend, vnll be made in connection with work authorized by this pertniC and that no building sWCNre, scaffdding, falsexark, a demWition or dismanWng thereot, will be more than thirty-six (36) (cet high. (Chap. 3.2, Grp 2. i1f� 2, $CC. ��, TI�E 8, ��IiORlld /idRll(1151l2W8 COdO�. � As ovmer-builCer, I will not employ anyone to do vrork which wou10 require a permit from ihe Division of Industrial Satety, as noted above. unless such person has a permit to do such work from the tlivi5ion. AOOhcanfs SignaNre Division of Intlustrial Satety Permit Number: _ MAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will lhe applicant or present or future building occupaN need to file and certify a Business Plan for emergency response to release or threatened release o1 a hazardous material? ❑ Yes ❑ No (Section 25505 of Ihe Califomia Health anE Safety Code requires, with some exceptions, that a Business Plan be filed vrith the CoSW Mesa Fire Department by every business vfiich has at any ona tlme dunng a reportetl year a quantiry of hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressetl gas at standarE temDereture antl pressure). 2. Dces or vrill the applicant or presenl or future building occupant need to file a regislration torm for acutely hazardous matenals7 ❑ Yes ❑ No (Saction 25533 of the Califomia Health antl Safery Code, v+ith some exceptions, requires registration with Ihe Costa Mesa Fire Department by each business which at any one time has on hand a quanlity of acutely hazardous materials equal lo or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feel of compressed gas al standard femperaWre and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous matenals)? � Yes � No (Section 25534 of the Califomia Health antl Safety CoCe provides that the Costa Mesa Fire Department may require lhe preparation, certifcalion antl filing vrith the Fire Department of an RMPP by businesses which are required lo register acutely hazardous materials with the Pire Department. 4. I( an RMPP is presentty required, has Seclion 25534 of �he Califomia Health and Safety Code been tully wmplied vrith? ❑ Yes ❑ No 5. Does or will the applicant or present or future builtling ottuDanl require for the vrork which is the subject o( [his aDP�ication a permil for such consWclion or modifitation from the Sout� CoaSt Air Qualily Management District or Irom any ot�er air polWtion control distritt or agency? ❑ Yes ❑ NO (Secl'qn 65850.2 0( Ihe Califomia Govemment Code requires that �he reque5ted inlwmation be Iumisne0 on applications for non-residential Duilainq permits). 6. Will any part of the faciliry to be constructed under tnis permil be within 1000 feet from the outer bountlaries of a school? ❑ Yes ❑ No Qf yes". the lacility must meet the requirement of Sections 25534 and 42303 of the California Heal[h and Satery Cotle). 7. If a permit from the South Coast Air Qualiry Management District or other air pollution contr0l district or aqency is required for Ihe woM which is Ihe subjecl of this application, have all of the disclosures prescribetl by Califomia Health and Salery Code Seclion 42303 been made? ❑ Yes ❑ No, 8. (If yes', attach certifiwte of wmpliance from ihe appropriate air pollution Control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information given above is cortect. I�agree lo comply with all stale laws antl city ordinances regarding Hazartlous Materials and Emissions. '� CERTIFICATE OF COMPLIANCE AND AUTMORIZATION OF ENTRY: I certify untler penalry ot perjury that I hava read this application and state that the intortnation given is wrtect. I agree to comply with all slate lavrs and city orCinances relaling to builtling construction, antl authorize representatives of the City of Cosla Mesa to enter upon the above-tlescribed pmperty for inspection purposes. I agree not to occupy or allow occupancy of any builtling authorizetl by this permit until Mal inspection. Sp r=ilepalOwner(s� , oa�e SignaWre Dale � � O� JOS]�a6(101) ' AnElorAut�onztEAOPliran� Oate CITY OF COSTA MESA ��- BYILpING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 75d-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5826 . PERMIT TYPE B_MISC PERMIT NUMBER: f�BX07-00007 STATUS: ISSUED DATE ISSUED: 07/2512007 . ISSUED BY: SOK JOB ADDRESS: 450 J ENCLAVE CI`CM .�;'� `1 " ;Suite/Unit: J Vicinity: � Primary Occ: ' ' Const Type :?? Sq. FT: 1230 Valuation: $86,100,00' ' SCOPE OF WORK: PHASE�3: CONSTRUCT NEW 1,230 S.F., DETACNEDj 5 CAR GARAGE WITH ELECTRICAL INCLUDED FOR "ENCLAVE � APARTMENT HOMES" ' , , '�:, OWNER: THE IRVINE COMPANY - , • Address:: 110 INNOVATION ,.' Unit City/State: IRVINE, CA`Zip Code: - 92612 Phone: 949-720-5536 - '. APPLICANT: PEGGY BLOCK Address: 8 EXECUTIVE CIRCLE Ciry/State: IRVINE, CA , Zip Code: 92614 Phone: 714-557-0244 CONTRACTOR: WESTERN NATIONAL CONTRACTORS License No. 840973 Address: . 8 EXECUTIVE CIRCLE . . Ciry/State: IRVINE, CA , � Zip Code: 92614 Phone 714-557-0244 .. Cell: ARCHITECT: Phone ENGINEER: Phone Building Plan Check: Building Permit: Electrical Permit: SMIP Residential � . � • License No. �'= FEE SUMMARY - � 5225:69 $902.75. - 5105.45 $8.61 License No. Unit: Unit: NOTICE: The woAc authorized by this permit shall wmply with all applicabla handicap access requiremenls under Califomia slatutes and related regulations. (Ord. No. 92-28. § 1. 12-21•92) � ' EXPIRATION: PERMIT EXPIRES 180 DAYS�FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. ' ' _ INSPECTIONS: In order for the work authonzetl under this permit to be considered legal, such vrork must comply with all applicable codes, and all required Inspeetions and final approval musl be obtained. Failure to obUin inspections and final approvel will resull in the expiration of this permit. COpE1, IMSVECTION7VPE Q�jf, ��f �a INSPECTIONTYVE QA� " IN7I71RL5 7876 Fixed System Final Fire Prevention � 208 Final Mechanical 1268 Pool Spa Final , � 208 Final Plumbing 200 Final Re-Raol 210 Final Elecviwl �� T01 Final BIocWRetaining Wall 212 Final Fire Preventlon '' 202 Final Factory Fire Place 220 Final Planninp Approval i 203 Final SiBn 222 Final Site j 1�� V 204 Final Demolition 250 Final Building�OCcupanty P/� �T/� L WORKERS' COMPENSATION UECLARATION: I hereby aNirm untler penalry of perjury one ol tha fonowing declarations: ❑ I have and will mainlain � certificate o( consenl to self-Insure for vrorkers' wmpensation, as provided (or by section 3700 ot the Labor Code. (or the pedormance of Ihe vrork for which ihis pertnit is issued. � � I have antl vnll maimain v,orkers' compensation insurance, as required by sectron 3700 of the Labor Cotle, fw the peAormance o( the v.ork lor which this pertnit is issued. My vrorkers� compensation Insurance carrier and policy number re:1,�- / J�\� ,�{�,�,� Carrier: �1Nc/C�l 11 � l.Gl,� �� (Thissedionnee0nIolt `emm e�eI0dfhaperm'dJaIvaivaCstmenunOrcdcbears(EfOOJwless.) PolicyNumber. Wc�b��l�CTt �1��—� ❑ I certify that in ihe performance o( Ihe v.ork for which this permit is issuad. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions ot Section 3700 of the Labo e, hall forthvnth wmpty wiN ihese provi ions. ��-�L � �25 0� Appliwnt's 99�Wre Oate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000J, IN ADDITION TO 7HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE. INTEREST, AND ATTORNEY'S FEES. IICENSED CONTRACTORS DECLARATION: I hareDy aKrtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business anC Professions Code. antl my license � in ful(l �(or7ce and eHect. � Lic. # � � `� Class # � Gon ractor's SiB^zWre Dale CONSTRUCTION LENDING AGENCY: � I hereby aKrm that there is a conswctbn lending agency (a the peAormance ol Ihe v.ork far which this pa�mil is issued. (Sec. 3D97. Civil Code). Lender's Nama: Lender's Address: SipnaWre OWNER-BUILDER DECLARATIONS: I hereby atfirtn ihal under penalty of perjury Ihal 1 am E%EMPT FROM THE CONTRACTORS LICENSE LpW for the (ollowing reason (Sec. 7031.5, Business and Pro(essions Code: Any city or counry which requires a permil to construct, alter, improve, demolish, or repair any sWclure, D�or to its issuance, also requires the appliwnt for such permit to file a signed statement that he or sha is licensed pursuant to the provisions o( [he Contrectors License Law (�hapter 9(wmmencing wim Section 7000) of Division 3 of the Business antl Professions Cotle) or I�at he or she is exempt therefrom antl the basis (or the allegetl exemption. Any violation of Sectlon 7031.5 by any applicant for a pertnit subjects the applicant to a civil penalry of not more than five hundred dollars ($500).): � I, as awner of the property, or my employees vAth vrages as Iheir sole compensation, WILL DO THE WORK, and the struGture is not intended or oHered for sale (Sec. 7044, Business and Prolessions Code: The Contractors License Law does not apply to an ovmer ot property vfio builds or improves thereon, and who does such work himself or herself or through his or her ovm employees, provitled that suCh improvements are not intended ar o(feretl for sale. II, however, the building or improvement is sold wilhin one year ot completion, the owner-builder will have the buNen ol proving that he or she did not build or improve for purpose of sale.). � ❑ I, as owner of the property. am EXCLUSIVELY CONTRAC7ING W17H LJCENSED CONTRACTORS to consWct the project �Sec. 7044. Business and Prolessions Code: The contre�tors License Law dces not appty to an ovmer of property who builds or improves Ihereon, and who contracts for such project vrith a contraUor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt unGer sec. Business antl Pro(essions Code for Ihis reason: Sigruwre Date ]OS)�a8(1J11 Owner ID verifed by drivi nse. ❑ Yes ❑ No Oriver's License No. E�cpires: Verificalion of�Ovmership by (type of document, i.e. - property tax bill or deetl�: DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION: ❑ I hereby certiFy Ihat no excavatbn five (5) or more feet m tlepth inro vfiich a person is required to descend, vnll be made in connection with v.ork authorized by ihis permil, and that no building strucWre, scaffdding, falsework, a demolition or dismantling thereof, will be more than thiAy-six (36) feet high, (Chap. 3.2, Gry 2, Arl 2, Sec. 341, Title 8, Califomia Atlminist2tive Code). ❑ As ownervbuiltler, I will not employ anyone to do wprk which wou�d require a permit from Ne Division of tndustrial Satery, as noted above, unless such person has a permit to tlo such work (rom the division. AOP�itanYs SpnaWre Date Division of Intlustrial Safely Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. will l�e applicant or presenl or future builtling occupanl need lo file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, wilh some ezceptions, thal a Business Plan be filed with lhe Costa Mesa Fire Department by every husiness which has al any one time Curinq a reponetl year a quantiry ot hazardous materials equal to or greater than a weight of 500 pounCs, or a volume of 55 gallons, or 200 cubic feet o1 compressetl gas at slandartl tempereNre antl pressure�. 2. Does or will the applicanl or present or future building occupant neetl to fle a registration fortn (or acutely hazarclous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health antl Safety Cotla, with some exceptions, requires registrelion with the Costa Mesa Fire Depanment by each business which at any one time has on hand a quantity of acutely hazardous matenals equal lo or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feet ot compressed gas at standard temperature antl pressure). 3. Does or will the appliwnt or presenl or (uture building occupant need to prepare an RMPP (Risk Management and Prevention Program (or acutety hazardous materials)? � Yes ❑ No (Section 25534 of the California Health and Safery Code prov�tles that Ne Costa Mesa Fire Departmant may require the preparation,.certifiwtion and filing with tha Fire Department of an RMPP by businesses which are required ro register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 0( the Califomia Health and Safety Code been fully complietl with? ❑ Ves ❑ No 5. Does or will the applicant or presant or tuture buildinq occupant require for the work which is the suhject ol lhis application a permit lor such constmction or modifcation from the South Coas� Air Qualiry Manaqement District or fmm any other air pollulion control district or agency7 ❑ Yes ❑ No (Section 858502 oi tne Cali(omia Govemment Code requires that Ihe requestetl infortnation be (umished on appliwlions ta ran-residential building pertnits). 6. Will any part o( the faciliry to De wnsWcled untler this permit be within 7000 feel irom the outer bountlaries o1 a school't ❑ Yes ❑ No Qf'Yes', the faciliry must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7. If a permit from the South Coast Air duality Management District or other air pollution control district or agency is requireC for t�e work which is the subject of this application, have all of the tlisclosures prescribe0 Dy Califomia Health antl Satery Code Seclion 42303 been made? ❑ Yes ❑ No, 8. (If "yes",•attach certificate of compliance from the appropriate air pollution control oHicer). . • CER7IFICATE OF COMPLIANCE: I certify that under penalty of perjury ihe information given above is corteit. I agree to wmply with all sWte laws and city orCinances regardi�g Hazartlous Materials and Emissions. SignaNre CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify under penalty of perjury that I have read this application and state that the information given is wrrect I agree to comply with all state laws antl ciry ordinances relating to builtling construction, and authorize representatives of Ihe Ciry of Costa Mesa to enter upon the above-desc�ibetl property (or inspection purposes. I agree nol to occupy or allow occupancy ot any building authonzed by this permit unlil fnal inspection. 1 Legai Ovmtt�s) �aie � �� . � MCIw zeE Ap0litant �ate CITY OF COSiA MESA BDILD/NG pIV/S10N 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754•5273 • Fax (714) 754-4856 • ww.v.ci.costa-mesa.ca.us . � FOR INSPECTIONS CALL: (714) 754-5826 � . PERMIT NUMBER: BX07-00013 PERMIT TYPE B MISC STATUS: tSSUED DATE ISSUED: 07I25/2007 ISSUED BY: SOK JOB ADDRESS: 450 G ENCLAVE CI CM:�-'"t �' ' Suite/Unit: G Vicinity: r�„%: ., i Primary Occ: �� . -Gonst Type :7? SQ. FT: 1474 Valuation: "-. 103,180.00 SCOPE OF WORK: PHASE�3, NEW 1,,474 S.F., 6 CAR, DETACHED GARAGE<FOR "ENCLAVE APARTMENT HOMES" WITH ELECTRICAL WORK. '.r�' -,l .... L � 'i��.. - . OWNER: THE IRVINE'COMPANY'r Address: 110 INNOVATION Unit City/State: IRVWE, CA Zip CoBe:.,%' _ 92612 - Phone: 949-720-5536'�; .: - . '� .�, -' . . :� , ,. - , r -. APPLICANT: PEGGY gLOCK j '. - Address: 8 EXECUTIVE CIRCLE Unit: City/State: IRVINE, CA Zip Code: 92614 . Phone: 714-557-0244 ' ' ;- '� ` ' . CONTRACTOR: WESTERN NATIONAL CONTRACTORS Address: 8 EXECUTIVE CIRCLE City/State: IRVINE, CA . Zip Code: 92614� , ` � ARCHITECT: Phone ENGINEER: Phone ` License No. 840973 '� Phone 714-557-0244 �Cell: �� '�: . License No: License No: , � � ,. . ' FEE SUMMARY` Building Plan Checky , `� 'i :� $254.04 ,,:,-" ?, _. -'�` Building Permit: ' ' � :� • $1�,016:15 :1 �-. �;:;,::, Electrical Permit: � $108.75 _. : -, SMIP Residential ' _.$10.32'=- SMIP Commercial $0.00 Unit NO710E: The work authorized by this permit shall comply with all applicable handirap access. requirements under Cali(omia statutes and related regulations. (Ord. No. 92-26, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES�780 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order tor the work authorized under this permit to be wnsidered legal, such work must comply with all applicable codes, and all required inspections and Rnal approval musf be obfained. Failure to obfain inspections and final approval will result in the expiretion of this permit. 40DE t. INSPELPON TYPE 1818 ' Fined System Final Fire Prevention 1266 Pool Spa Final ' 200 Final Re-Roof 201 � Final BIocWReWining Wall 202 Final Factory Fire Plac¢ 203 Final Sign 204 Final Demolition D� IN7I71AL5 �� CODEt INSGECTIONTYVE 206 Final Mechanical ' 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/p�cu0ancy �/� �/�F, INTITIRI �in.: . „ ., %lli WORKERS' COMPENSATION DECLARATION: � I hereDy aKrtn untler penalry ot perjury one of the fo��owing declarations: ❑ I have and will maintain a certifcate ot consent to sel4lnsure tor v.orkers' compensation, as provided for by section 3700 ot the Labor Code. tor the peRormance of the wnrk for which this permit is issued. I have and vrill maintain v.orkers' compensation insurance, as required by ection 3700 of the Labor Code, (or Itre peAortnance of Ihe vrork fw which this pertnit is issued. My workers' compensation Insurance cartier antl policy number are� Cartier. ��'� (T�iss need�rotbecc �pe/�e Amepeimrtava�ved+�atonehurn7er/edcb�lars(E�OOlwiess) PolicyN�mber: � � I�6Q6L% 5 (U�% �so ❑ I certi(y that in lhe pertormance of [�e work for which this permit is issued, I shall not employ any person in any manner so as to become subjecl to the vrorkers' wmpensation I�ws o� Califomia, and agree that if I should become sub'ect to the workers' compensation provisions of Section 3700 of the Labor ha orthvnth comply vrith ihese provisi ns. �� l2 0 AOd�m��'s Signalure �3�¢ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVII FINES Up TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3>O6 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensetl under provisions of Chap[er 9(commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license�is( in (ull (orce antl eHect. Lic. # Y ��3 Class # �� C� / G tractor'sSiqnaWre Date CONSTRUCTION LENDING A4ENCY: ❑ I hereby affirm that Ihere is a construcibn lending agency for the peAortnance of ttie �+ork fu vfiich this pertnit is issued. (Sec. 3097. Civil Code). Lender's Name: Lentler's Address: SignaWre Da�e OWNER-BUILDER DECLARATIONS: I nereby aKrm that under penalty of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LqW (or the following reason (Sec. 7031.5, Business antl Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structura, pnor to�its issuance, also requires the applicant for such pertnit to�file a signed statemen� that he or she is licensed pursuant to the provisions of ine Con[recrors License Law (Chapter 9(commencinq with Section 7000) of Division 3 of Ihe Business ana Professions CotlC) or that he or she is exempt there�rom and Ihe basis for the alleged exemplion. Any violation of Section 7031.5 by any applicant for a permit subjecis the applicant to a civil penalty of not more than fve hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, antl the sWctura is not intendetl or oRered for sale (Sec. 7044, Business and Professions Code: The Contraclors License Law does not apDly to an owner of property who builds or improves thereon. and who does such work himself or herself or through his or her ovm employees, provided that such improvements are not intenCed or ofterad for sale. If, however, the building or improvement is sold within one year of completion, the owner-huilder wiil have the burden of proving that he or she did not bui10 or improve for purpose of sale.). � ❑ I, as owner of the property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business antl Professbns Code: The contractqs License Law dces not apply to an ovmer of pmperty who builds or improves thereon, and who contracts for such project with a cont2cim�s) license pursuant tothe Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code !or lhis reason: 305]�a6 (3ro1) � � Owner ID verified by tlriv� nse. ❑ Yes ❑ No Driver's License No. F�cpires: Verification of Ovmership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMI7 CERTIFICATION: ❑ I hereby ceAdy that no excavalion frve (5) or more feet in tlepth into which a person is required to descend, will be made in connection with w�rk authonzetl by �his permil, and that no building strucNre, 5caffdding, (alsework, a demolition or dismantling thereof, will be more than Ihitly-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Calitomia Atlminist2tive Code). � As owner-builder, I will not employ anyone to do work which would require a permit from Ihe Division of Intlustnal Safety, as noted above, unless such person has a permit to tlo such work from lhe division. APdiram's Si9�Wre Division of Intlustrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will [he applicant or present Or fuNre builtling ottupant neetl to fle and ceni(y a Business Plan for emergency response lo release or threatenetl release of a hazartlous matenal? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Cotle requires, with some exceptions, that a Business Plan be filed wiM the Costa Mesa Fire Department by every business which has at any one time dunng a reported year a quantiry of hazardous materials equal to or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard lemperature antl pressure�. 2. Does or will the applicanl or present or future building occupant need lo fle a registrdlion fortn (or acutety hazardous malerialsT ❑ Yes ❑ No (Sec[ion 25533 of the Califomia HeaIN and Safery Code, wilh some exceptions, requires registration with the Cosla Mesa Fire Department by eac� business which al any one time has on hantl a quantity of acutely hazardous matenals equal to or greater than a weight of 500 pounCs, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperalure and pressure). 3. Does or will the applicaM or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Prog2m tor acutely hazardous materials)? ❑ Yes ❑ No (Seclion 25534 of the California Health antl Safety Code provides that Ihe Costa Mesa Fire Department may require the preparatfon, certificaUon and fling with the Fire Department of an RMPP by businesses which are required to register acutely hazaMous matenals with the Fire DepaAment. 4. If an RMPP is presently requiretl, has Section 25534 of the California Health and Safety Code been fully complietl with? ❑ Yes � No 5. Oces or vnll the applicant or present or fulure building occupant require for l�e work which is the subject of this application a permit for such constmction or modification from the South Coast Air Quality Management Disincl or from any other air polNtion wntrol dislrict or agency7 ❑ Ves � No - (Section 65850.2 of the Califomia Govemment Code requires,that tha requested information be Fumished on applications for non-residential building pertnits�. 6. Will any part of the facility lo be constmcted under this parmit be within 1000 feet from lhe outer boundanes of a school7 ❑ Yes � No (If'yes", the (aciliry must mee� �he requirement of Sections 25534 and 42303 of the Calitomia Heal[h antl Safery Cotle). 7. If a pertnit from [he South Coasl Air Quality Management District ar other air polWtion contml district or a9ency is required for Ihe vrork which is the subject of Ihis application, have all of the di5closures prescnbed by Calilomia Health and Safery Cotle Section 42303 been made? ❑ Yes ❑ No 8. (If'j�es", attach certifcate of compliance from the appropriate air polNtion wntrol oKcer). � . CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the in(ormation given above is correcL I agree to comply with all state laws and city ordinances regartlinq Hazardous Materials antl Emissions. Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of parjury Ihat I have read this application and state that ihe information given is correcL I agree to comply wilh all state laws and city ordinances relating to building consWction, and authonze representatives ol the Ciry of Costa Mesa to enter upon the above-described property (or inspection purposes. I agree not to occupy of allow occupancy of any buildinq authorized by lhis pertnit until final inspeclion. Sgn ur LegalOwneqs) ^� a(1'e7 / {_� O � AndbrAu nreEAp0lmzn� Date � CITY OF COSTA I�AESA / BYILpING DIYIS/ON F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.cosla-mesa.ca.us �.l�� FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER:�' BX07-00017 PERMIT TYPE B MISC STATUS: ISSUED DATE ISSUED: 07/25/2007 ISSUED BY: SOK JOB ADDRESS: 450 E ENCLAVE,Cf CM ;," " � '' `Suife/Unit: E Vicinity: �;:�':-� , .; Primary Occ: : . � - �.Const Type :?? SQ. FT: 1718 Valuation- ,_..;120;260:00 ,_ SCOPE OF WQRK: PHASE 3, CONSTRUCT 1,718 S.F., DETACHED„TCAR GARAGE FOR "ENCLAVE APARTMENT HOMES" WITH ELECTRICAL WORK. -' �. OWNER: THE IRVINE COMPANY=?�' Address: 110 INNOVATION;�t '�� Unit City/State: IRVINE, CA Zip Code;, ;' _. _ 92612 � . Phone: 949•720-5536' • � APPLICANT: PEGGY.BLOCK . Address: 8 EXECU'TIVE CIRCCE Unit: City/State: IRVINE, CA ' ' Zip Code: 92614 Phone: 714-557-0244 ' . . . . _ . , _ CONTRACTOR: WESTERN NATIONAL CONTRACTORS License No. 840973 Address: 8 EXECUTIVE CIRGLE ,_. , _ , Unit: City/State: IRVINE, CA - � , Zip Code: 92614 ,.- , Phone 714-557-0244; �• Cell: ARCHITECT: License No: � �:z,� , Phone „ . .: r �..,•i <' ' ,-' ;;r` ENGINEER: = , . � . License No. , � - Phone � •.�� ' � � . . ' FEESUMMARY" , ' , . `�.. :. Building Plan Check'`:.,f `'-: ' ` „ ,. .5277.84. ' . , Building Permit: ' ' $1,111.35 � , , Electrical Permit: $113.15 _ SMIP Residential $12.03 SMIP Commercial $0.00 NO710E: The work authonzed by this permit shall comply with all applicable handicaD access requirements under Califomia stalutes and related regulations. (Ord. No. 9248, § 1. 12-21•92) � • EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be wnsidered legal, such work must comply with all applicabla codes, and all required inspectlons and flnal approval must be obtained. Failure to obtain inspactlons and final approval will result in the expiretion of this permit. CApE/, ixsvEcnoN*rve p� IMiRIALS COpEt �NSPFL110NTYPE . gy/g ix�tn�� 1616' Fixed System Final Fire Prevention ZOB Final Mechaniwl � � 7266 Pool SOa Final � 208 Final Plumbing 200 Final Re-Rool ' 21p Final EleWiwl 201 Final8lock/RBWining Wall 212 Final Fire Prevention 202 Final Faqory Fire Place - 2N1' Final Plannirg ADprpval 203 FinalSign 222 FinalSite i��/�I� 2(14 Final Demolition 250 Finel Building/Occupanty �//1 ��, 4� /T WORKERS' COMPENSATION DECLARATION:� ' I �ereDy aKrtn under penalty o( perjury one o( the vnng tleclaraUons:1' ❑ I have and will mainWin a certificate af consent to self-Insure for workers" wmpensation, as provided tor by section 3700 of the Labor Code, for the peAormance o! the work for which this permit is issued. I have anA will maintain v.orkers' compensation insurance, as required by section 3700 of the Labor Code, for the peAormance ol the v.ork for which this permit is issued. My workers' compensation Insurance carrier and policy number are 1,�-J ,•�p / Cartiec �A'N7/l CI 1° l� l.. (�hisseau�neetlnol mnpet/Md!tlreper'm�t/q,v2rluWnlmehu�etlhdars(f/ODJo'kssJ Policy Number. W CZ� b�-1 �Q4b� �� ❑ I cehify Ihat in the peAormance of the work for which this permit is issued, I shall not employ any person in any manner so as to bewme subject to Ihe vrorkers' compensation laws of Cali(omia, and agree thal if 1 should become suCject to the workers' compensetion provisions of Section 3700 01 the Labor I s all�; wiN comply wilh Ihese pmvisiOns. JL �I�S o� Apd��'s Si9�Wre Date WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT qN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONF HUNDRED THOUSAND DOLLAFtS (5100.000). IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am Iicense0 under provisions of Chapter 9(wmmencing with Section 7000) of Division 3 01 the Business and Prolessions Cotle, and my license is in full fo/rTc-e�and eRecl. Lic. # �`1. �� Class # �ouL � 2 �i / ConVactor's SignaWre Da�e CONSTRUCTION LEN�ING AGENCY: ❑ I hereby atfum that there is a consWction lending agency ta the perfortnance d the v.ork fa v.hich this permit is asued. (Sec. 3097. Civil Code�. Lender s Name: Lender's Address: SipnaWre Date OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalry of perjury lhat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW fof the (011owinq fea50n (SeC. 7031.5, Business and Professions Cotle: Any ciry or county which require5 a permit [o construct. alter, improve. tlemolish, o� repair any strucwm, prior ro its issuance, also requires the applicant for such permit �o fle a signed stalement that he or she is licensed pursuant to the provisions of l�e Contrecrors License Law (Chapter 9(wmmencing with Section 7000) of Division 3 of t�e Business antl Professions CoAe) or ihat he or she is exempt therefrom and the basis lor Ne alleged exemptlon. Any violation of Section 7031.5 Dy any applicanl for a permit subjects Ihe applicant to a civil penalty ot not more than five hundred dolWre ($500�.): ❑ I, as owner of the property. or my ampioyees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or oKered for sale (Sec. 7044, Business and Professions Cotle: Tha Contrectors License Law dces not apply to an owner of proparty who builds or improves thereon, antl who does such work himsetl or herself or lhrough his or her own employees, provi0ed thal such improvements are not intentleC or oflered for sale. If, howevar, the building or improVement is sold wit�in one year of completion, the ovmer-builder will have Ihe burtlen of proving lhat,he or she did nol build or improve for purpose of sal8.�. ❑ I, as ovmer of Ihe properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS lo construct lhe projecl (Sec. 7044, Business and Professions Code: The cont2ctors License Law dces not appty to an ovmer of pmperty who Duilds or improves thereon, and wfio contracts fw such project with a cmtractor(s) license pureuant tothe Contractors Ucense Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: b5,-08 (3/0�) �vmer ID verifietl by tlriv. ise. ❑ Yes ❑ No Driver's License No. � Expires: Verification of Ownership by (rype of tlocument, i.e. - property lax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certAy that no excavation frve (5) or more feet in tlepth imo vfiich a person is required to descend, will be made in connection with work authorized Dy this permit, an0 that no building structure, scaffdCing, false�wrk, or tlemolition or dismantling thereof, will be more than thitly-six (36) fcet high. (Chap. 3.2, Grp 2, M 2, Sec. 341, Ttle 8. Califomia Atlminislrative Cotle�. ❑ As ovmeabuiltler, I will nol employ anyone to do work which woultl require a permit from tha Division of Intlustrial Safety, as noted above. unless such person has a pertnit lo do such v+ork fmm [he division. Applvants Sigrwlure Oa�e Division of Industnal Satery Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the appliwnt or present or future building occupant neetl to file antl certify a Business Plan tor emergency response to release or threatened release of a hazardous matarial7 ❑ Yes ❑ No (Section 25505 of ihe Califomia Health and Safery Code requires, with some exceptions, that a Business Plan be fled with Ne Costa Mesa Fire Department by every business which has at any one [ime tlunng a reported year a quantity of haxartlous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet ol compressed gas at standard temperature antl pressure). 2. Does or will the applicant or present or future building occupant need lo fle a regislralion form (or acutely hazardous ma[erials? ❑ Yes ❑ No (Section 25533 of Ihe Califomia Health and Safery Code, with some exceptions, requires registration with the Costa Mesa Fire Department by eac� busineu whicl� at any one time has on hand a quanlily of acu[ely ha�rdous materials equal to or greater than a weigM o( 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at sfantlartl temperature antl pressure). 3. Does ar vnll the applicant or present or fulure building occupant need to prepare an RMPP (Risk hlanagemenl and Prevention Progrem for acutely hazardous materials)7 ❑ Ves ❑ No (Section 25534 0( Ihe Califomia Health and Safery Code provides that the Costa Mesa Fire Depanment may require the preparatlon, certificaGon and filing with the Fire Department of an RMPP by businesses which are required to reqister acutely hazartlous materials with the Fire Deparlmenl. 4. If an RMPP is presently requiretl, has Section 25534 0l the Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will Ihe appliwnt or present or fuwre building occupant require for the vrork which is the subject of this apP�iwtion a pertnit for such construclion or motlification (rom the South Coast Air duality Manaqemenl Dislnct or fmm any other air polWtion control tlislnct or agency9 ❑ Yes ❑ No (Sectbn 65850,2 0( �he Califomia Govemment Code requires that the requestetl informal'an be fumished on applications for ran-residential buildinq permits). 6. Will any part of lhe (aciliry lo be wnsWcted under lhis permit be vrithin 1000 feet from Ihe outer boundaries o( a school7 ❑ Yes ❑ No Qf'yes', t�e (aciliry must meet Ihe requirement of Sections 25534 and 42303 of tha Califomia Health and Safety Code). 7. If a pertnit from the South Coast Air Qualiry Management District or other air pollution control district or agency is required (or Ihe work which is the subject of this application, have all of the disclosures prescribed by Calitomia Health and Safaty Cotle Section 42303 been made7 � Yes ❑ No, B. Qf 'yes", attach certificate o( compliance from Ihe appropriate air pollution control o(flcer). � �CERTIFICATE OF COMPLIANCE: I certify�that untler penalty of perjury lhe information given above is cortect. I agree to comply vnth all slate laws and ciry ordinances regarding Hazartlous Materials ana Emissions. ' , � SipnaWre Date . CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this appliwtion and sWte that the information given is correct. I agree to comply with all slate laws anE city ordinances relating to builtling construction, and authorize representatives of the Ciry ot Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this pertnit until fnal inspecuon. . Sipna�egalpmeqs) 1 � �-� 0`7 An0/orAul�mzeCAppliwnl Dale , lobAddress: 450 ENCLAVECI Suite: AK Viciniy: Primary Occ: U Parcel Number: TPN00710Q npp�icanr. PEGGY BLOCK Address: 8 EXECUTIVE CIRCLE Type of Construcfion: V-N Zoning: IRVINE, CA , - � � Ownec THE IRVINE C0= ;;�� Address 1101NNOVATION' i" , �, . Phone: 714-557-0244 . '" �Zip: � _92614 , � � • � `,. \ : Phone: IRVINE, CA - � � � � - _ -_� - Zip: � , i • .� ' � � . : � _ --, , __ . Contractor ��,WESTERN.NATIONAG:CONTRACTORS Address �� 8 EXECUTIVE 61RCLE �� /. % � � - � ' . _' ��!f/%/ Phone: IRVINE, CA, = ' � � 2ip:� 92614 � �i - � � License: �' / , , . /,%; � s� Arch : � "' � �% Address: �� .� � � � Zip> , i . . , Phone: � � . � �: . �Cicense� - ,_ _ � _ _ Status: ISSUED Applied: 05/2112007 Issued: 06/0512007 ISSUED BY: _ ` \ ' 949-7205536 � � � \ j ��\ -_ .. 92612, ', �� . �� '`.� � / � � � �� -� � - �� \ �\�/ � \�\ �ia-ss�-ozaa \�ti ~ / ✓ �\`� '� V� /�, 840973 �� \ �\/ \\\�\ �VA�A / `, A,- Eng: Address � ,k' � � �. _" _ �\`� \ � " \,�; , - �_ �. �� <� `. ' � A Phone: � �, � , .' . �,, ��- - , � .License: c 1 : -� � /; � � � �� . . " � � ' _ � SCOPE OF PERMIT � - - _ � ��'� \�' � ' . � PHASE II, ENCLAVE APARTMEN7 HOMES -� A. , ' � - . " . � � �� '��. ' � . . CONSTRUCT 986 S.F. DETACHED, 4 CAR GARAGE._ . .. _ _ .�. .. ._ . _ _ - - . _ _. _ � ' , �. , � - � , � � " _ � . �� ✓ .� m� v.�� ,�'.—: n rT. �rvi*c � " � ' ,;,/;'' FEE SUMMARY :. ,. �r :�: �= � , � PianCheck: 5127.36 �:, CalcValuation: �. sae,o2o.00 Permit � $783.75 � �� v� Claim Valuation: , , % ' � = Sss,Ozo.00 ; SMIP Res: SMIP Com: , Othec Inspection: � . , 'Total� $6.90 $0.00 $0.00 $0.00 $918.01 � � v. --z �' �,. J' .i� - G l _1�J\ �= J�� . l�'� l�'�1, � � � ? �� !� — — � ��/ �/ /; � -- . , J;;l i_- : � , � 1�/ ' � �' / ii�/ /( , \ � , � r zr'PLANNING &��ZONING %%' �" � � � i G';' i �'/ SETBACKS � - .� �: �. . �� :. �i, j. �' MAINSTRUCTURE Front 0-0-;, ��' Rear 0-0�' _�"Left 0-0 �� RfgAt�'�0�.0 � !� �- ` _ r _� � „�// / A i , , „ ACCESSORY`- Front 0-0 \� _��.Rear'--0-0 .>Lefl� 0-0 ' . ��RighL� 0.0 j� � '� l � c _ ; - . . ..�� . : i� �`✓ PARKING � � Ex�s�ina '0� Reauired 0 �-, � ° Pronosed �" 0 � ( C � ��/ ��'�� \ � � -� �. - = < ', \ . �i � � ��' �' � -- � �-� �,A � ' /%�� i� ��- , _ .,� ��V ��i � . , �� ., .� � �A � � �. � � ) ` /i � �� _ - �� Ai�� ,. ., " ,�"%i�� \��_ " <�� `___-- �i,/i!,".� - ,_ _ .��_,� — _ NOTICE: The work authorized by ihis permit shall comply with all applicable handlcap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void II work is not commenced withln 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work euthorized under this permit to be considered legfll, such work must comply with all applicable cotles, and all requlred Inspectlona end flnal epproval must be obtained. Failure to obtain Inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 754.5626 / zae-se �aroo� U WORKERS'COMPENSAnON DECLAflAnON: `� � I hereby aflirm un0er penalry ot perjury one of ihe following declaratlons: ❑ I have antl will maintain a ceNtiwte ot consent to self-Insure tor workers' compensetion, es proNdetl for Dy sedlon 3700 of the Lebor Code, for the perfortnance of the work br which this pertnit is issued. I.I�eve.and will maintain workers' compensetion insurance, as requiretl by sec�lon 3700 ot Ihe Labor Cotle, for the petlortnance of Ihe work tor which this pertntl is Issued. My workers' compensati In rance rtier aIp,d policy number are: ^� {y � ^ � -�Q Cartie�r:_ ��'11'�lA��.��Ql� �,P.dicy�NumOer.��CT��C1�"'(� IOUd�j '(fhis section n e not be com letetl i! Me permit is ve/ued et one hundred dol/ars ($f 00) oi less.) ❑ I certity Ihat in the pe ance of the work tor which this permit is issueC, I shall not employ eny person in eny menner so as to become suCject to ihe workers' compensatlan lews o�fomia, entl egree th�t ii I should become sub�ect to the workers' compensetion provislons oi Sectlo 370p'+of Ihe Labor Code, I shall fonhwith comply wil_h,lhese �pr vi Ons. �i-� / 1 / �/1 A� .Slgnelure�-- 1t`�%�iP/1 (LCid(�A�� Dele: �`*� � �l,o I WARNINQ: FAILURE TO SEC RE WO E PENSATIqJ COVERAGE IS UNLAWFUL AND SlULL SU&IECT AN EMPLOVER TO CPIMINAL PENALTIES AND CIVII FlNES UP TOONE HUNOPED TFi0U5AND DOLURE (5100,000�, IN ADDITION TOTHE ODST OF COMPENSATION, OAAUGES AS PROVIDEO FOR IN SECTION 3'708 OF THE LABOfl CODE, IMEREST, AND ATTOfiNE`fS FEES. LICENSEO CONTRACTORS DECLARATION: 9(commencing with Sectlon 7000) ot Division 3 ot ihe Business tl Pmlessions Cotle, and my Ilcense Is in full Cle9s'M"��. � n 'Dele `"",, � CONSTRUCTION LENDING AGENCV: ❑ I hereby eXirm that Ihere is e consiruction landing egency lor Ihe pertortnanca oi Ihe work for which �his permi� is issuetl. (Sec. 3097, Civil Cotle). Lender's Neme: LentlBYs Addres5: Signature: Date: OWNER-BUILOER DECLARATIONS: I hereby ettirm that under penelry at perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW far Ihe tollowing reason (Sec. 7031.5, Business entl Professlons Code: Any ciry or counry which requires a permit to consiruc�, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires ihe applicant for such pertnit to tile a signed statement that he or she is Iicensetl pursuant to the prarisions ot the Contracrors License Law (Ghapter 8(commendng with SecUon 7000) of DMslon 3 of Ne Business and Profeuions Code) or Ihat he or she is exempt therefrom and Ihe basis tor ihe allegatl exemption. Any vialation of Section 7031.5 by eny epplicent for e pertnit sublects [he epplicent to e civil penalry of not more than five huntlretl tlollars ($500J.): ❑ I, es owner of ihe property, or my employaes with wages as their sole compensetion, WILL DO THE WORK, and Ihe siructure is nol intendeG o� oflered tor sele (Sec. 7044, Business and Proteuions Code: The Contradors License Law dces not eppty to an owner of properry who 6uilds or improves thereon, antl who tloes sucl� work himself or hereelf or through his or her own employees, provided Ihat such improvements ere not intendetl or ottered for sele. If, however, the building or improvement is sold within one year ot com0�etioq the owner-builder wi0 heve iha 6urden of proving ihat he or she did not buiid or improve tor purpose of sele.). ' ❑ 1, as owner of Ihe property, am E%CLUSIVELY CONTRACTING WITFi LICENSED COMRACTORS to construct Ihe project (Sec. 7044, Business and Professions Code: The coniraciors License Lew does nat appty to en owner oi property who Duiltls or Improves t�ereon, antl wha wmracts far such pmject with a cantracroqs) license pursuant to the ConiraCtors LicenSe Laws.). ❑ I em eaemD� under sec. Business antl Professions Coda tor this reeson: Signeture: Date: Owner ID verif�ed by dnvefs license. ❑ Yes 0 No OriveYs License No. Eapires: Verification of Ownership by (rype of dxument, i.e. - properry taz bill or deed): DIVISION OF INDUS7RIAL SAFETV PERMR CERTIFICATON: ❑ I hareby carliy that no axcavation five (5) or more feet In tlepth into which e person Is requlretl to Oescend, will be matle in connection wit� work euthoAzetl by this pertnit, and ihat no builtling sirucWre, scaHolding, falsework, or tlemolition or tlismentling ihereoi, will be more than �hirty-six (36) feet high. (Chap. 32, Carp 2, Ari 2, Sec. 341, Title B, Califomla AtlministratNe Cotla). ❑ As owneo-builder, I will not employ anyone to tlo work which wauld require e parmit tram the Division of Industdel Sefety, es noted ebove, unless such person has e permit to do such work Irom Ihe tlivision. Signature: Date: Division oi Indusirial Safery Pertnit Number: CER7IFlCATE OF COMPLIANCE ANU AUiHORVATON OF ENTAY: I certiy under penalry of perjury ihat I have read Ihis application and sWte t�et ihe infortnation given is correct. I egree to comply with ell state laws end ciry ortlinences relating to building constructlon, end authodze representetives oi the Ciry of Costa Mesa to enter upon the ebove-tlescnhed property for inspection puryoses. I agree not ta occupy or ellow occupency of any building authonzed by �his pertnit until tinel inspection. GODE �. MSVECTIONTYPE QdIE I�EL$ 1678 Flsetl System Finel Fire Prevention 1266 200 201 202 203 204 Pool Spe Finel finel Re-Roof Finel BIocWRetelning Wall Finel Fectory Fire Place Flnel Slgn Finel �emolltlon �ODEt INSVECTIONtYPE 206 Finel Mechenicel 208 Final Plumbing 270 Final Eleclrical 212 Finel Fire Preventlon 220 Finel Plenning Approvel 222 FIneI5lte 250 Finel Bullding/Occupency � --� �.17�i�Cinlr,lal i� CITY OF COSTA MESA BUILDING D/V/SION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.cosla-mesa.ca.us �, FOR INSPECTIONS CALL: (714) 754-5626 �ro � PERMIT NUMBER: E07-00562 PERMIT TYPE E�EC. STATUS: ISSUED OATE ISSUED: 07/13/2007 � S X`_ -Y • ''" ISSUED BY: SOK ; �-, .. '= ` .' � 1 ^ z=.; ;... JOB ADDRESS: 450 AK ENCL'AVE CI CM`'t' �' �'� Suite/Unit` �'"•AK Viciniry: ,`' , ±. rr'' : . `ti �, .. 1 ' ' �., � _ ..�: e I �. ,� _ -� !✓ -L . :1 N p .,i. 1 �y 1. SCOPE OF WORK: PHASE II .ENCLAVE APARTMENT HOMES ,„s �.,.._;,,,� . /,.'j . '�'� �� wvl;h' ' n:`. ELECTRICAL INCLUDES: 7 LIGHT FIXTURES -4�OUTLETS, 4 SWITCHES AND 1 SUB PANEL TO 200 AMPS FOR 4 CAR GARAGE. REF.: B07-00699 . .�. .. - �� , �,1- •:i-f �,�k .�: . . , ��, . r ;, � ?'yl � � '.i.. ' ' ' .. Y � '�, } , . OWNER: THEIRVINE'CO `~ r � �" - � �V Address - -110;INNOVATION Unit ��"� . PHONE: 949-720-5536 �-� City/State/Zip: IRVINE,CA�• � - , , . .. � � - . . - � � � � . . - APPLICANT: PEGGY BLOCK� . � '�,- � ^ - - �� -� �- ^Address: �� • ^8 EXECUTNE CIR6LE, Unit:�l' PHONE: 714-557-0366 � � .1 t� �� " �' � Cify7State/zZipry .? ,IRVINE; CA - ,.� � . : . „ � ' - '- . _ ..:_-. �-... �. :.. . ._ ::,., ..- .�_i ,. � i- � CONTRACTOR: WEST,ERN NATIONAL CONTRACTORS� _� , F License No: :840973 ��. -- Address: BEXECUTIVECIRCLEUnd , ' — ��.._i�PHONE: � 714=557-0244" ;,. . _. ,... . -.� . . . ... __ . : . . City/State: IRVINE�;CA - . -ZipCode. 92614 � ��- � � ' CELL.,' � � �' . t � ---� ��,�� -. - --...�-. '� ! ` t ' _ j ELECTRICAL PERMIT.FEES � . ` �� ' Electrical Plan Check Fee ' , � $0.00 ' � ,�, � Electrical Permit Fee: i � . ' .$70 50 ' � � -. , ,�= .. � ; I Reinspection Fee +, �� 0 00 - �� , Y , , �,,�`:s. � +'�'� •;; � • TOTAL FEES Y '4=:; � $70 50 .� � ' '>� + ;a " `' � . �.1 , y . , s ,.,k.: �_' . � .� - _ _ -_ a , . ., 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. C�DEE INSPEC710NTYPE 1816 Fi:eO System Final Pire Prevention 1268 Pool Spa Final � 200 Final Re-Root 201 Final Blotk/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolilion Q�� IN RL fADEt INSVECTON7VGE 208 Final Mechanical � 208 Final Plumbing 210 Final ElecinWl �/a. 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final Building/Occupancy AI�,F INifMlS i�s1 / • • wl / WORKERS' COMPENSA710N DECLARATION I hereby aKrtn under penalry of perjury one of the ...dng declarations: ❑ I have and will maintain a certificate of wnsen� to sel(-Insure.for workers' compensation, as provided (or by section 3700 of the Labor Code, (or the per(ormance of Ihe work for which this permit is issued. I have antl will maintain v.orkers' compensation insurance, as required by 's tion 3700 of the Labor Code, for the peRormance of the wdrk (or vmich this permit is issued. My workers' compensation Insurance cartier and policy number are:_( � I � �(� � %Carrier: 1/(\�C/�� e�/\�1J�G�L � (ThissecfonneMnolOe p'eletldthepemWa(v�aNCeJ^atanenuMmtltlMarsfSt00)orless.) Policy'Number: _�f�� h�,`t J l�2� ❑ I certily that in Ihe peAormance of t�e work for which [his pertnit is issued, I shall not employ any person in any manner so as to become subjecl lo the workers' compensation laws of Calilomia, and agree thal if � should bewme subject to Ihe vrorkers' compensation provisions of Section 3700 of Ihe Ly�pr CodG, I shall f� vrith comply with [he5e provisions � J�2 (.n� -�fibLo 1- ( J.�Q�'�' � Applipnl's Signalure . Dale 1 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALI SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensetl under provisions of C�apter 9(commencing vnth Section 7000) of Division 3 of the Business and Professions Code, and my license is /in1 tull /fo;r+c-e� and effect. Lic.# �`'t'�"� `� �-Class# .p �-, 7 i 1 .e d7 � anv oisSignalure , Date CONSTRUCTION LENDING AGENCV: ❑ I hereby aKrtn lhat there is a constructbn lending agency for the peAortnanCe of [he work (IX wfiiCh this pertnil is is5uetl. (Sec. 3097, Civil Code). Lender's Name: Lentler's Address: Sipnature OW NER-BUILDER DECLARATIONS: I hereby affirtn Ihat under penalty of perjury Ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the (ollowin9 feason (Sec. 7031.5, BuSiness and Profe55ions Cotle: Any city or county wtiich requires a permit to construct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant for such permil to (le a signed slatement that he or she is licensetl pursuant to the provisions of Ihe Contractors license Law (Chapter 9(commencing with Section 7000) of Division 3 0( the Business and Professions Code) or thal he or she is exempt iherefrom and Ihe basis (or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permil subjecls the applicant to a civil penalry of not more than fve huntlred dollars ($500).): ❑ I, as ovmer o( the property, or my employees with vrages as their sole compensation, WILL DO THE WORK, and Ihe structure is not intentletl or oRered for sale (Sec. 7044, Business and Professions Code: Tha Coniractors License Law does not apply to an owner of propeAy who builds or improves thereon, antl who dces such wark himself or herself or through his or her own employees, provitletl that such improvements are not intended or oHered for sale. If, however, the building or improvement is sold within one year of completion, the ovmer-builder will have the burden of proving that he or she did not build or improve tor purpose of sale.). � ❑. I�,-as ovmer o� the property, am EXCLUSIVELY CON7RAC71NG WITH LICENSED CONTRACTORS to construct the projecl (Sec. 7044. Business and Professbns Code: 7he contractors License Law dces not appty to an ovmer of property who builds or improves thereon, and who contracts for such prqect with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. � eusiness and Pro(essions Code for this reason: 305)�46 (3I0]) � - Ovmer ID verified by dri� nse. ❑ Yes ❑ No Driver s License No. Expires: Verifica[ion of Ownership by (�ype of document, i.e. - property lax bill or deetl�: DIVISION OF IN�USTRIAL SAFETY PERMIT CERTIFICATION: ' ❑ I hereby certi(y Iha� no excavation (ive (5) w more feet in depth irito vfiich a person is required lo tlescentl, vnll be made in connectbn with work autMrized by this pertnit, and that no builtling strucNre, scaffddinq, talse�wrk, or tlemolition or tlismantling ihereo(, will be more than thirty-sa (36) teet high. (Chap. 3.2, Grp 2, M 2, Sec. 341, Ttle 8, Califomia Atlministrative Codej. ❑ As ovmer-builder, I will not employ anyone to tlo work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Appi¢am's Signawre Division of Intlustrial Safety Permil Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or I�reatenetl release of a hazardous materiai7 ❑ Yes ❑ No (Section 25505 of Ihe California Health and Safety Cotle requires, with some exceptions, thal a Business Plan be filed with the Costa Mesa Fire Departmen[ by every business which has at any one lime during a reported year a quantiry of hazartlous matenals equal to or grea[er than a weight o( 500 pounds, or a voluma of 55 gallons, or 200 cuhic feet of compressed gas at standard �emperature and pressure). 2. Does or will the applicant or present or future builtling occupant neetl to (le a registralion form (or acutely hazardous materials? ❑ Yes ❑ No (Seclion 25533 of the California Health and Safety Cotle, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which al any one time has on hand a quantity of acu[ely hazartlous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic teet of compressed gas at stantlard tempera[ure and pres5ure). 3. Does or will Ihe applicant or present or (uture building occupant need to prepare an RMPP (Risk Management and Prevention Program for awtely hazardous ma[erials)? ❑ Yes ❑ No (Section 25534 of the Califomia Healih antl Safery Code pmvides that the Costa Mesa Fire Department may require [he preparation, certifcation and filing wiM the Fire Department of an RMPP by businesses which are required to register acutely hazartlous malenals wilh the Fire DepaAment. 4. If an RMPP is presently required, has Section 25534 of the Cali(omia Health and Safety Cotle been fully complied with? ❑ Yes ❑ No 5. Does or will Ihe applicant or presenl or future builtling occupant require for Ihe work which is the suDject of Ihis appliwtion a permit tor such conslruction or modifcation trom the South Coasl Air duality Management District or from any other air polWtion coNrol tlistrict or agency9 ❑ Yes ❑ No (Sectan 65850.2 of lhe Califomia Govemment Code requires that Ihe requested informatbn be fumished on applications (or ran-residential building pertnits�. 6. Will any part o( the (aciliry ro be constructed under this pertnit be within 1000 (eel from the outer bountlaries of a school7 ❑ Ves ❑ No Qf 'yes", the facilily musl meet Ihe requirement of Seclions 25534 and 42303 of the Calilornia Health an0 Safery Code�. 7. If a permit from the South Coast Air Quality Managemenl District or other air pollution coNrol dislrict or agency is required for I�e work which is the subject of this application, have all of the disclosures prescribetl by Califomia Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No. 8. Qf. "yes", attach certificate of compliance from Ihe appropnate air pollution control offcer). . CERTIFICATE OF CpMPLIANCE: I certify that under penalry of perjury the �informalion given above is correcL I agree�to comply wilh all state laws antl ciry'ordinances regarding Hazardous Matenals antl Emissions. , Signature � Uale . CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certi/y under penalty of perjury [hat I have read [his application and state Ihat the information given is correcL I agree to comply with all state laws and ciry ordinances relatinq to building construction, and authorize representatives ot the City of Costa Mesa to enter upon the above-described property for inspeclion purposes. I agree not to occupy or allow occupancy of any building authonzed by this permit until final inspec[ion. SiqnaWr g-IOwner�s) qa�e � �(l� b� , And/orAulhorize�Appliranl Dale , .� .� � ' , . .. JobAddress: 450 ENCLAVECI Stams: ISSUED Suite: i:� Applied: OS/21/2007 Vicinity: Issued: O6/OSl2007 Primary Occ: U Type of Construclion: V-N Parcel Number: TPN007101 Zonin9: npplicanr. PEGGY BLOCK Address: 8 EXECUTIVE CIRCLE . Phone_ 714-557-0244 IRVINE, CA - - � "-�� -� �Zip:.- 92614 - . ISSUED BY: � ��>i. „-: �_--- -- "- ' _ . _ �� . _ - , i _ , - ; � Owner THEIRVINECO%;�,� _ -; /�� ' � Adtlress 1101NNOVATION � � � , . � j � � �\,� � � - -- �� ' Phone 949720-5536 ` J� � IRVINE CA . � ` �1 _ \- .-2ip 92612; � � �v /� � �� /;� . . ; � - , =- .�-___. -� -,� � �� Contractor� . ,WESTERN.NATIONAL CONTRACTORS `; �� -�, � �� A�� Addreas�/BEXECUTNECIRCCE'=/� -�� j �. �' / �� A\ �� i .� ?��ii/� Phone: 714-557-0244 ��A -_ : , ��VA � i �� - � � �IRVINE. CA%; �' - �� -:� \ � � , � Zipt 92614 � -' � License: 840973 � :�A ��i' � �A � � � , . �� .'�,:� ,�1 ��V �� \�� Arch : " �� Eng: Address: � - ��'� t %� Address: r ,_' - � ..o : � Phone: • ' ` �� Zip:- , _ . � -License: ; � � . _ � `��. � . _ .. _ �� . . � �� / ,.t ' '� SCOPE OF PERMIT �� ',�%� PHASE II, ENCLAVE APARTMENT HOMES _-� � � ' i" � V� CONSTRUCT 1,230 S.F. DETACHED, 5 CAR GARAGE . _ \ Plan Check: Permit: � SMIP Res: SMIP Com: Other. �Inspection: , � ',Total: . $146.70 $902.75 $8.61 $0.00 $0.00 $0.00 $1,058.06 , " .,iii FEE SUMMARY �:�,�. � � f� � - - - �.: � ti, - �---_ -�� i�\��'�1)n(. � - � %�-� � �'-- . _ �/ ,, , / �, ,l`' ';; \��A ' r,, � �� A� ;� �� -\ �� ' \ . �Phone: � � \ �� , � ',License. _ - � \^ ' � ' � � Calc Valuation� „ � sas;ioo.00 Claim Valuation: , � - see,ioo.00 � "�.,, „ . � , i j,ii , d; r�� i ;j�l/ ''- _ ' i. i '�'/ /�� , � � r :�;>� 1 �'- , i�,� � ,\ i / l � . ;`'PLANNING &��ZONING .. /%. �,/i � SETBACKS � �� " � � ;,,. . „ /, ,. �' ; . i.'` � s � t : �, i MAIN STRUCTURE Front 0- 0� :� - Rear 0- 0 ��. Left 0 0 � Right �0 0 '`� /� �� _�'� _ ,/�%� /: / i ii ; � � ��., .. _ ' i � i ACCESSORY � Front 0-0 \ . � Rear �0 0� , �-Le(t 0 0 . , �Ri§ht- 0=0 /�� ; _ . . - �-�; �i� � � i�, PARKING � "Existina ' � 0� Reauired 0�� ° Pr000sed :�0� �� !� ' � .� : _ s _ ,,� � ��,A<� �i �� ,. -� - - - - - � • �� %' ..i' �� . �/J ,';/ - - _:� �, A �.� ��'/ �, ��l - �/,: -�� ' � - .� ,�� _ � V-A V-� .. � i �� l_� � � i _:1,� i��i� �� _'i-,A'l.f',� �. -- •�� _" ��.'� __ �"� :7.�_ i%'%"��— /�i 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) E%PIRATION: This pertnit shall automatically expire and become void if work is not commenced wlthin 1 BO days, or if work is suspended or abandorred` for a period of 7 80 days. INSPECTIONS: In order for ihe work authorized under this pertnil to be considered legal, such work must comply with all appli - e codes, and ai� required Inspeetlone and final approval must be obtained. Failure to obtain inspections and final epproval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2a48d8 (8�W) WORKEHS'COMPENSAnON DECLARAnON: I here6y aHirm untler penalry of perjury one of I�e following Cedare6ons: ❑ I heve entl wlll malntein e certilicate oi consent to self-Insure br workere' compensatlw, es provlAatl for by sectlon 3700 of ihe Lebor Cotle, for Ne peAortnance of Ihe y�work tor w�ich Ihi9 permil Is Issuetl. entl wlll meintein workere' compensation insurance, as requiretl by section 3700 oi the Lehor Code, for tha pertortnence oi the work lor whiU thLs pertnit is issued. rk rs' co e tl n nsu:i nce wr%�r end policy number ere: 1�7P�� 1�� Ql_. Pdicy.Num�ei�c�i 6� o6v-5'7ob aG r need nof be�ompleted!! the pemut ls velue0 af one huntlred dW/ers ($100) or /ess.) � ❑ I cenity that In ihe peAormence of the work br which this permit Is issued, I shall nol employ eny peraon in any manner so es to become sub' ct to t�e workers' compensellon law� /o� elitomia, end egreeeyyy�� heI If I should become sub�ecl lo t�e workers' compen5allon provislons oi Sectlon 700 f the or Cotle, I shell forthwith comply with ��esgjupdsinon,s... �� _'. � ��i O � ARNI�I nt SI' �ture:--J -�C� � V.\ D9te: � RE TO SECURE�COMPENSATION COVERAGE IS UNLNWFUL AND SMAIi $UBIECT AN EMPI�CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE MUNDRED THOUSAND DOLLARE (E100,000�, IN AOORION TOTHE ODST OF COMPENSATION, UAMAGES AS PROYIDED FOR IN SEGTION 31080F THE LABOR CODE, INlEREST, /WD ATTORNEY$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHlrtn that I em Iicensed�d�� Ion�at Chepter 9(commendng with Sectlon 7000) ol DlNsion 3 oi Ihe�Buslpe�ss ancj,P�ofe�sions Code, entl my Iicense Is In tull CONSTRUCTION LENDINO AGENGV: ❑ I hereby aftirtn thet there is e construction lending apenty for the pertortnance of Ihe work tor w�fch Ihis permit is issuad. (Sec. 3097, Civil Code). Lentlers Nemo: Lendefs Aatlress: Slgne�ure: Date: OWNER-BUIIDER DECLARATIONS: � I hareby aNirtn t�et under penfllry ot per�ury Ihet I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW lor the follawing reason (Sec. 7037.5, Business and Prolessions Code: Any ciry or counry which reduires e pertnit to construct, elter, improve, AemWis�, or repeir eny aWCWre, pno� lo its issuance, also requires the apDlican� Por such pertnit to file e signed sletement thet he or she Is Iicensed pursuant ta the prwLsions al Ihe Cantrectars License Law (Chepter 9(commencing wiih Section 7000) oi OMslon 3 of the Business antl Profeuions Code) or that he or she is exempt Iherefmm end Ihe besls for the elleged exemption. Any violation of Section 7031.5 by eny flpplicant for e pertnit sublecis ihe eppllcant to e civll penalry of not more than five tluntlred dollars ($500).): ❑ I, es owner of Ihe properry, ar my employees wllh wages es their sole compensation, WILL DO 7ME WORK, anE Ihe slructure is not Intentletl or oHereC lor sale (Sec. 7044, Business entl Prolessions Code: The Contractors License Lew tloes not apply to en owner of property who builds or improves t�ereon, antl who does such work hlmself or hersetl or Ihroug� his or her own employees, providad lhat such impmvements ere not Intendetl or oHeretl for sele. N, however, �he Dulltling or Improvement Is sald within one year ol completian, the awner-6uiltler will have the �urtlen ol proving that he or she did not build or imprwe for purpose ot sale.). � ❑ I, es owner of ihe properry, em EXCLUSIVELY CONTRACTNG WRH LICENSEO CONTRAC70RS to construct the prqecl(Sec. 7044, Business antl Professions Cotle: The contrectors LJcense Lew tloes not appy to an owner ot proDerry who builds or impmves Ihereon, and who contracts for such project with a caniractoqs) license pursuam to Ihe Contractors License Laws J. ❑ I am exempt unAer sec. Business entl Protessions Code for Uis reason: Signawra: Date: Owner ID verified by drivefs license. ❑ Yes ❑ No DriveYs License No. Verlfication af Ownership Dy (rype of dacument, i.e. - praperty tex bill ar tleetl): Expires: OIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby ceNty that no excavatlon Me (5) or rtwre feet in Cepth into which e person Is requlretl to tlescentl, will be matle in connection wIN work auNwized Dy thls pertnit, end that no huliding strunure, scettolaing, felsework, ar demolitian ar dismentling t�ereol, will be more than thirty-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Calitomla AdminiSlretNe Cotle). ❑ As owneabulitler, I wlll not employ enyone ro tla wark which would require e pertnit Iram Ihe Division of Intlusttlel Selery, es notetl eDove, unless such person hea a pormit to tlo such work from the Oivision. Signature: Dale: Division ol Industrial Safety Permit Number: CERTIFICATE OF COMPUANCE AND AUTHORIZATON OF ENfRV: I certity unCer penelty ol perjury thet I heve read this application antl state t�at Ihe inlortnetlon given is conecc I egree to comply wilh all state lews and ciry ordinances relating lo bulltling wnstruction, entl euthonze represenlatives ot Ihe Ciry ol Coste Mesa to enter upon Ihe ebove-described property tor inspection purposes. I egree not to ocwpy or ellow occupanty of eny building euthonzetl by this pertnit until finel inspection. Signature Of Legal Owner(s) CODE �, p3YECTIONTYVE 1878 Fixetl System Finel Fire Preventlon 1266 Pool Spa Finel 200 Finel Re-Root 201 Final BIocWRetelning Well 202 Finel Fectory Flre Place 203 Flnel Slgn 20a Final Demolltlon Qd¢, �{�5 f�,QQf„( INSPECTIONIYPE 206 Finel Meclienical 20B Finel Plumbing 210 Final Electdcal 212 Flnal Fire Preveniion 220 Flnel Planning Approvel 222 Final Slte p 250 Finel BUIIAIng/Occupanry r �D'ale�__ `� QdIE Q{�Lfi CITY OF COSTA MESA sun��N� c�v�s�oN 77 FAIR DRIVE. COSTA h1ESA. CA 92626 •(714) 754-5273 • Fax (71A) 754-4856 • www.ci.costa-mesa.ca.us . PERMIT TYPE ELEC APN: TPN007101 FOR INSPECTIONS CALL: (774) 754-5826 PERMIT NUMBER�E07-00564 STATUS: DATEISSUED: ISSUED BY: FINALED_. 0 711 312 0 0 7 ; �� . JOB ADDRESS: 450 AL ENCLAVE CI CM Suite/Unit: �"' =AL , f.� ,_- .-, . � �.. Vicinity: ,.�; _ .. � � ��;; _�'h SCOPE OF WORK: PHASE II, ENCLAVE APARTMENT HOMES �� ` - �` '� - . , t :`.�AC+:`.l��',-" \.. = ELECTRICAL INCLUDES: 8 LIGHT FIXTURES, 5 OUTLETS, 5 SWITCHES AND 1� SUB PANEL TO 2Q0I PS,F GARAGE. REF.: 607-00708 /-•'��,�' :!1 � �.�, � �.'�y��rf �::�� '=�s'�'�'�, }�'. ,. ��i �`�:}-�;*�7;r . ,x r �..".�:;�^h�:; s�u OWNER: THE IRVINE CO r t. �;.'`� • ; PHONE: 949-720-5536 ��, „y�..:i��.�, APPLICANT: PEGGY:E PHONE: i774557;( �: . � ..,� ;r. CONTRACTOR,"-WES Address.=•-"�� ';8-EXE City/State:�"-'` "-IRVIN ,� �,..r-<'y�"�'� L'''s ''-,�� , 7 EL'EGTRICAL PE ElectricalJPlan Check Electrical Permit Fee: Reinspection Fee � TOTAL`FEES 1" np'JC4}•1 �i f�±�5:" n � Ik�' y�.'�3� ��+r,:: - ��+ : ,_ :! � �.«�.1�=�r7% �. :., r.n}";'. '" ipCode 92614 a-�� yyti �� ; r i '� Y� s � � $�.0�� $73.80�,�,;:,;� . �.;$O:QO.;��w� .. . �' q�""'$73�0 �.?�Iy.,,/�l}�, �vif'� �, . . . _.""� Jr ' . � 1,230 S.F. DETACHED, 5 CAR , �.',�t� • ' ,j.� •: ,% - '�" ` �-:'8 EXEEUTIVE CIRCLE Unit: 2i� � IRVINE, CA � i;��LicenseNo. �840973 C�'�.�=,. � PHONE: 714-557-0244 A.�. �� -,°�4y,_� CELL: � , . . � A' �� ; f l I '1 . . . y'.• . 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: PERMIT EXPIRES 780 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must wmply with all applicable codes, and all required inspections and flnal approval must be obWined. Failure lo obtain inspections and fnal approval will result in the expiretion of this permil. 40oE a,�p�CIl41LffiE � �^"QSIE : IyIli164?5.,. � r iMsvErnox me �e^�„-"^.-, a, � r� � GZIE �9 /'18iB� Fixed_SyitemFinalFuePreventwn _;'� ..'�---r� 2p8 �'FInal�Mechanit`al } � ' � .� ' . ,.n � %r 1288 , Poo SOa Fnal- . `� �`.� � L- " ' " -;t`:.o ` 208 - tFInalPlumbing. �` . `� �� . ..� Z00- �+f FinalRe-Rool� 1'( . t�I •Y t..' i j 210' - Fnal'Electncal �•D� �� ., ��% � /�'{' �I(�( ..201 �j FinaIBlxWRetainin Wall � k - f _ �.*.., - '!�/J�, .` 't�t' H �. _-"-'[-"—a�r �1 9 � � - ., � � 272 . Final.Fire Preventbn �202:'( FinalFaGayFmPlace . � �'� .� � ' _. y 2p 7 FnelPlanninBApOroval/ '' ' � t �203':+.Fina= ig��e � ?, �� iz �--"k _' �'� -Flna��Site j.-`�. • S.r p �. .:s-. �' .^.d�/ . �204. �� Fnai Demolihon -.- -; • - �'�- 250 i . Final BuildingrOccuOancy � � .,- � - .�.: J, � `: _ e _ ..,-t .:�✓ , . _ � T. _ 1 ' � � � ._.�. . _ �. �.f' — -• _ .. -..-_ ..�.,.ka•_ � . _, _ WORKERS' COMPENSATION DECLARATION I her@by aKrm untler penalty of perjury one o( Ih, rwing declarations: ❑ I have antl will mainlain a certifwte of consent ro sel(-Insure br workers' compensation, as providetl lor by section 7700 of the labor Code, tor the peAormance of Ihe worlc for which lhis permit is issuetl. ❑ I have and will maintain wvrkers' compensation insurance, as required by seclqn ]700 of the Labor CoAe, for Ihe peAortnance of the work (w which this pertnit is issued. My v.orkers' compensation Insurance carner and policy number are: 0 Carrier. (iMs SeC+�n neetl nol Ce cnmd��M df�e perm9 is valoeC al one �✓nOietl tlotldrs (5100) a less ) Policy NumDer: ❑ I cenify lhat in the pedormance of lhe work (or which this permit is issue4 I shall not employ any person in any manner so as to become subject lo the workers' compensation laws ot Calilomia, antl agree that il I shoulC become subject lo the workers' compensation provisions ol Seclion 3700 of the Labor CoUe, I shall forthwith compty with these provisrons. pcWranfsSgnaNre . Daie WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,pp0�, IN ADDITION TO THE COST OF COMPENSATION, DAMHGES AS PROVIDEO FOR IN SECTION J706 OF THE LqBOR COOE, INTEREST, AND ATTORNEY'S FEES. UCENSED CONTRACTORS DECLARATION: I hergDy aKrm Nat I am licensed untler provisions ot Chapter 9(commencing vrith Section 7000) of Division J ol the Business an0 Prolessions Cotle, and my license is in tull lorce and eflect. Lic. # Class tt Canlractars SiB^aWre Daie CONS7RUCTION LENDING AGENCY: ❑ I hereby aKrcm that there is a constmction IeMing agency fw l�e peAqmance of tlie v.ork fa vfiic� INs pertnit is issuetl. (Sec. 3097. Civil Cotle). LenAer's Name: Lender's Atltlress: SiqnaNre OWNER-BUILDER DECLARATIONS: I hereby affirm Ihat under penalty ol perjury that I am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW lor Ihe lollowing reason (Sec. 7071.5, Business and Prolessions Code: Any city or county which requires a Oermit to construct, alter, imprave, demolish, or repair any stmcWre, prior ro i1s issuance. also requires the apP��nt (or such permit ro fle a signed statement that he or she is IicenseG pursuan� to ��e provisions ol the Contractors License Law (Chapter 9(wmmencing wilh Seclion 7000) of Division 3 ot the Business and Pro(essions Cade) or lhat he or she is exempl therelrom an0 Ihe pasis lor Ihe allegetl exemption. Any violation ol Section 7071.5 by any applicaM (or a permit subjects the applicaM ro a civil penalty o! �wt more than five hundred Aollars (5500�.�: ❑ I, as avmer ol the propeny, or my employees with wages as Iheir sole compensalion, WILL DO TME WORK, antl the structure is not intentled or offered lor sale (Sec. 7044. Business and Professions Cotle: The Contraclors License Law Coes nal apply lo an owner ot property who builds or impmves I�ereon, and who dces such wOrk himselt or �erself or through his or her ovm employees. provided that such improvements are not intended ar oRered for sale. If, however, the building or improvement is sold within one year of completion. the ovmer-builder will have the burden ol provin9 that he or she did nol build or improve ta purpose o! sale.). ❑ I, as ovmer of lhe property, am E%CLUSIVELY CONTRACTING WITH LIC�NSEU CONTRACTORS ro construct the project (Sec. 7044. Business and Profpssions Code: The cmtractors License �aw dces not appry 10 an owner of property who builds or improves therean, anO who cont2cts fw such project vrith a contracta�s) license pursuant to the ContraGors License Laws.). ❑ I am exempt under sec. Business and Professions Code for IhiS reason: Owner ID verifietl by driv� nse. ❑ Yes ❑ No ' Driver's License No. _ Expires: Verification of Ownership by (type of dxument, i.e. - propeify Wx bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or more teet in depth into �Mich a person is required to descen4 vnll be matle in connectipn vrith work authonze0 by Ihis pertnit, and that no building strucWre, sca(fdding, false�wrk, v Cemolilion or dismantling thereo(, will be more Ihan thirty-six (J6) IEet high. (Chap. 3.2, Grp 2. Art 2. Sec. 341, Title 8. Califomia Administra We CoGe). ❑ As owner•builder, I will not employ anyone fo do wnrk which would reduire a permit from the Division of Industnal Salely, as noted above, unless 5uch person has a pertnit lo tlo such work from Ihe division. Fpplqdpl'S SiB�d1uR Division ot Inaustrial Salety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or fuWre building occupant neetl to file and cerlily a Business Plan for emergency response to release or threateneE release of a haiardous matenal? � Yes ❑ No (Section 25505 of the Calilomia Health and Safery Cotle requires, with some exceptions. that a Business Ptan be filetl vrith �e Costa Mesa Fire Department Dy every business which has at any one time tluring a reportetl year a quantiry of �azartlous materials equal to or greater lhan a weight of 500 pounds, Or a'volume o( 55 gallons, or 200 tubit feel ol compressetl gas at standard temperature and pressure�. 2. Dces or vrill the applicant or present or future building occupant need to file a regisVatlon form for acutely hazardous matenals? ❑ Yes ❑ No (Section 25573 of the Calilomia Health antl Safety Cotle, wit� some exceptions, requires registration with tne Costa Mesa Fire Department by each business wfiich at any one time has on hantl a quantity ot awtety hazartlous matenals equal to or greater than a weight o( 500 pounds, or a volume of 55 gallons, or 200 cubic feet of wmpresseE gas at sundard temperature antl pressure�. 3. Does or will lhe applicant or present or future building oGtupant need to prepare an RMPP (Risk Management and Prevention Prog2m (or acutety hazardous macerials)? ❑ Yes ❑ No (Section 25534 o/1he Califomia Heallh arM Sa�ery Code provitles Nat Ne Costa Mesa Fire �epartmenl may require Ne preparalion, certificalion and filing wilh lha Fire Depariment o( an RMPP by busineSses wfiich are required lo register acutely hazardou5 matenals wilh the Fire Department. 4. It an RMPP is presently requireA, �as Section 25534 0l t�e Califomia Health and Safery Cotle Deen lully complieG with? ❑ Yes ❑ No 5. Does o� will Ihe applicant or present or lulure Cuiitlinq occupant require for Ihe work which is [he subjecl of this application a permit br such conscruction or modificalion Irom Ihe Soulh Coast Air puality Management Districl or from any other air pollution control tlistrict or agency7 ❑ Ves ❑ No (Sectbn 65850.2 of tne Califomia Govemment Code requires ihal lhe requestcd infortnation be (Umished on applicatbns fa rqn-residential building pertnits). 6. Will any part o( the taciliry lo �e constructetl under this permil De wit�in 1000 leet (fom lhe outer boundarie5 0l a 5thool? ❑ YBS ❑ No (I/'yes", the taciti[y must meet the requiremenf o! SecNons 25534 an0 42303 ol the Califomia Health and Safety Code�. 7. If a permit from the SouN Coast Air Quality Management District or ol�er air pollution control districl or agency is reQuireC for the work which is I�e 5ubject ol lhi5 applicalion, have all of Ihe Oisclosures prescribed by Calilomia Health and Safery Code Section 42903 been made? ❑ Yes Q No, 8. (If yes", atWch certificate of compliance Irom Ihe aDP�P�ate air pollution control officer�. CER7IFICATE OF COMPLIANCE: I certify that under penalry of perjury the infamation g'rven above is co�rect. I agree to comply with all state laws arM cily ordinances regarding Hazardous Materials and Emissions. SiyWlur< Ddle CERTIFICA7E OF COMPLIANCE AND AU7HORIZATION OF EM7RY: I certify under penalty of periury Nat I have read this application an0 state Ual t�e information given is correcl. I agree to camply with all state taws antl ciry ordinances relating to builtling wnstruction, and authorize representalive5 ot the City of Cosca Mesa to enter upon lhe abovedescribed property for inspeGtion purposes. I agree not lo occupy or allow occupancy of any Ovilding authonze0 by this pettnit until final inspettion. Signacure ol LCgal Pxntt(s� Dd�! J09.d61�1) An4iaMothonzea Appl¢anl paie + r Job Address: Suite: Vicinity: Primary Occ: Parcel Number: Applicant: Address: 450 ENCLAVE CI W B/U Type of Construction: V-N TPN007087 Zoning: JERRY CROSBY 8 EXECUTIVE CIRCLE . -Phone: 714-557-0244 IRVINE, CA � , � - 'Zip:�. = 92614� � '% - " _ .'- - __' f ISSUED BY: Status: ISSUED Applied: OS/21/2007 Issued: OS/24/2007 ./%�=� 1(- � - -- . -\.�. Owner. THE IRVINE�CO� - _ � ; ' , � � � � �\ Address 7101NNOVATION � � 3 "� ` � ��A^�,,� i � � � . Phone 949 720.5536 � ��i � � IRVINE-CA,. � � � � _,- �- -_Zip 92612�,�i �� , � ( � � ' - A _ % - - _ _ - _ -� -�A� �> � ��, � Contractoc �i WESTERN�NATIONAL=CONTRACTORS �-� � �" �� ; � - � � � �� / �VA�� Address: ��BEXECUTIVECIRCLE�, � ��; � ,/ /A �A�,� � � �� . Phone: 774-557-0244 � � � -,. � j �A � � .-/ IRVWECA �"' � . (� �� , �/ Zip:� 82614 � �� License: 840973 ��/ � �! / � .' ��/ :/ m' i � V�,A i �, �� Aah :, Address: Zip:. , Phone: � ��License: `- Eng: � Address: � �V �^�� t � -, _ ��,t'`�I � ,.� i , �\ �`� �� _ - - � �� - � . . � < � ', , Phone:� " ) � � '_ ` \ � / , �'\� �i;� `�� l \ , -License: - �' ' \1 �' , /.- _ ' � SCOPEOFPERMIT ;_ : � `�� ,'., �_.- r'. �; � �PHASE II, ENCLAVE APARTMENT H�MES - � �' .� �� ; � , �!� � . : . . �- - `\. i i CONSTRUCT A 743 S.F. DETACHED, 2 CAR GARAGE AND MAINTENANCE.OFFICE W/RESTROOM. � ' �� , � . - - - - ' . _. ... �i . i�.'-� r '��^-- — '.i�:'.,� � _ ' � ' FEE SUMMARY,_ (�r. � •;-: � � Plan Check: � $108.02 � � - - ' - � � — � �� - � Calc Valuation � ��, -� s52-o�0�00 � Permit: � $664.75 � ^-� � �� v Cleim Valuation ; �" -552,oio:oo � SMIP Res: " $5.20 - ^ � - ' `" ��' � cJ ��. ��—.r. _ �� i �� _ ,�yi,'. j -� i � SMIP Com: $0.00 ' —" - � % _ - r - ' -� � , Other: , � 30.00 �� -- � �; - � �' - � � , , �:Inspection: � �0.00 � 1 _ ,�,� % � � � . �' � � : � '_,�� r�� ,.)l �TotaL• . � �$777.97 ; ; , � ' - . _ � �•.. �� ., ... � ,i b , �. ' .' , . � � ` � � .•;.:1'rPLANNING &�ZONING /,i/�/ � � / ; , SETBACKS - ` � � . �� / ' � � ' .. (J) . _ y�.r 5�'r,.iK /// � /�/ MAIN STRUCTURE Front � 0 0�'�: �� ' Rear 0 0,� �� o 'L'eff' 0 0 r� �-,�"RIgIiC �! 0% �`�� ,. '� / . `. �, �- ACGE690RY � �� firont 0 0 �� _ �Rear �- 0 0 - c ��Left� 0- 0 _ - . Right�� 0- 0'�� ' j � ' � � � <, � � �. � ' i o - �/ l � i PARKING �� ,Exishn � /O�i � Reau �ed �`0 ��„ , �o�Pr000sed � 0 � � �n �/%/��"� �.�, _ �A� ! � � �� _ __ .-� ��, .i /U , � � �„�', �� `� - ` _,..r", ��l �0 , � , , �_ � _ � � �'/ � � �,r- � � � �,. � �:. � l _ ' �.� .i -'i'�/ i �_�/ �\�� >:-`�__ __"i J��..`_�� , � ji.'�` �.` -, � � , �--��'-'��.-�, �i-,�� -7, ' ' �-� NOTICE: The work authorized by this permit shall comply with all appiicable handicap access requiremenis under Califomia statWes and reiated regulations. (Orcl. 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 for the work authorized under ihis permit to be considered legal, such work mus� comply with all applicable ca required Inapactiona end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this FOR INSPECTIONS CALL: (714) 7545626 C zs+srs(emol WORKERS'COMPENSATON DECLARAnON: — I hereby aXirm under penelry ot perjury one of Ihe following declaretions: ❑ I heve end will meinlain e certilicate ol consent to setl-Insure for workers' compensetion, es provitled for by section 3700 0l the Labor Code, for the pertarmence of ihe �/ work tor which this pertnit is issuetl. �qyLheva'end will maintain workers mmpensatlon Insuranjq, az requiretl by sectlon 3700 oi the Lebor Code, tor Na peAortnarke oi the work tar whldi Nis pertnit Is Issued. numbar ere: �G�/ �^��S` �� CyNumtier.' -. n [i � one hundred doNars (S I00) or /ess.) ❑ I certily Ihat in t�e pertofmance of Ihe work br which this permit Is issued, I shell no� employ eny person in any manner so as to Oecome subject to the workers' � compensetian laws oi Califamia, antl e e th It I should Decome sub�ect to t�e warkers' compensation proNslons of Section 3700 ot the LeDor Cotle, I shell forthwit� compty with lhese pr isions. � licent S—�-I ture:--- ' �p`~ `�`� AP�— . g� WARNING: FAILURE TO SE ORKERS' I��,�p�spnp� ppyEqqGE IS UMAWFUL ANO S WLLL SUBJECT AN EMPLOYER TO CRIAUNAL P TIE AND CML FlNES UP TO ONE MUNDRED TFiIX1SPNODOLLARE(5100 ,INAODfTI OTHECp$T iFCpAPENSqTION,DAMAGESASPRONOEDFORIN$ECfi0N31080FTHEL4BORCODE,IMEREST,ANDATTORNEI"SFEES. LICENSED CONTRACTOHS DECLARATION: I hereby eHirtn Iha� I em IiCen�,�d u�(7P��ryry'�` CONSTRUCTON LENDING AGENCY: Chepter 9(commencing with Sectlon 7000) ol Dlvision 3 of the Busineu � Professions Cotle, and my license is in full ❑ I hereby aHirtn that there is a construction lending eBency tor the peAormance ol I�e work tor which ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lendefs Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby affirm that under penalry oi per�ury that I em EXEMPT FROM 7HE CONTRACTOHS LICENSE LAW lor t�e lallowing reason (Sec. 7031.5, Business end Pratessions Code: Any ciry or counry which requires e permit to construct, alter, improve, tlemolish, or repair eny sWcture, pnor lo its issuance, also requires t�e appliwnt for such pertnil b file a signed statement that he ar she Is Ilcansed pursuant ta the proWsions of Ihe Contrectors License Law (Chapter 9(commencing with Sectlon 7000) ot Division 3 oi the Business end Protesslons Gode) or Ihet he or she is exempt therefrom end the basls for the allegeA exemption. Any vloletion of Section 7031.5 by eny applicant far a pertnit subjects the epplicant to e civil penalty of not more ihen five hundretl tlollere ($500).): - ❑ I, es owner at t�e property, or my employees with weges es their sole compensatlon, WILL DO THE WORK, end the strucWre Is nol intendetl or oHered 1or sale (Sec. 7044, Business entl Proteuions Code: The Conlraciors License Law does noI apply to en owner of properry who builds ar improves thereon, and who does such work himsetl or hereelf or ihrough his or her own employees, provided ihat such improvemants are not Intendetl or aHered for sele. If, however, t�e Duiltling or improvement is soltl wi(�in one year of completion, the owner-builder will have the burden ot proving ihat he or she did not build or improve lor purpose of sale.). ' � I, es owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct the praject (Sec. 7044, Business antl Professions Cotle: The contrectore License Lew tloes not epply ta en awner at pmpeny w�o bullAs or Imprwes ihereon, and who contrects br such project with a comractar(s) license pursuaM to the Contractors LiCense LewsJ. ❑ I em exempt under sec. Business end Prolessions Code tor Ihis reason: SignaNre: Date: Owner ID venfiad by dnvar's license. ❑ Ves ❑ No Driver's IJcense No. Veriticetion of Ownere�ip Dy (type of tlocument, i.e. - property tex 6111 or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cerlify ihet no ezcavetion tive (5) or mora feet In depth Into which a person Is requl�ed to descend, will be mede in connection with work authonzed by this permit, and Ihat no builtling siructure, scaHolding, telsework, or tlemolition or dismentling thereoi, will ba more Ihen thirty-six (38) feet high. (Chap. 32, Grp 2, Ah 2, Sec. 341, Tnle B, Califomla Atlministreiive Cotle). ❑ As owner-builder, I will not employ anyone m tlo work whic� woula require a permit trom t�e Division of Mtlustdel Sefery, es noted ebove, unless such person hes e permlt to do such work irom ihe division. Signature: Date: Division of Intlusinal Safety Partnit Number: CERTIFlCATE OF COMPIJANCE AND AIfTHOROA710N OF ENfRV: I certify untler penalry ot perjury that I have reatl this applice6on and state Ihat Ne intortnalion given is conect I egree to comply with ell slate laws entl dry ortlinences relatlng to bullding consWction, end euthodze representatives of the Ciry of Costa Mesa to enter upon Iha ebove-descnbed properly for inspection Duryoses. I egree not to occuOY a� ellow occupancy of any building auihorizad by Ihis permit until final inspection. GODE �, INSPECLIONTYPE Q�[F I�LS 1616 Fixetl Syslam Final Fire Prevenlion 1266 Pool Spe Final 200 Pinal Re-Roat 207 Finel BIocWReteining Well 202 Final Factory Fire Place 203 Final Sign 204 Flnel Demolition cooer ixsvetnoNTvve 206 Final Mechaniwl 20B Final Plumbing 210 Final Elecirical 212 Finel Flre Preveniion 220 Final Planninp Approval 222 Flnal Site 250 FInalBuilding�Occupancy � CITY OF COSTA MESA ' , . BIIILDING p/V/SION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754•5273 • Fax (714) 754-0856 • www ci. osta-mesa. u f ".�p� , FOR INSPECTIONS CALL: (714) 754-5626 , PERMIT NUMBE . E07-00556 PERMIT TYPE ELEC STATUS: ISSUED DATE ISSUED: 06127/2007 - • ' ISSUED BY: SOK JOB ADDRESS: 450 W ENCLAVE.CI'CM ,' � Suite/Unif� -�',, W Vicinity: �� , , . ' ` � i� " . : �._ , . ... „ . .. . . ,' SCOPE OF WORK: PHASE II, ENCLAVE APARTMENT HOMES '� '" ^' ' a: . ELECTRICAL INCLUDES: 18 LIGHT FIXTURES, 7 OUTLETS, 6 SWITCHES, 1 COMMUNICATION DROP, 3 MOTORS TO 1 HP AND 1 SUB PANEL FOR 2 CAR GARAGE qND MAINTENANCE�OF.FICE. REF.: B07-00692 � , . . . � .�:� . . � . � � . �. � . . " ' , + � � - � . . � ' ... . , . . . . OWNER: THE IRVINE CO � � . �' Address: 110�INNOVATION Unit• � . PHONE: 949-720-5536 - �' ' - Ciry/StatelZip: IRVINE,�CA - � , APPLICAN7: PEGGY BLOCK �.� � •- Address: � B EXECU7IVE CIRCLE Unit PHONE: 714-557�0366 . ' �, � � ' � City'/Stete/zZip: �. IRVINE, CA ., � - . CONTRACTOR:� WESTERN NATIONAL CONTRACTORS �' License No. 840973 � Address: 8 EXECUTIVE CIRCLEUnit �' ' � PHONE: 714�-$57-0244 �' - Ciry/State: � IRVINE, CA� . ZipCode: 92614 - �� CELL: .� ELECTRICAL PERMIT.FEES Electrical Plan Check Fee: � ` $0.00'. . � • � � ' Electrical Permit Fee: � �� $103.35 � ' ' ' ' . . Reinspection Fe� � $0.00 . TOTALFEES � . $103.35 - _ - ,,: , e . ... .' . I � ., r�l YY.�4r" . . NOTICE: The work authorized by fhis pertnit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) . EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In 4rder for the work authorized under this permit to be considered legal, such work must wmply vnth all applicable codes, and all required inspeetions and final approval must be obtained. Failure to oblain inspections and final approval will resull in the expiration of this permit. CODEt, ixsveenoNrrve � p,�g iNTI71RL5 4Q�,[ INSVELTONTYPE p�g ixmuis 7818 . Fixed System Final Fire PrevenGon ZOB Final MeUanical 1268 Pool Spa Final " 208 Final Plumbing n ��/ �' 200 Final Re-Roof . 210 Final Electrical r/� � �� " / 201 Final Block/Relaining Wall 272 Final Fire PrevenM1on 202 Final Fadory Fire Plare 2T0 Final Plannin9 APP�oval 203 Final Sign 222 FinalSite 204 Final Demolition 250 Final Building/OccuOancy WORKERS' COMPENSATION DECLARATION: I hereby aHirtn under penalty of perjury one of I�e tom..ang tleclareGonsi " � ❑ I have and will maintain a Certificate of con5ent to 5elf-Insure (Or workefs' compensation, as provided for by section 3700 0( the Labor Code. for the peAormance of the vrork lor which this permit is issued. ��_I have antl will mainlain workers' compensation insurance, as requiretl by tion 3700 of the Labor Code, for [he pedortnance o( lhe v.ork fw which this pertnit is issued. My workers' compensation Insurance carrier and policy numbar are: c a _� �Pl��.f �U,�l,lGt--� (iMseCpnneMndDpWn�'1te01//U��bp�lmJ6/'�1aLLe�Cfa(faLreM'nNetltlo/ars�L)f1P(Olnleul . Policy_Num�er: � 0` `�-�-• W Y�7� � 6^"-' � I ceAify thal in the Oedormance of lhe work for which this permit is issued, I shall not employ any person in any manner so as to become subjecl to ihe workers' compensation lavrs of California, and agree that i( I shoultl become subjecl to Ne workers' wmpensation provisions of SecUon 3700 of ihe Labor Cotle, I shalf)e(thwith comply with lhese provisio� -iJl±l Fpplifdnl'SSIQ03WrG _ �DB�G . . C_-__ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS ($100,000), IN ADDfTION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE L480R CADE, Ir7rEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm lhal I am licensed untler provisions of Chapter 9(wmmencing with Section 7000) of Division 3 of t�e Business and Prolessions Code, an0 my licens " in full tor e^ -a-n1tl eflect. Lic_.#. '� � L� rClass# � Cont ctor's Sipnawre � / te C�— __ �� l�_.-__ _ CONSTRUCTION LENDING AGENCV: ❑ I hereby affvm that there is a consWctbn lending agency fw the perfwmance of the v.ork fa vfiich tlris pertnit is issued. (Sec. 3097, Civil Code). Lender5 Name: Lentler's Address: OW NER•BUILDER UECLARATIONS: I hereby affirtn thal under penalry of perjury that I am FJ(EMPT FROM THE CONTRACTORS LICENSE LAW far the following reason (Sec. 7031.5, BuSiness and Professions Code: Any city or counry which requires a pertnit to conslmct, alter, improve, tlemolish, or repair any SlNtture, prior to its issuanca, also requires tha apDlicant for such permit to file a SigneC 5tatement that he or she is licensed pursuant to the provisions ol the Contractors License Law (Chapter 9(commencing with Saclion 7000) of Division 3 of the Business and Protessions Cotle) or ihat he or she is exempt therefrom anC ihe basis for the alleged exemption. Any violalion of Section 7031.5 Dy any applicant tor a permit subjects Ne applicant to a civil penalty of not more than five hundred dollars ($500�.�: ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL UO THE WORK, and tha structure is not intended or ofleretl for sale (Sec. 7044, Business anC Prolessions Coda: The Contractors License Law tloes not apply to an owner of property who builds or improves thereon, and who Ooes such work himself or herself or lhrough hi5 or her own employees, provided that such improvements are not intentletl or offeretl for sale. If, however, tha building or improvement is sold within ona year of completion, the owner-DuilCer vrill have the burden of proving Ihat he w she did not build or improve for purpose ol sale.). ❑ I, as owner of ihe property. am EXCLUSIVELY CONTRACTING�WITM LICENSED CONTRACTORS to construct the project (Sec. 7044. Business and Professions Code: The contractors License Law tices rrot apply to an awner of propeAy who builds or improves ihereon, anE who conlracts Iw such project with a contracta(s) license pursuant to the Cont2ctors License LawsJ. ❑ I am ezempt untler sec. Business and Professions Code for this reason: .Owner ID venfied by drive�se. ❑ Ves ❑ No Driver's License No. Expires: Verification of Ownership by (rype of document, i.e. - prapeny tax bill or OeeO): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:� � ❑ I hereby certify Ihat no excavation frve (5) or more teel in tlepth into wfiich a person is required to descentl, will be mada in connection vrith �wrk author¢etl by this pertnit, and that no builtling sWclure, scaffdtlinq, lalsev.ork, p tlemofition or dismantling Ihereof, will be more Ihan thirty-5& (36) leet hig�. (Chap. 3.2, Grp 2. Arl 2. Sec. 341. Ttle 8, Califomia Administ2tive Code). ❑ As owner-builder, I will nol employ anyone to do work which vrould require a pertnil (rom the Division of Industnal Safety, as noleE ahove, unless such person has a permit ro do such work from the division. NOGliom's SignaWre Division of Industrial Safety Pertnit Number. _ HlVARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will the applicant or present or lulure building occupant need lo file anC certify a Business Plan !or emergency response to release or threatened release of a hazartlous matenal? ❑ Ves ❑ No (Section 25505 of the Califomia Health and Safety CoCe requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazartlous materials equal to or greater Nan a weig�t of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl temperatura and pressure). 2. Does or will the applicant or present or future builtling occupant need to !le a reqistration form (or acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of Ihe Califomia Health and Sa(ety Coda, with some exceptions. requires regislra[ion with the CasU Mesa Fire Department by each business which at any one time has on hand a quantity o( acutey hazardous matenals equal to or greater lhan a weight o1 500 pounds, or a volume o1 55 gallons, or 200 cubic feet of compressed gas at stantlard tempareNre and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management antl Preven[ion Progrem (or acutely hazarCous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safery Code proviCes that the Costa Mesa Fire Depatlmen[ may require tha preparation, certification and filing with Ihe Fire Department o( an RMPP by businesses whic� are requireC lo register acutely hazardous materials with [he Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 of l�e Califomia Health and Safety Code been fully complieC with? ❑ Yes ❑ No 5. Does or vrill the applicant or preseN or future building occuOaN require lor the wark which is ihe subject of this appliwGon a permit for such constrocfion or moCification from the South Coast Air Oualiry Management District or (rom any other air pollution control tlistrict or agency? � Yes ❑ No (Secfon 65850.2 0! the Califomia Govemment Code requires that the requested infortnation be fumished on applications (p rwn-resitlen�ial DuilCing pertnits). 6. Will any parl of the facility to De consWctetl untler t�is pertnil be vnlhin 10001eet trom the outer boundanes of a school? ❑ Yes ❑ No pt yes", lhe tacility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safery Cotle). 7. If a pertnit from the South Coast Air Duality ManagemeN District or other air pollution control dislrict or agency is required for lhe work which is the subject ol this application, have all of t�e disclosures prescribetl by Califomia Health and Safety Code Section 42303 been matle� ❑ Ves ❑ No 8. (If'yes", allach certificate of compliance from the appmpriate air pollution control oKcerj. . CERTIFICATE OF COMPLIANCE: I certify that under penalry o( perjury Ue � information givan above is cortecL I agree to comply with all state laws and ciry ortlinances regarding Hazardous Materials and Emissions. , Sipnalure Date , CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read lhis appliwtion and state that the information given is cortecl I agree to comply with all state lavrs and city ordinances relating to Duilding consWction, anC authorize represenWtives of the City of Cosla Mesa to enler upon I�e abovedescribed property for inspection purposes. I agree not to occupy or allow occupancy o1 any building au�horized by �his permit un[il fnal inspection. SignaWre alOwner(s) � pa1 � SiqnaWre Date .� �OS]<6 (3ro11 ' LC_! , �MtlIIXA ¢EAppl�nl ��Dab,_ _ _ __ '_'_ ' ' � CITY OF COSTA MESA � ` . BYILpIN6 DIVISION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www ci.costa•mesa.ca. : J 4 .�� . FOR INSPECTIONS CALL: (714) 754-5828 � � PERMIT NUMBE . M07-00372 PERMIT TYPE MECH STATUS: ISSUED DATE ISSUED: 06/27I2007 " ', ` ISSUED BY: SOK .. . — � , � :'� . JOB ADDRESS: 450 W ENCLAVE,CI CM ' Suite%Unit:� � W Viciniiy: . � . . , . . ' . SQ. FT: 0 , . � . . . • .. . SCOPE OF WORK: PHASE 11, ENCLAVEAPARTMENT HOMES � MECHANICAL fNCLUDES: �1�REPAIR/ACT�COOLING/HEATING, 1 VENT FAN, 1 AIR HANDCER < 10000 CFM AND 1 COMPRESSOR/ABSORPTION SYSTEM UP TO 3 HP FOR A 743 S.F. DETACHED, 2 CAR GARAGE AND MAINTENANCE OFFICE W/RESTROOM. REF.: B07'00692` ,;' � ,; � i ' . OWNER: THE IRVINE CO . , ,. Address: 7101NNOVATION Unit:� PHONE: 949-720-5536 � - � � � ,--- � � � -'CitylStatelZip: , IRVINE, CA ' � � APPLICANT: PEGGY BLOCK � � � Address: � 8 EXECUTIVE CIRCLE Unit: . PHONE: 774-557-0244 � " ' � . Cily/Stale/zZip; IRVINE, CA ' . CONTRACTOR: WESTERN NATIONAL CONTRACTORS _. License No. 840973 Address: 8 EXECUTIVE,CIRCLEUnit: . . PHONE: 714-557-0244 %� � � CitylState: IRVINE, CA ... ZipCode: 92614 - �- CELL: - MECHANICAL PERMIT.FEE SUMMARY ^ MECH ITEM FEE: � � , � , _,_ $69:80�,',.^�: •. ' „ . , � - ' � � PLAN CHECK FEE: � � , �$0.00 ' �- '- - - �•.� � - . - INVESTIGATION FEE: ' , '•� $0.00�-:'��,J';N, _ _ - , � � , . . REINSPECTIONFEE: . -�,$0.00 . '�y', .,;. -'.'i �� . � _,,,.,.: TOTAL FEES: $69.80 " '''",' " NOTICE: The work authorized by this permit shall comply with all applicable handicap actess requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12•21•92) �� EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply wiN all appliwble codes, and all required inspections and flnal approval must be obWined. Failure to obtain inspections and final approval will result in the expiratlon of this permit. woe�, iNsvEcnoHTrve Dsg LM�l.yt � INSVEC710NTYVE �/n. ��`_`�""- � 1818 Fixed System Final Fire Prevention 208 Final Mechaniwl n 1288 Paol Spa Final ' 208 Final PlumCing 200 Final Re-Roo( 210 Final Electriwl 201 Final 81ak/Retaining Wall 272 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Apprpval 203 Final Sign 222 Final Site 204 Final Demolition . 250 Final Buildirg/Occupancy WORKERS' COMPENSATION DECLARATION: � I hereby aHirm under penalty of perjury one of the 18e....mg declarations: ❑ I have antl vrill maintain a certificale of consent lo self-Insure for workers', wmpensation, as provitletl for by section 3700 of the Labor Code, for the peAormance of lhe vrork for which l�is permit is issuetl. LS I.have and will maintain vrorkers' compensatan insuraixe. as requiretl by tion 3700 of Ihe Labor Code, for Ne peAortnance o( the work for which ihi5 pertnit is issuetl. My wvrkers' compensation Insurance carner and policy numberar� �. � �� /Cartier: �(rnaseemneea�n�d�/ee; etM�/� !pame/4�ve/N�e0taItorneM.vMietic/t�aEars(St00�alau.) Folicy�Number: VVI.i� �K7CJ f 11c�Y-"7��V�� l —� — _ ❑ I certify that in the peAortnance of the wark for wliich lhis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I shoWC hecome subject to the vrorkers' compensalion provisions of Section 3700 of the Labor I shall forihwith compty wit� these provision5. (�� (O � �l L �_ApyioM'p5ipnalurc'-- -' . Wte _ . WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 7HOUSAND DOLIARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CADE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensed under provisions o1 C�apler 9(commencing wit� Seclion 7000) ot Division 3 of the Business antl Professions Cotle, antl my license is in full force and eRect. '-� Lic..#. � � �ass #- �� CCon actor's SiB��ure Dat .__'-__' _ _ __ _" CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that the2 is a construction IenCinq agency for the peAormance of the �nork fa v.fiich this pertnit is issued. (Sec. 3097. Civil Code�. .lentlers Name: lenders Address: OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalty o1 perjury that I am EXEMPT PROM THE CON7RAC70RS LICENSE lAW tor the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve. tlemolish, or repair any structure. prior to its issuance, also requires the applicant for such pertnil ta file a signed 5[atemenl ihat he or she is IicenseC pursuant lo Ihe provisions of the Contrectors License Law (Chaptei 9(commencing with Section 7000) of Oivision 3 of the Business and Prolessions Code) or that he or she is exempt ihere(rom and the basis for Ihe allegad exempUon. Any violalion o! Settion 7031.5 by any applicant for a permit subjects the applicant to a civil penalry of not more than five huntlred dollars (5500�.�: ❑ I, as owner of the property, or my employees with waqes as their sole compensation, WILL DO 7HE WORK, antl the structure is not intended or oflQfBtl (Or SZIe (Sec. 7044, Bu5in855 and Pfof855ion5 COdB: The COnlfactOfs License Law doas riot apply to an owner of property who builds or improves thereon, and who Ooes suc� work himself or herself or through his or her own employees, provitletl that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of wmpletion, the ovmer-builder will have the burden ot proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner o( the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnsWct lhe project (Sec. 7644, Business and Proiessbns Code: Tha cont2clas License Law dces not apply to an ovmer of pmperty who builds or improvas thereon, and who contracts for such project with a canVacta(s) license Dursuant to the Canlractas License LawsJ. ❑ �I am exempt undar sec. Business and Protessions Code for this reason: . Signamre Daie ]057�a61��) . Ovmer ID verified by drive�se. ❑ Ves ❑ No Dnver's License No. Expires: Verification of Ownarehip by (type of Oocument, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . ❑ I hereby certAy that no excavation Me (5) w more feet in tlepth into wfiich a person is required to descend, will be made in connection with work authorized by this pertnit, and that no building struclure, scaffdding, false�wrk, a Cemolition or dismantHng thereol, will be more than thirty-six (36) feet high. (ChaD� 3.2, Grp 2. M 2. Sec. 341, Title 8. Califomia Administ2Gve Code). ❑ As amer-builtler, I will not employ anyone lo do work which vrould require a permit from the Division ot Industrial Safery, as notetl above, unless such person has a permit to do such work (rom the division. APd��'s Sipfamre Da�e Division of Indusirial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occuDant neetl to file and cenify a Businass Plan for emergency response to release or threatened release of a hazardous matarial? ❑ Ves ❑ No (Section 25505 of the Califomia Health and Safey Code requires, vnth some axceptions, that a Business Plan be fled with the Costa Mesa Fire Department by evary business which has at any one time dunng a reported year a quantity of hazardous materials equal to or greater t�an a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic teet of compressed gas at slandard tempereture and pressure). 2. Does Or will the applican[ or presenl or fuNre Duilding occupant neetl to file a registration form for awtely hazardous materials? ❑ Yes ❑ No (Section 25533 0! lhe Califomia Health and Sa(ety Cotle, with some exceplions, requires regis[ration with Ihe Costa Masa Fire Department by each business which at any one time has on hand a quantity ot acutety hazarCous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet ot compressed gas at standard temperature and pressure�. 3. Does or will the applicant or presenl or future building occupant need to prepare an RMPP (Risk Managemenl antl Prevention Program (or acutely hazardous matenals)7 ❑ Yes ❑ No (Section 25534 of t�e Califomia Heallh and Safery Code Drovides thal the Cosla Mesa Fire Department may require ihe preparation, certifiwtion antl filing with the Fire Departmenl of an RMPP by businesses which are required to register acutely hazardous materials wiN the Fire Department. 4. I( an RMPP is presently required, has Section 25534 of lhe Califomia Health and Salery CoEe been fully complied wilh? ❑ Yes ❑ No 5. Does or will lhe applitant or present or future building occupanl require for the work which is lhe suDject of Nis application a permit for such wnsWction Of motlificalion Irom lhe Soulh Coasl Air Oualily ManagemBnl DiSlritt or (mm any otner air pollution conVol district or agency? ❑ Yes ❑ No (Sectqn 65850.2 ot the Califomia GavemmeN Code requires that Ihe requested infwmation be fumishetl on applications (or rwo-residential building pertnits). 6. Will any paA of the (aciliry to be conslructed under this permit be wilhin 1000 (eet (rom the outer bountlaries ol a school7 ❑ Ves ❑ No (If yes', the facility must meet the requiremen[ of Sections 25534 and 42303 of Ne Califomia Health and Sa(ery Code). 7. If a pertnil from Ihe South Coast FJr Qualiry Management Disinct or other air pollution conlrol dislrict or agency is required for the wark which is lhe subject of this applicalion, have all of Ihe disclosures prescribad by Califomia Health and Safety Cotle Section 42303 been made7 � Yes ❑ No 8. pf yes", attach certifiwte of compliance from the appropriate air pollution control oKcer). CERTIFICATE OF COMPLIANCE.1 certify Ihat under penalry of perjury lhe information given above is correct. I agree to comply with all state laws and ciry ordinances regarding Hazardous Matenals antl Emissions. � Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have reatl this application and sWte that the information given is cortecL I agree to comply with all state lavrs antl city ordinances relating to builtling wnstruction, and authorize represenWtives ol the Ciry of Costa Mesa to enter upon the above-descnbed property (or inspection purposes. I agree not lo occupy or allow occupancy o( any building authorized by this permit until final inspeclion. Sign wre al Owneqs� � Ma/ rAumonzeaAppicam Data ' CITY OF COSTA MESA � . BYILpING D/VISION F � 77 fAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.d.costa-me a. •us �, FOR INSPECTIONS CALL: (714) 754-5828 � �� PERMIT NUMBER. P07-00398 PERMIT TYPE ' PLUM STATUS: ISSUED DATE ISSUED: 06I27/2007 "' ISSUED BY: SOK � JOB ADDRESS: 450 W ENCLAVE CI CM, . Suite/Unit: -' W Vicinity: . . � � " � . � � .. . !ti •�. . � �=-. , . �� , . . - . SCOPE OF WORK: PHASE II; ENCLAVE�APARTMENT HOMES �'�� "• -� . , . �-�„ . .. � PLUMBING INCLUDES: 1 FLOOR DRAIN,rt SEWER CONNECTION, 1 SERVICE SINK,_1 TRAP PRIMER, 1 WASH BASIN, 1 WASTE AND VENT SYSTEM, 1 WATER CLOSET AND 1 WATER SERVICE FOR A"743�S.F� DETACHED, 2 CAR GARAGE AND MAINTENANCE OFFICE W/RESTROOM. REF.:,807-00692.._ .. ,' , ' . . � � � < � � � � . . - �� . OWNER: THE IRVINE CO ' _ .., ,,„ Address: . 110 INNOVATION' « PHONE: � 949-720-5536 � ' - "'� � - �� ' City/State/Zip: '�', 'IRVINE, CA " ', "y`�' ''' -� ` � APPLICANT: PEGGY BLOCK � �'. '� "' '� Address: �- - -�8 EXECUTIVE CIRCLE : � PHONE: 714-557•0244. � , .City/State/zZip:�: IRVINE,�CA�. ��'- . � . . ' . '. - .._�, . _ .,.�_, " . ... . , . . . CONTRAC70R: WESTERN NATIONAL CONTRACTORS .- � . '- � License.No. �; 840973 �- - Address: � 8 EXECUTIVE CIRCLE - „ PHONE„ �- 7�14-557-0244 }�,-, � Ciry/State: IRVINE,CA - ZipCode: 92614 --� ' CELL: _ � .+:' . . . . . PLUMBING PERMIT FEE SUMMARY .. , ; PLAN CHECK FEE: $0.00 . ` - ' . . ;' �' :. , , PERMIT F.EE: $116.75 __ r�_ i .. . : ' . . �. .- ' ST ..' ,� ' TOTAL FEES: $116.75 - . " NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulatlons. (Ord. No. 92-28, § 1, 12-21•92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all apPliqble codes, and all required inspecdons and flnal approval must be obtained. Failure to obfain inspeclions and final approval will result in the e�ira6on of this pertnit. COQEt, ixsrccnoHme peg IN�lS f,4pE2 msvEcnowirve py�r wimus 1618 Fixetl System Final Fire Prevention 208 Final Mechaniwln � t 7268 . Pool Spa Final ' 208 Final Plumbing r/�- C�yv� 200 Final Re-Roof 210 Final Electrical '" U 201 Final Block/Retaining Well 272 Final Fire Prevention 202 Final Faclwy Fire Place 220 Final Planning Appmval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARA710N: � I hereby affirm under penalry of peryury one of the to ovring declarations: ❑ I have and will mainWin a certificate of consent to self-Insu2 for workers'• compensation, as provided for by section 3700 of the Labor Code, for Ihe e ormance of the work for which this pertnit is issued. � I have anC will maintain workers' compensatbn insu2nca, as required by � ection 7700 of the Labor Code. fa the peAortnance of the v.ork fw which �his permit is issuetl. My wvrkers' wmpensation Insurance carner and policy number ar 1,�.,, �/�� y�,' ! �Carrier:- ��YdV`� A � ��.i.�\�-� —(rnuseamneearn.d\ene r� etM/d'tMpemidava'hinetla�aro�uMietlEOCars/(f�00)nkssJ �Policy NumbeZ INI. r7� � bh b�Y J� � 6�b ❑ I certify lhat in tha pertortnance of t�e woAc lor vfiich Iliis permit is issued, I shall not employ any person in any manner so as to become su6ject to the workers' compensation laws of Calilomia, and agree lhat it I should bewme subjecl to lhe vrorkers' compensation provisions ol Section 3700 of the Labor Cale, I s I fonhwith comply with lhese provision . C"_AppliWnt'aSignaNrt_ / Date �_- WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SFiALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLW2S ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm Ihat I am licensed under provisions o1 C�apter 9(commencing with Section 7000) o( Division 3 0( the Busine55 antl Profe55ion5 Cotle, and my license i in full force and eHect. ,�� ! Lic.#_ � Class�#--' �Cqn12c o ! ryOaWre . �Od __ "" CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn that there is a constructbn lending agency �or the pertortnance of the nork for wfiich tNs permit is 5sued. (Sec. 3097, Civil Code). Lender'S Name: Lentler's Address: OWNER-BUILDER DECLARATIONS: I hereby aKrm lhat under penalty of peryury that I am EXEMPT fROM THE CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit to construct, alter, improve, demolish, or repair any struclure, prior to its issuance. also requires the applicant for such permil ro file a signed statement that he or she is licensed Oursuant to lhe provisions of the Contraclors License Law (Chapter 9(commencing wiM Section 7000) of Division 3 ot 1he Business antl Professions Cotle) or Ihal he or she is axempt lhar8lrom and Ihe basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjecls ihe applicant to a civil penalty of not more than five hundred tlollars ($500).): ❑ I, as ovmer of the property, or my employees with wages as their sole compensation, WILL DO THE WORN, and the slructwe is not intended or offeretl for sale (Sec. 7044, Business anC Professions Code: The Contractore License Law dces not apply to an owner of property who builds or improves thereon, and who does suc� vrork himself or herself or through his or her own employees. provitletl that such improvemenis are not intended or oftered for sale. If, however, lhe building or improvemenl is sold within one year of completion, the owner-Duilder will have the burAen of proving that he or she tlid not build or imp�ove for purpose of sale.). �� I; as oviner of the property, am EXCLUSIVELY CONTRAC7ING WI7H � LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply to an amer of property who builtls or improyes thereon, and wfio cont2cts fw such project with a contracta(s) ticense pursuant to tha Contractors Ucense Laws.). ❑ I am exempt under sec. Business and Pro/essions Cotle (or this reason: 9gfuNre � • Da�e ' 305]<6 �310]) Ovmer ID verifetl Dy drive�se. ❑ Yes � No ,Driver's License No. Expires: Verificatlon'of Ovmership by (type of document, i.e. - property lax biil or deetl): - DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIfICATION:. ❑ I hereby certify thal no excavation frve (5) or more feet in depth into v.fiich a person is requiied to descend, will be made in conneclbn with work authorized by this pertnit, and Ihat no building swcture, scaFfdding, Ialse�wB, a tlemolition or dismantling thereol, vnll be more than thirty-six (36) leet high. (Chap. 32, Grp 2. Arl 2. Sec. 341, TUe 8, Cali(omia Administ2Uve Cotle). ❑ As owner•builtler, I will not employ anyone to do v.ork which would require a permil trom Ihe Division of Industrial Salely, as notetl above, unless such person has a permit to Oo such vmrk from Ihe division. Applicanl's SipnaWre Dale Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or fuWre building occupant nead to file and certily a Business Plan tor emergency response to release or lhreatenetl release of a hazardous material7 ❑ Yes ❑ No (Section 25505 of the California Health and Sa(ely Cotle requires. with some exceptions, that a Business Plan be fileC wiN Ihe Costa Mesa Fire Depanment by every business which has at any one time Curing a reported year a quantiry of hazardous matenals eQual to or greater Nan a weiqht ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet ol compressed gas at slandard temperelure and pressure). 2. Does or will Ihe applicaN or present or future buiitling occupant need to fiie a registration form for acutely hazardous matenal57 ❑ Yes � No (Section 25533 of ihe Califomia Health anE Safe[y Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity o( acutely hazardous malenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl temperature and pressure�. 3. Does or will the applicant or present or fulure building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous malanals)? ❑ Ves ❑ No (Section 25534 of lhe Califomia Healt� anC Safey Code provides that Ne Costa Mesa Fire Department may require the preparalion, ceni�cation anA filing with the Fire Depariment of an RMPP by businesses which are required to register acutely hazardous materials with Ne Fire Department. 4. If an RMPP is presently require4 has Section 25534 ot Ne Califomia Healt� and Safety Code been tuly wmplied with? ❑ Yes ❑ No 5. Oces or will Ihe applicant or present or future Guilding occupant require tor the vrork which is the subjecl of this appliwtion a pertnit lor such wnstruction or modifcation from Ihe South Coasl Air �ualiry ManagemeN Dislrict or from any other air pollution control di5trict or a9ency4 ❑ Yes ❑ No (Sectbn 658502 0l the Califomia Govemment Code requires Ihat the requestetl infortnation be tumished on applications fa rroo-residential buildirg pertnits�. 6. Will any part of the facility to be constructetl under this Dermit be vrithin 1000 leet trom the outer boundanes of a school? � Yes ❑ No Q! yes", the facility must meet the requirement of Sections 25534 antl 42303 of Ihe Calilornia Health and Satety Code). 7. If a pertnil lrom Ihe South Coast Air Qualiry Management DiSMct or other air pollution coMml districl or agency is required for the work which is the subject ol this application, have all of the disdosures prescribed by Calitomia Health antl Safety Cotle Section 42303 been matlel ❑ Yes ❑ No 8. (If 'yes", attach certifitate of compliance from t�e appropriate air pollulion conVol officer). � CERTIFICATE OF COMPLIANCE: I certify.that untler penalty of perjury the information given above is cortecL I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalry ol perjury that I have reatl this application antl state that the inlormation given is correct I agree to comply with alfstate laws and ciry orGinances ielating to building construclion, and authonze represeniatives of the Ciry of Cosla Mesa to enter upon the aDove-tlescribed properry for inspection purposes. I agree not to occupy ar allow occupancy o( any building authorized by this permit until final inspection. i 9 ure o( Legal Ownerls) / Date � CJ nnalw.rw�Mnzeonpqinnt �Date _. Job Address: Suite: Vicinity: Primary Occ: Parcel Number: 450 ENCLAVE CI AH U TPN007098 Appiicant PEGGY BLOCK Address: 8 EXECUTIVE CIRCLE Type ot Construction: V-N Zoning: IRVINE, CA _- - " �, , �: �%"', _ ,_.Phane::__774-557-0244 �.-i��,--- 2ip:�- 92614 �- J/� � ., _ Ownec THE IRVINE CO"� ;.,,�! , . Address 1101NNOVATION.� � � � � i `�/'V 1 ' � IRV NE CA � \� � r � � - - " ��„� \ ` . , � . - - Coniractof., .,Wt51 �� ; Address�'�.8 EXECi �� `-" IRVINE, � ��Zip: 92614�. //"; i. .i, �AicFi :�� /j�i Address: ' ' �,�� Zip: - StaWs: ISSUED Applied: OS/27/2007 Issued: O6I052007 ISSUED BY: `l /\ � �:�. , , �� t �i I ' �-� Phone � 949-720-5536 i�"�� -_� � _Zip 92612�, � � � � �� .., � .._ ,i � �� . � - �-v� �., _ - -_ ,.,' - �. �A'.A ''� .A � �� .�% ) / �'A � \ `_\'��.\� � � /`��\�� Phone: 714-557-0244 �\. , � • � v� ��, .\ � i� � i �,��:\� / .��\ License: 840973 � � AA�/ � 1 ��AA\ �: � �\�. , A, .. Eng: ; � � Address: Phone: ` • ,� - ' � � � �License: �_ , . ' " '�--' i, - - . . _ - _ / c,AA�� A � ;-� ��`�� ,. .� � �� Fhone: ' . . � �,. ' � ,�� , �.License� �-- � � � � �., \ , � ��. ' ' SCOPE OF PERMIT � __ � '.-^ ' -' ` � PHASE II, ENCLAVE APARTMENT HOMES � ' �` � . , � � � i , � . � i . � � `�� ; . ' � , CONSTRUCT 1,474 S.F. DETACHED, 6 CAR GARAGE.. _ .. _ _ , - - � ' - - --- - -- =— ---- -- �._ -- - .._ i � � �� i � Y l�T1 lh T' i'�STT`�rT-`f... G T\I�ti('V .�\ I - — � � ' � _ ' � .I1/.'i' FEE SUMMARYi.'iA�. /_ r�� ` � � � � ` Plan Check: $165.13 � - - ,�. ` =Calc Valuation: 5103,180.00. Permit �1,016.15 � � � �' Claim Valuation '- ; 5�03 iao 00 �,�', SMIP Res. ' '� $10.32 ' — �,�� —�'��iny �� i , , / � ' I �'SMIPCom.�' � $0.00 _.,__fCJ�� 'r��>_ �_�I f;l �. -_ - ' > S/ ��__, v•�. , Other: $0.00 ' " � ` - ';, � � Inspection: � $0.00 ��,/" �� ; � � � � � �ai- , i �� ` l i"l ` �: � �\� Total:� � �$1,191.60 ' � �—" ��. ' ��i i�� l , ' � -,,�..�. ' � � � % - , ,. , _ �•,:.'`.�,��_ � ,,% � ; � � ' '� ..:�PL�ANNING &�ZONING !- ! � � i/� ��i SETBACKS . • � ::• . C "� - ": ie si :c�-r-� '/j/ - � , �� MAIN STRUCTURE Front 0 0�� "�'� � i Rear 0- 0 - � "�Ceft 0 0 �: - -Right j0- 0 �� -'� { �' V i � � �� .,, d 'S � G `� i .� '�� ; A /,', i ACCESSORY \ F,iont 0=0�'� � Rea� 0�0-0' � �.Lefl1 0=0 ,_ RigMi� 0-�0`1�,� �i� �`�.A � � VA`Y. - �. � % � ' .: .� �li�. � i PARKING ��;Exis�inq �� j ., Reauired��0 ��,��Pr000sed <<0��% (C�.��; � /�'�� \ �� / �- _— =%.- � � �.i � \ � /��1�� __ _ r�� i,! /f," �-" /� � � \��.��i� ,��( ��i� -\/�� . � �"�\,lj �/� � �, - . � � � � � �. . /, ✓� �� _'1� �A'�, -._, ., _..-" - ,' � r � 7 , , - , l` �v_�--_��.._.__ ,,j,rj�/ � �'�, 'c�o�� i�-i�'� � NOTICE: Tha 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) EXPIRAT�ON: This permlt 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 780 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requirad inspeetlona and flnal approval must be obtained. Fallure to obtain inspections and final approval will result in the ezpiration of this permit. _ FOR INSPECTIONS CALL: (714) 7545626 2aaae (amo� 0 WORKERS' COMPENSATION DECLARATION: I hereby eflirm untler penalfy of per�ury one of Ihe tdlowi� dedarations: ❑ I �ave enA will maintain e cenificete of consent to self-Insure for workers' compensation, es provided lor by sectlon 3700 0l the Lebor COAe, tor the pertortnence of the �work for which Nis pertni� Is issuetl. .��I�he� arM will maintan workers canpeissaibn Irtwrance. as raquired by sectbn 3700 of ihe Lebor Cotle. lor the peAamarxe of the work for which Mis pertnit is issued. �_My e cam ura car'er and pdicy num6er are: �8,��-�`�n��`�,,�`�"�`� �i�a`� �,�CaibbobV-S�oa�6 !s section nee0 nof be leted H the �� Nu� (rn pem�rt /s va�ued er one nwwree ew�en /S io�) or �ess./ G---� � ❑ I cenify t�at In t�e pertormance ol lhe work lor whic� this permit is issued, I shell not employ eny person In eny manner so es to hecomo sub�ect to the warkers' compensation laws lifornla, entl egra�thet If I should become subJect to the workers' compensatlon provislons of Sectlon 00 o e Labor Code, I shell torthwit� camply with these ov ions. ��/'` �rms�gnan,re:-- �P,f'��%�(�l [�Nh�.) � roe�o;r"�`-'= � i7 O � IN�-FNLURE TO SECURE WO Ii5' COMPENSATION COVEFUOE IS UNLAWFUL AN� SN�LL SUBJEGT NN EMPWYER TO CRIMINAL PENN.TIES M10 GVII FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100.000),IN NDDfTION TO THE W5T OF COMPENSATION, DAM40ES AS PROVIOED FOR IN SECTION 31080F THE IABOR CO�E, IMEREST, AND ATTORNEYS FEES. LICENSED COMRACTORS DECLARATION: ot Chapter 9(commencing with SecUan 7000) of DlNsion 3 0l Cade, antl my Iicense Is in full CONS7RUCTION LENDING AGENCY: ❑ I hereby eXirm that t�era Is a consiructlon lendinp agency br the peAormance oi lhe work tor which ihis pertnit Is Issuetl. (Sec. 3097, Civil Cotle). LenOefs Name: LenCers AdOress: Signeture: OWNER•BUILDER DECLARATONS: oata: I here6y eNirm Ihat under penelry ol perjury Ihet � em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the lollowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires e pertnit ro construct, alter, imprwe, demolish, or repair any sW cNre, prior to its issuance, also requires Ne epplicant tor such pertni� to file e slgned statement ihat he or she is Iicensed pursuant to Ne provlslons of �he ContraMors License Lew (Chapter 9(commencing wlth Sectlon 7000) of DMsion 3 of tt�e Business end Prolessions Cade) ar that he or she is exempt therefrwn antl the 6asis for ihe alleged eaemptlon. Any violatlan ot Secllan 70.31.5 �y eny epplicant for e pertnit sub�ects Ihe epD�icant to a civil penalry oi not mare than five hundred dollars ($500) J: ❑ I, es owner of tha properry, or my emplqrees with wages as their sde wmpensation, WILL DO 7HE WORK, end the structure is not intenOetl or otlered tor sale (Sec. 7044, Business and Professions Cotle: The Coniractors LJcense Lew does not apply to an owner oi property who builds or improves thereon, entl who does such work himself or herseN or thmugh his or her own employees, pmvided that such improvements are not intended or oHered br sale. If, however, the builtlinp or improvement is sold within one year of wmpletion, Ihe owner-builder will �ave the Durden ol proving thet he or she tlitl not Duild or improve for purpose of sale.). ' ❑ I, es owner ot the property, am E%CWSIVELV CONTRACTNG WITM LICENSED CONTRACTORS to consiruct Ihe project (Sec. 7044, Business and Pmtessions Code: The contractors License Lew Ooes not eppty [o an awner at pmperty who builds or Improves ihereon, antl who cronirects for such pmject with e conirectoqs) license pursuant to ihe Contractars License LewsJ. ❑ I am exempt under sec. Business antl Protessions Code for �his reewn: SlgneWre: Date: Owner ID veritied by tlnvef5liCense. .0 Yes ❑ No Drivefs License No. Vediicetion of Ownership by (rype of dacumenL i.e. - pmperty t� blll or deed): EapirBs: DIVISION OF INDUS7RIAL SAFEfY VERMIT CERTIFICA710N: ❑ I hereby certify tha� no excevetlon flve (5) or more feet In tlepth Into which e person Is required to descend, wlll be matle In wnnection with work euthoAzed by ihis pertnit, and that no building sirucNre, scaflolding, falsework, or demolilion or dismantling �hereot, will be more then thirty-six (36) fee� �Igh. (Chep. 32, Grp 2, Art 2, Sec. 341, 71t1e 8, Calitomia AdministretHe Catle). ❑ As owner-builder, I will nat employ flnyone to do work which would require e permil from ihe �Ivislon ol Industriel Selery, as noted ebove, unless such person �as e permit to do suU work from Ne tliNslon. Signature: Oate: DlWsion of Intlusidal Salery Pertnit NumGer. CERTIFlCATE OF COMPLIANCE AND AIlTMORQATON OF ENTRY: I certify under penelry of perjury I�aI I heve reatl this ep0�iwtion and stete Ihet t�e information given I9 cortect. I egree to comply wit� ell state lews end ciry ordinances releting to Dullding construction, entl euthorize representatives o1 the Ciry ot Costa Mesa to enter upon the eDove-Aescribed property for inspection purposes. I egree not to occupy or ellow occupancy of any building euthodzed by Uis permit until finel inspectlon. CODE t. INSPECTIONTYPE Q�¢ � 1818 FixeC System Final Fire Preventlon 1288 200 201 202 203 Pool Spa Finel Finel Re-Rool Finel BIocWRetalnlnp Well Flnal Fectory Flre Place Finel Sign 204 Final Demolition CO�EI INSPECTONTYiE 206 Finel Mechenical 208 Final Plumbing 210 Finel Electdcel 212 Finel Fire Preventlon 220 Finel Planning Approval 222 Finel Slte 250 Finel Bulltling/Occupency P CITY OF COSTA MESA . eva��N� oms�oN F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us �, FOR INSPECTONS CALL: (774) 754-5626 '��'�"� PERMIT NUMBER E07-00566 PERMIT TYPE ELEC STATUS: ISSUED DATE ISSUED: 07/13/2007 ISSUED BY: SOK _� ,�' - �; ; JOB ADDRESS: 450 AH ENCLAVECI CM' ' ' Suite/Unifi`�' ��AH Vicinity: � ' � � �- - � � - � , ' ' , � �_ - ., , , .: �-C �., . , : . �. / ' - 'f � �wIY. , SCOPE OF WORK: PHASE II, ENCLAVE APARTMENT HOMES � �� ''�` ` - `�4`^ ��r , ELECTRICAL INCLUDES: 9 LIGHT FIXTURES, 6 OUTLETS, 6 SWITCHES AND 1 SUB PANEL T0;200 AMPS FOR 7,474 S.F. DETACHED, 6 CAR � R GARAGE. REF.: 807-OW05 , i .' ,�:; " , � Jiti� z� . � � ,,�:. , � . . , �; �, , `M1�r. , - . . �� ' �,:r . ' � . ,., - � �. . .. , , . . ' . ' . ' . . ... . . i �4 �' . � .. . OWNER: THE IRVINE CO � _ � ., •� � - Address: 7101NNOVATION Unit: - . � PHONE: 949-720-5536 , , - Ciry/State/Zip: IRVINE, CA . " , . � , APPLICANT: PEGGY BLOCK - -- � Address: 8 EXECUTIVE CIRCLE� Unit[�.� PHONE: 714-557-0244' � ' ` � �� ` �� City/State/zZip: �� IRVINE, CA � - � CONTRACTOR: WESTERN NA'fIONAL CONTRACTORS __ _ �; License No. 840973 � Address: 8 EXECUTIVE CIRCLEUnit _— � - ' , � �- � ` � -PHONE: �714-557-0244 . Ciry/State: IRVINE;CA - ... ZipCode: 92614 - �� CELL: � � � - � - r ' � -: ;'i.� . . _ . " . � .t�;� ' �� . � ' - - .. ... ELECTRICAL PERMIT FEES ' - � Electrical Plan Check Fee: 50.00 � � ' Electrical Permit Fee: . $77.10 . ' �, � � , ' , ': ', . Reinspection Fee ' $0.00 , .; TOTAL FEES - ; $77.10 ' � NOTICE: T�e work authorized by Ihis permit shall compty with all app�icable handicap access requiremenLs under Califomia statutes and retated regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the vrork authorized under this pertnit to be considered legal, such work must comply with all aDPlicable codes, and all required Inspeaions and final approval must be obtained. Failure to obUin inspeclions and final approval will resuit in the expi2tion of this pertnit. 40oE�. ixspecnoxme p�g i�5 LppE! iqsrecnoNrrre o�,g xnni 1818 Fixed System Final Fire Prevention 208 Final Mechaniwl 1268 Pool Spa Final � ZOB Final Plumbingp T 200 Final Re-Roof 210 Final Electncal, /�- �_�'l��//ytti]2l% T /1 201 Final Block/Retaining Wall 212 Final fire Prevention (J 202 Final Factory Fire Place 220 Final PlanninB AOOroval 203 Final Sign 222 Final Site T04 Final Demolition 250 Final Builtling/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalry of perjury one of the n,...,.ning deGarations: � ❑ I have and will maintain a certificate af wnsent lo self-Insure for vrorkers :� compensation, as provided for by section 3700 of Ihe labor Code, for the peAormance of [he v+ork tor which this pertnit is issuetl. �'� I have and vnll mainfain �wrkers' compensatbn insurance, as required by sectun 3700 of the Labor Code, for Ihe peAormance of Ihe work fa which this pertriit is issued. My workers' wmpensation Insurance cartier and policy number are:1 �s- �" ; Carrier: Vl l�J\� p r` U'�l,lG!- L. (Tlvs sxTqn nevtlnot pe �c1p�rip'MeO/lhe pnrtY rs valntl al aro� Mn/beC Mlars (EI00) abuJ Policy NumDer: _ W Cpi (o Li �%Q 5� ��-�b ❑ I cerlify lhat in the peAormance of the work for which Ihis permit is issued, I shall not employ any person in any manner so as to become subject to ihe vrorkers' compensation lavrs of Califomia, antl a9rea [hat if I should become sub�ect to Ihe workers' compensalion provisions of Seclion 3700 of the labor I s II lorth� comply with these provi� �. �� (b Apdionfs SiB^eNrc Date WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($100,000�, IN ADDITION TO THE CAST OF COMPENSATION, DAAMGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm lhat I am IicenseC untler provisions of Chapter 9(wmmencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full for e and eHect. �� Lic. # O� 'Class # 1/ � `7 � l�b D� CanVadw's Sigreture Date CONSTRUCTION LENDING AGENCV: ' ❑ I hereby af(um that ihere is a constniction IerMing agency fa the peAormance of ihe Mork for wfiic� llds pertnit a asuetl. (Sec. 3097, Civil Cotle). Lender'S Name: Lentler's Atldress: OW NER-BUILDER DECLARATIONS: I hereby aKrtn that under penalty of perjury tha[ I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5. Business and Professions CoAe: My ciry or counry which requires a permil to wnstruct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant (or such pertnil to file a signed statement thal ha or she is licensetl Oursuant �o �he provisions of the Contractors License Law (Chapter 9(commencing with Seclion 7000) of Division 3 of the Business antl Professions Cotle) or that he or she is exempt Iherefrom and the basis for the alleged exempGon. Any violation of Section 7031.5 by any applicaN for a permit subjects the applicant to a civil penalry of not more than fve hundred dollars ($500).): � I, as owner of Ne properly, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the struclure is not intended or oflered for sale (Sec. 7044, Businass and Professions Code: 7he Contrectors License Law dces not appty to an ovmer of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or oftered for sale. If, however, the building or improvement is sold within ona year of completion, the owner-builder will have the burden of proving that he or she did not build ar improve for purpose of sale.). � ❑ I, as ovmer of the Droperry: am E%CLUSIVELY CONTRACTING WITM UCENSED CONTRAC70RS to consWct the pmject (Sec. 7044, Business and Professqns Code: The contractors License Law dces not appty to an armer of property who builds or improves lliereon, and who conlracts for such prqect v.ilh a contractor(s) license pursuant ro lhe Cont2ctors License Laws.). ❑ I am ezempt under sec. Business and Professions Cotle far Ihis reason: Owner ID yerified by dm, nse. ❑ Yes ❑ No Driver's License No. Expires: 'Venfcation of Ownership Dy (rype of document, i.e. - property tax bill or deetl): DIVISION�OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify lhat no eawvation frve (5) a more feet n depN into which a person is requiretl to descend, will be made in connection vrith �wrk authw¢ed by this permit, and that no builtling structue, scaNdding, false�wrk, or demolition or dismantling lhereof, will be more than thirty-sBc (36) feet high. (ChaD� 3.2, Grp 2, f1ll �. $BC. 341, TI�B B, C.d�li0R112 iidlf11f115�l2�1VB COdB�. ❑ As owner-builder, I will not employ anyone to do work wfiich would require a permit from the Division al Indusirial Safery, as noted above, unless such person has a permit to do such vrork fram lhe division. ApP�i�nl's Sipnalure Division of Intlustrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will tha applicant or present or future builEinq occupant need to file antl certify a Business Plan for emergency response to release or Nreatened release of a hazardous material� ❑ Ves ❑ No (Section 25505 of lhe Califomia Health and Safery Cade requires, with some exceptions, Nat a 8usiness Plan be flled vriN Ne Costa Mesa Fire Department by every business which has at any one lime Cunng a reporteE year a quantiry of hazardous materials equal ta or greater than a weiqht of 500 pounds, or a volume of 55 gallons, ai 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will tha applicant or present or future builtling occupant need to file a regislration form for acutely hazardous matenals7 ❑ Yes ❑ No (Section 25533 of the Califomia Health and Satety Coda, with some exceptions, requires registra[ion with the Costa Mesa Fire Departmem by each business which at any one time has on hand a quanlity of acutely hazardous materials equal to or qreater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feat of compressetl gas at standard lemperature and pressure). 3. Dces or will [he apPlicant or present or fuWre building occupant need lo preDare an RMPP (Risk Management and Preven[ion Prog2m for acutely hazardous matenals)? ❑ Ves ❑ No (Section 25534 of the Califomia Health and Safety Code provides t�at the Costa Mesa Fire Department may require lhe prepa2Uon, certification and filinq with lhe Fire Department of an RMPP by businesses which are required lo register acutely hazartlous materials wilh [he Fire Deparlment. 4. If an RMPP is presently required, has Section 25534 of the Calilomia Health and Safety Code been lully complietl with7 ❑ Yes ❑ No 5. Does or will Ihe applicant or present or future building occupant require for the work which is the subjact o1 this applicatlon a pertnit /or such wnsWction or modiflcation from the Soulh Coast Air Qualiry Management DisWct or fmm any other air pollution wntrol dis[rict or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemmem Code reQuires that Ihe iequestetl information be tumishetl on applications for rqn-resitlential twildirg pertnits). 6. Will any part of the faciliry to be wnswcted under ihis petmil be within 1000 feet from the outer boundaries of a school7 ❑ Ves ❑ No p( yes", the facility must meet Ihe requirament of Seclions 25534 antl 42303 o( the California Heal�h antl Safety Code). 7. If a permit from Ihe South Coasl Air �ualiry Managemenl District or other air pollution control districl or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by Calilomia Health and Safety Coda Section 42303 been made? ❑ Yes ❑ No, 8. (If yes", attach certificate of compliance hom the appropriate air pollutlon cantrol oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury Ue in(ormation given above is cortect. I agree to wmpy with all sWte laws and cily ordinances regarding Hazardous Materials and Emissions. SignaWre Oale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penaity of perjury that I have read this application antl slate that lhe infortnation given is correct. I agree to comply vnth all stale laws and city ordinances relaling to building wnstruclion, and authorize representatives of the City of Costa Mesa lo enter upon the above-0escribetl property for inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by ihis permit until fnal inspection. Signalure Ipmn�s) �1 Signature , Date ��i� (O I 305]<6(1J7) � M�IW Aut�On220 AOWitlnl Dale , � r �obAddress: 450 ENCLAVECI Suite: AJ Vicinity: Primary Occ: U Parce� Number: TPN007099 Appliwnt: PEGGY BLOCK Address: 8 EXECUTIVE CIRCLE Type ot Constmction: V-N Zoning: IRVINE, CA , - �, � , �".'_ Owner. THE IRVINE�CO�;:�!; ' � Address 1101NNOVATION �i�='� �' , � ��.i . , � � . �` ,i \ � � . � IRVINE,CA„ � �"� � _ - -- �� ' � �� ._�, _, __ —' " Contracror."� WESTERN�NATIONAL"_CONTRACTO Addre'ssj �,8 EXECUTIVE � RCI:E� r � i � i ��, �IRVWE,CA./'=-� -� , Zip: 92614,.; -,�/ � , ,. . �A�cli :- ' /c/ i . : � .�%: :" Address: -� i�'-- /, ,j- � Zip: _ Phone: , License: Phone: 714-557-0244 - Zip: _-.92614 Status: ISSUED Applied: 05212007 Issued: O6I052007 � � �: '�� \ �, i '�� Phone:, �949-720-5536 �'�J � -Zip:-�92612(..i � /�� / -�� . - , �, r �\. .�\�\ � S '_ � � �� ,� ` � � � � � � ., -: -. : � �•� _ =��1?-;A� �' /` � A, Phone: 714-557-0244 '�A� � '. � � � �� \\\ � . � ' , �� '� . . License: 840973 �' � ,�/ ��,�� . �'�A�'-� / `, .,. Eng: i -. Address: ' o, , `, SCOPE OF PERMIT ' _ _ �.' /\> ' : � � ,./- A ��, ;.\ � \�Phone: � � ,License: - _ �_ /,. �. ,. , _ PHASE II, ENCLAVE APARTMENT HOMES _\/ � � . ; �,,� � \ CONSTRUCT 1,474 S.F. DETACHED, 6 CAR GARAGE. _ �, �- - —�--- ------- . _ . .. . . - - - - -. . - _ . _ - � -� \ .� Plan Check: $165.13 Permit: $1,016.15 � SMIP Res. � $10.32 �. SMIP Com:' ' $0.00 Other: $0.00 Inspection: $0.00 �� `,,�� TotaL•'� , $1,191.60 � � , �� ' � _ � \� � _ �� i -1 ,�: ,� ` , ,�(,'/!(+FEE SUMMARY.",�.0 �; ,;;; " - - Calc Valuation: ��s�os,ieo.00 ,\ ..; j �. � Claim Valuation � 8103,180.00' n i n � tii_ M ��__ lt�fo � di - ' /I ! j�. i - -yc, �� _.� ��rc� --.�i �.: � - ; �I � ' -- _ . � � _ ��. _ .. // ' � i . l % / � � �/' _ _ /, _ ,i r , : � . ' �' . % %� � � 1.,«;T• �% \�,\ l i ' � ; . �•�-'PLANNING &'�LUNING %; � ' - ; � SETBACKS �� .,�� _ , ' � :.I ~ : ,. . C -. / / MAIN STRUCTURE Front 0 0� �- -- Rear 0 0 �-'Lefl 0 0 �~ ��, -''Right - 0 0 � �� / �`:_ � _ . �' s � i/ / � i : � ` � � � ACCESSORY \ Front 0-0�� , Rear,�� 0-0�� -Left�� 0-0 ,, Right��0 �� /� � i `! = � - ;." � ' ' ,�� ,�/�� / ; PARKING � Existina " /0" � Reauiied �� 0 , � - Pi000sed � �' 0 � i�� j � � �-, _�V/i � _� �� _ - �-> _ � �� / � i � �A �� -'�i i. -�,- � �� j'� - ^ A ' � ' �i-- . ,� `� � . / �� , � " i , . _ .� � . ' � ` - ' � - �� j% -�� ;_� � �_ �'_,��1 i 5 _1 -- � ji �� _ _ %: � �-� --= �� i-.J,.�,��ii!;i%�i NOTICE: Tha work authorized by this permit shall comply with all applicable handicap access requlrements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall aulomatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or ebandoned for a period of 1 BO days. INSPEC710NS: In order for the work authorized under this pertnit to be consideretl legal, such work must comply with all applicable codes, and all required inspectiona end final epproval must be obtained. Fallure to obtain inspections and final approval will result in the expiradon of this pertnf4� FOR INSPECTIONS CALL: (714) 754-5626 �/ zsae-'e(erool WORKERS'COMPENSAnON DECLARAnON: I hereDy ettirtn under penalry ot perjury one of the fdlowing deGarelions: ❑ I heve entl will malnWin a certificate ol consent ro self-Insure tor wwkers' compensatlon, es prov(ded for �y section 3700 of the Lehor Code, for Ihe pertortne�e ot the n wark for which this permi� is issuetl. insurerce, es require0 Dy section 3700 of the Labor Cotle, for Ihe pertortnence of Ihe work for whkh Nls pertnit Is iswetl. nd pdicy number ere: �a.ou�,.N��_I,�`C�-lbfi �6tiS7o6 �.6 veluetl et one �undre0 dollars ($100) or less.) ❑ I certify thet In the pe nce ot the work for which this pertnit is issuetl, I shell no� employ any person In eny manner so es to become sub�ect to the workers' compenselion laws Calit mia, end a ae Ih I 1 should Decome sub�ect lo the workers' compensetlon provislons oi Secti 3700�af the Lebor CoAe, I s�ell forthwiN comply with ihese pr visi 5. Applic,a,ynt�6igneNre:•�---.�PIIVi�C�/� l�(�� o,re:---..,._ ��/�b% WM N�FAILURE TO SECU E WO RS PENSATION COVEMGE IS UMAWFUL AND SHALL SUBIECT AN EM OVER TO CRIMIWIL PENALTIES M!D CML FlNES UP TO ONE HUNDRED T/KKISAND DOLURE (5100,000), W ADDfiIIXJ TO THE ODST OF G17f.IPENSATIdJ, DAMAGES AS PPOVIDED FOR IN SECTION 3](IB OF THE IABOR CODE, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby afllrm Ihei,l em,license�r�d�r pmWfcions of Chepier 9(commentlng wil� Section 7000) of DlNsion 3 of the Business� Prolessions Code, and my license is In tull CONSTRUCTION LENDING AGENCY: ❑ I hereby eflirtn that there is e conswctian lending egency for t�e pertormance ol ihe work for which thls permlt is issued. (Sec. 3097, Civil Cotle). Lendefs Neme: Lentlers Address: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby eNlrtn t�et untler penalry ot perjury ihet I em EXEMVT FROM THE CONTRAC70RS LICENSE LAW for the following reawn (Sec. 7031.5, Business entl Professiore Cotle: Any ciry or counry whic� reduires e permit to consiruct elter, Imprwe, demdish, or repair eny structure, pnor to its issuance, also repuires tha epplicant for such pertnit to file a signed stetemem that he or she is licensetl pursuent to the provisiwu of Ne Cantrectors Lk»nse Lew (Chepter 9(commencing wiih Sectlon 7000) of DMsion 3 of the Business end Professions Code) or thet �e or she Is exempt therefrom and the basls tor the elleped exempilon. Any vlolatlon of Saction 7031.5 by eny epplicent for a pertnit sub�ecls the epplicant to e cNil penalry W not rtrore than frve huntlred Odlars ($500).): ❑ I, es owner ot t�e D�oPertY. or my employees wlih wages es Iheir sde mmpense6on, WILL 00 THE WORK, end the structure is not intended w oHeretl for ule (Sec. 7044, Business and Professions Gode: The Contractors Licensa Lew does not epply to en owner ot DroDerry who Duilds or improves ihereon, end who does such work hlmsetl or �erselt or through his w her axn employaes, provided that such imprmements are not Intendad or aflered for sale. If, however, Ihe builtling w Improvement is solA wit�in one year of completion, iha owner-builder will have the burden of proving that �e ar s�e tlitl not build or improve for Durpose ot sale.). ' ❑ I, es owner ot the property, am EXCLUSIVELY CON7RACTNG WITH UCENSED CONTFiACTOR3 to construct the pmjed (SecJ644, Business and Pmtessfons Code: The comranors License Lew daes not eppty ta an owner ot pmperry w�o builCs or ImD��'es lhereon, end who contracts tor such pro�ect with a contreMor(s) license pursuenl to the Contractors License LawsJ. ❑ I am exempt under sec. SignaWre: Owner ID veniietl by tlnvets license. ❑ Ves ❑ No Busineu entl Pmtessions Code for this reesan: Verllicatlon of Ownership by (rype of daument, i.e. - pmperty tex blll or deed): Dnvefs License No. Date: Expire9: DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICA710N: ❑ I hereby cenity Ihat no e:cavation frve (5) or rtrore feet in Aept� into which a person Is require0 to tlescend, will be made in connectlon with work euthodzed by this permit, entl that no builtling strudure, scettdding, falsawork, or demdtlion or dismantlinp ihereof, will be more than Nirry-s�C (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Ttle B, Celifomia Adminisirative Code). ❑ As owner-builtler, I will noI employ enyone to tlo work w�kh would require e permit from the Dlvlslon ol Indusirial Setery, es nated above, unless such person hes e permit to do such work iram Ihe tlivlsion. Signature: Date: Divlsion of IntlusMel Safety Permit Number. CERfIFlCATE OF COMPLIANCE AND AUfliORViIiION OF EMRY: I ceNly under penelry of perjury that I have reatl Nis applicatlon end stata that the iniortnetion given is correcL I egree to comply with all state laws enA ciry ortlinences relating to building construction, entl aut�odze represenretives of Ihe Ciry of Coste Mesa to enter upon tha above-descrlbed properry for inspection purposes. I egrea not to oaupy or ellow oauDancy ol eny 6uilding authorized by t�is permit unlil finel inspeclion. COpE I. INSPECTONTYPE Qe¢, f�5 1676 Fixed System Flnal Fire Prevention 1288 Pool Spe Flnal 200 Finel R8-Roof 201 Flnal Block/Reteining Well 202 Finel Fectory Fire Plece 203 Flnal Sign 204 Final Demolltion tooe� iNsreenoNrrve 208 Finel Mechenical 208 Finel Plumbing 210 Final Electdcal 212 Final Flre Prevenlion 220 Flnal Plannlnp Approvel 222 Finel Site 250 Finel BUIltling/Occupency • CITY OF COSTA MESA B!/ILDING DIVISION ,• 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wv+w ci.costa-mesa.ca.us � ' FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: E07-00567 PERMIT TYPE ELEC . STATUS: ISSUED DATE ISSUED: 0 711 312 0 0 7 �� w ' �.' ""'''='. - ISSUED BY: SOK ;;��<;+;,�-__i : i �<,:._ .. ,,, .` - �_ JOB ADDRESS: 450 AJ ENCL'AVE'CI CM� '� .� �• � nSui4e/Unif: =`:�.'�AJ VicinitY: � �,;...: .;.-� . , � � . ; r ,; � . ..' . ,.4� : ` , . -" ..r , . SCOPE OF W,ORK: PHASE II -ENCLAVE APARTMENT HOMES `� � ti" ;r - : .'r, �; . , ELECTRICAL INCWDES: 9 LIGHT�FIXTURES,�6 OUTLETS, 6 SWITCHES AND 1 SUB PANEL TQ200 AMPS FOR 1,474 S.F. DETACHED, 6 CAR GARAGE. REF.: B07-00706 �:�:� �-. . ,;,E.��`- . � ;'y`.� . . ,.',j� � � .. _ � . S . - � - � r. .. . - � , ':., '' � - . :=t� " - . = . � .r`-�` �.'.- � �' _ . . . �. .: . ..: OWNER: THE IRVINE CO - � � � � �� . } ` Address: �110'INNOVATION Unit: � PHONE: � � 949-720-5536 , � �'! �' : City/State/Zip: IRVINE, CA � - ' � . APPLICANT: PEGGY BLOCK � � �--- � � Address: 8 EXECUTIVE CIRCLE Unit . PHONE: . 714-557=0244 � ' ' , _ � .` _+� City/State/zZipi � , IRVINE, CA - � CONTRACTOR: WESTERN NATIONAL CONTRACTORS . �'� license No. 840973 ' Address: 8 EXECUTNE CIRCLEUnik ` : - . - � � � " PHONE: 714-557=0244 � CitylState: IRVINE;:CA: -; . - ZipCode: 92614 � � . CELL: . « . � i • ._ . . , ;. � .:� < : "`-.. . . . . ELECTRICAL PERMIT.FEES ; ' . • ` � � . � �; : Electrical Plan Check Fee ,� $0 00 Electrical Permit Fee: ��, ; $77 10, -: � . ' ' . , Reinspection Fee " $0:00 ' - _-. % TOTAL•FEES ��';>,,�'-,�-$7�7:40� - . i �;:^ ,��, � '' , _ _ , •='� ti.. ^ ^ � _ t - , ' - ;n , _ - NO710E: The work�authorized by this permit shall comply with all applicable handicap access requirements unAer Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In,order for the work authonzed unde� this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetions and final approval must be obtained. Failure to oblain inspections and f nal approval will resull in the ezpiretion of this permit. COOEt, INSiEC110N7YVE fZAI�F INI�I[�j CODE/ INSPELTONTYPE � Ij�F IN11ML5 1816 �Fixed System FinaPFire Prevention� . 208 Final Mechanical 1268 , Pool Spa Final , . � � 208 Final Plumbing �� 15�� V 200 Final Re-Roof 210 Final Electncal P//1_ //W6/ U n rI —'rT— 201 Final Block/ReWining Wall 212 Final Fire Prevenlion 202 Final Facfory Fire Place � � 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION 1 hereby aKrm untler penalty of peryury one of the ,...�.+ing dacla2tions: ❑ I have and will maintain a certifcale of consent to self•Insure for workers' compensation, as provided for by sec[ion 3700 of the Labor Code, tor the pedormance of the vrork for which this permit is issued. � I have antl will maintain workers' wmpensation insurance, as required by ` ection 3700 of the Labor Code, (or [he pedormance of lhe uvrk for which this permit is issued. My Norkers' compensation Insurance carrier and policy numberare:� u�Q � Cartier. _��,� (ThB serlion neetl no10ne mmp'efeCENe permd'a vaWed at we �unOreC cb6ars (Sf 00) a less.) �PolicyNumber: �il.�«�hh4�j�%OC�Z�o ❑ I certify that in the peAortnance of the work for which this permil is issued, I shall not employ any person in any manner so as to become subject to the workers' wmpensation laws of California, and agree that if I should become ect to the vrorkers' compensation provisions of Section 3700 of the Lab r C sh forthwi h comply vnth these provisions. -7I1� Appliwnfs SignaWre Date WARNMG FAILURE TO SECURE WORKERS' COMPENSATION COVERP,GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, INTEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrtn that I am licensed under provisions of Chapter 9(wmmencing wilh Seclion 7000) of Division 3 of the Business and Professions Code, and my license i in full �f,oirc'7e and effect. Lic. # O ` ` Class # — Contraclor's Signalure Oa e CONSTRUCTION LENDING AGENCV: ❑ I hereby affmn that there is a constmction landing agency fw lhe peAwmance M the work for which tltis pertnit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby aKrtn Ihat under penalry ot peryury lhat I am El(EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. Business antl Professions Code: Any city or county which raquires a permit to constmct, alter, improve. tlemolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to Ihe provisions of Ihe Contractors License law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle) or lhat he or she is exempt therefrom and ihe basis for the allegeA exemption. Any violation of Section 7031.5 by any applicant for a permit su6jects the applicant to a civil penalry of not more than fve hundretl dollars ($500).): ❑ I, as ownar of the propeAy, or my employees with wages as t�eir sole compensation. WIIL DO 7HE WORK, and lhe structure is not intended or oHered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law dces not apply to an ovmer of property who builds or improves thereon, and who does such work himself or herself or through his or �er ovm employees, provitled that such improvements are not intended or oftered for sale. If, hovrever, the building or improvemenl is soltl within one year of completion, the owner-builtler will have the burUen of�proving that he or she ditl not build or improve for purpose of sale.). ' � ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The cont2ctors License Law dces not apply to an ovmer of property who builds or improves thereon, and who cont2cts (or such project wi[h a coniracta(s) license pursuant to ihe Contractors license Laws.�. ❑ I am exemp[ under sec. Business and Protessions Code for this reason: SignaWre . Dale 305]�d6 (1ttl]) Owner ID venfetl by dri� nse. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. • properly tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: • � ❑ I hereby certify ihal no ezcavation frve (5) w more feet in depth into wfiich a person is requiretl to tlescentl, will be maCe in connection with Hork authorized by this pertnit, and that no building structure, scaffdding, falsewark, a demolition or tlismantling thereof, will be more than thirty-s& (36) feet high. (Chap. 32. Grp 2, M 2, Sec. 341, Title 8, Calitwnia Administrative Code�. ❑ As owner-builder, I vrill not employ anyone to do vrork whith woultl require a permit from the Division of Industrial Safey, as notetl above, unless such person has a permit [o do such vrork from t�e division. ApPllcanl's Signawre Date Division of Industrial Safety Permil Number: HA2ARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need lo file and certify a Business Plan for emergency response to release or threateneC release of a hazardous material? ❑ Yes ❑ No (Section 25505 of lhe Califomia Health and Safery Code requires, with some exceptions, that a Business Plan be filetl with the Costa Mesa Fire Department by every business which has at any one lime during a reportetl year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at slandard tempereture and pressure). 2. Dces or will lhe applicant or present or future builtling occupaN nee0 to file a registration form lor acutely �azartlous matenals? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safery Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business v+hich al any one time has on hand a quantity of acutely hazardous materials equal lo or greater than a weight of 500 pounds, or a volume o� 55 gallons, or 200 cubic feel of compressed gas at stanCard temperaNre and pressure). 3. Does or will Ihe applicant or present or future builCing occupant need [o prepare an RMPP (RiSk Managemen[ and Prevention Progrem for acutely hazardous matanals)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Satery Cotle provides that the Costa Mesa Fire Department may require the prepare[ion, certifcation anA fling with the Fire Department of an RMPP by businesses which are requiretl to register acutely hazardous materials with ihe Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safery Code been fully complieC wiN? ❑ Yes ❑ No 5. Dces or will the apDlicant or present or future builtling occupant require for Ihe work which is ihe subject of t�is application a pertnit (or suc� construction or modification from Ihe South Coast Air Quality Managament Distnct or from any other air polWtion control district or agency9 ❑ Yes ❑ No (Sectbn 658502 of ihe Califomia Govemment Code requires ihat lhe requested in(ortnalion be fumished on applications fa non-residential building pertnits). 6. will any part o( the tacility to be constructed under this pertnit be within 1000 feet Irom the outer boundanes o( a school? ❑ Yes ❑ No pf 'yes". the faciliry must meet the requirement of Sections 25534 anC 42303 of the Califomia Health and Satery Code). 7. If a pertnit from �he South Coast Air Qualily Management Dis[rict or olher air polWtion wntrol district or a9ency is required for the work which is the subject of Ihis applicalion, have all of the disclosures prescribed by Califomia Health antl Salety Code Section 42303 been made7 ❑ Yes ❑ No, 8. (If'yes", attach certificate of compliance from Ihe appropriate air pollution control oKcei�, , � � CERTIFICATE OF COMPLIANCE: I certify that unde,r penalty of peryury the information givan above is correcL I agree to comply vrith all state laws and city ordinances regarding Hazardous Mateiials and Emissions. �ate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and state Ihat the information given is correct. I aqree to comply with all state laws and city ordinances relating lo building consWction, and authorize representatives of the Cily of Costa Mesa to emer upon lhe above-descnbetl property for inspection purposes. I a9ree not to occupy or allow occupancy of any building aulhorize0 by this permit until final inspection. $ignaWre IL B ��er�s) •� D�at / / I Y� An�lorAu onzeOAppliwnl Oate �\ � . .y JobAddress: 450 ENCLAVECI suite: AG Viciniry: Primary Occ: U Parcel Number TPN007097 App�icant: PEGGY BLOCK Atldress: 8 EXECUTIVE CIRCLE Type of ConsUuction: V-N Zoning: IRVINE, CA - � , i� - ==' "--.✓_-�`. -- . , �,.J' , -' �- Owner. THE IRVINE CO=;-.:;; .� � .- . ' Address 1101NNOVATION � ' � �� t ' � /�' � �� , ._ . • IRVINE, CA . � � �` � ` � -- _ / � . . ., �_ . � �;� Con�rac�or�,�WESTERN�NATIONAL CONTRACTOR Address.��i8 EXECUTIVE CIRCCE '� �/�/ �. ,',.; jj�/ / ' IRVI E �CA/ ' . . �Zip: 92614,',,�/� L � � ,'.% . � � �AicFi :' Address: Zip:- ; , Status: ISSUED Applied: OS/21/2007 Issued: O6/OS/2007 Phone: 714-557-0244 " 'Zip:.- 92674 - ISSUED BY: , �;. `\ \� ` \ i ,. \ i � . � P,hone � 949 720-5536 � : �\, \ Zip 92612., . / > / \\� -� � � � S ` .; �,�- �� ) _A�� > � � � / �� '�� -i /\�\:� Phone: 774-557-0244 � : � ( � ,�V�� ;�`" / `�; . icense: 840973 ��`` ��% , � ��'. �° �\ / .A i -„ Phone: . � -' - . Cicense: '- /;� s- . _ _ .. .-. Eng: Address: - , � - ., o ' . � i � " - , �_/�� : � �:,: ;� i�S '�. � \ ��, �� , ,� -� � �', . �. ,,�Bhone; �" � \:��. � • ��.,'. .. . , , �License' � � = � ,',�. 1�'.` , , � -• -1• ' . � �� - � SCOPE OF PERMIT � � ^�� • �� _ ._ , PHASE II, ENCLAVE APARTMENT HOMES - ' � . �� . , . � �-�� : - . � CONSTRUCT 986 S.F. DETACHED, 4 CAR GARAGE.. __ . . _ . . - � � . - - - - - .-� � I � / n ' •rD .f`� LZ' P�N^tr^,�.' n Tm. �.r'V '.� ;" • ' -`i . , � . ' • .,� �% �l � FEE SUMMARY .'c�� , ( .,;: � - ` � � � ' Plan Check $127.36 - -' �L_ Calc Valuation ` sss;ozoioo Permit $783.75 \ � � Claim Valuation , Ss9,ozo.00 ^ ��, SM�P Res. " - $6.90 �� y .i _ ��S i-�'� �`��/1 � �,;i f �� / �',i 1 , �SMIP Com� , $0.00 I ' - '� 'r'� � � "' � �l � +;' .- � �j j �___1'' U�' -0ther. $0.00 ' ' � ' ` � � i� f ° �� , � In'spection: $0.00 ��_ � �-- , . �' �c_�_ - ��j'/ , � �t;�. ��- � �� i � , ,�\ Total: 918.01 i � ( l �v ,�i .$, -��, �L,�,. _ . _ _ ` i F//�.�� , , i l _- ____ - _ .. _ . �'� . � � � . r��PLANNING & ZONING %�i/ �' � ; r ! ' ' � SETBACKS . � � � �� :� • , � � , i ' , ' d t Y'N'y ✓ //'� � MAIN STRUCTURE Front 0-0 " � ' �Rear 0 0 � �Cefl' 0 0� �`- � �� Right -�0 0 ' � � � �` i ,i A V` �.. �: : � � � ; �� ..�� / � � << ACCESSORY ��\ Front �0- 0 �' � \� -Rear � �0- 0� �� !-Left � 0=0 .� , _Right�� 0-�0 �l> ; i �. -� - �� ; ,%/- ��j, ,� .�i . PARKING . Existin � � 0 �� Reouired 0 � � � ° Pr000sed '.`0� � � �� % �'3 �� . � �i \\,. � .,,; i r� �-_-- _ .-=."�-=---'i `��,.��`�� ;% :\ �,�r�,;�,� � _ _ - �=<<�\� �>>�j%� '��'� � � -.� ;�� , �„ � _ � ��`� ' ' - 1 � . �..,r �, �' - � - , � ` " � �!' � . >._ ., . � ____ � `";, ,�.. j _ ��. . ,----� -- i��' �`- - �:��,,.- �i... i NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and.related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: 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 untler ihis permit to be considered legal, such work must comply with all applicable cales, and all requlred Inspeetlona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR.INSPECTIONS CALL: (714) 7545826 � �� zaawe �eioo� WORKERS'COMPENSATON DECLARATION: I hereby eflirm untler penalry ot perjury one at t�e following dedarations: ❑ I have antl will maintaln e ceNficate ol cansent to selt-Insure tor workers' compensatian, es provitletl for by section 3700 oi the Labor CoAe, tor ihe pertortnance af the work for which Ihis pertnit is Issuetl. ��,.-"1'have antl wlll meintain workers' compenseGon Insu2nca, as required by section 3700 ot Ihe LaUor Code, for the perfortnance of the work for which this pertnit Is Issuetl. �,�M�y wa[ka wmpens �uon ns^uren e card end poliry number ere: � I��/: �-1 ,[.�',�/� -�/ �CBmer.'^-"I%I�rl�-"� ' U"l.i�� . PoliryNumbe4��.l:P�%l)Vp�','�J�%Q�pc{� (This section neetl nat be p/eted i! the peimit is velued et one �untlretl tlollers ($100J or less.) ❑ I cartity that in Ihe p mance of the work for which Ihis pertnil is issued, I shall not employ eny person in any manner so es to become subject lo Ihe workere' compensatlon lews f C Iltomia, end ee et II 1 shoulE 6ecome sub�ec� to the workers' compensation provislons of S on 37 0l the Lebor Cotle, I shall forthwith comply vnth Ihes 5ion5. .....�•..--'.. F '1 ApplicanFSgneture:_ . . - Q , � � �a� te: ��-� r l V � n...„.'� WARNING:FAILURETOSECUREWOR}(E SCOMPENSATIONCOVERAC+EISUNLAWFULANDSHALLSUBIECTANEMPLOVERTOCRIMINALPENALTIESANDGVILFlNESUPTOONEHUNDRED iT1WSAND �OIJ.AHE (5100,000),IN ADORION TO THE WST OF COMPENSATION, DAMAGES 0.S PiqVIDED FOR IN SECiION 31060F THE IABOP COOE. IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm ihat I am licens d nderny rovi ons af Chepter 9(commencing wlih Section 7000) af Dlvision 3 of ihe Busines d Professions Cotle, flntl my Ilcense is in tull iOILB.BMBMBCI�I�C.`M^�Y� . : ' l� � CI84S.tl�w� � ya.?1. •' �_ _ _ '. �ctai's Signeture�`�N De1e:—^^ - ..-r CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn Ihet Ihere is e construclion lendinq eqency for ihe pertormence of t�e work for which ihis permit is issued. (Sec. 3097, Civil Cotle). LendeYs Name: SigneNre: _ OWNER-BUILDER DECLARATIONS: Lentler's Atldress: Date: I hereby eflirm that under penelry of perJury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Buslness end Prolessions Cotle: Any dry or counry which requires e pertnit to construc6 alter, improva, tlemolish, or repair any struciure, prior to its issuance, also requires the epplicant tor such pertnit ro file a signed statemem thet he or she Is Iicensetl pursuent to Ihe pmvisions of Ihe Contreaors License Law (Ghepter 9(commendng with Sedion 7000) of DlWsion 3 of ihe Business end Profassions Cotle) or thet he or she Is exempt therefrom end the hasis for the elleged exemption. Any violation of Section 7031.5 by any epplicent for e permit subjects Ihe applicent to a civll penelty of not more ihan live hundred dollars ($500).): ❑ I, es owner ol ihe properry, or my employees with wages as their sole compensation, WILL DO 7HE WORK, end Ihe slrucNre is not intended o� oHered tor sele (Sec. 7044, Business end Protessions Coda: The Contractors License Law tloes not ap01y to an owner of property who builds or improves thareon, antl who tloes such work himself or herselt or through his or her own employees, provided that such improvements are not Intended or oflered for sele. If, however, the 6ulitling or improvement Is sold wit�in one yeer o� completion, the owneo-builder will heve the burden ot proving that he or she did not build or improve for purpose ot sale.). ' ❑ I, as owner of the propery, am EXCLUSIVELY CON7RACTING WITH LICENSED CONTBACTORS to construd the project (Sec. 7044, Business and Professions Code: The coniredors License Lew tloes nm apply to en owner oi property who Dullds or improves ihareon, end who contraas for such project wlth e contredar(s) license pursuent to the Con�rectoro License LawsJ. ❑ I am exempt under sec. Signature: Owner ID veritied by dnvefs llcense. ❑ Ves ❑ No Business and P�ofessions Code for this reason: VenTcation of Ownership by (type of documem, i.e. - property tav blll or dee0): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: DriveYS License No. Da�e: Ezpires: ❑ 1 hereby ceNity ihat no excevetion tive (5) or mora fee� in tlep�h into w�lch a person is required to descend, will be made in wnnection with work eut�orizetl by thls pertnit, and Ihat no building siructure, scefloldinp, felsework, or tlemolitlon or tlismantling Ihereot, will be more ihan thirry-siz (36) feet high. (Chep. 32, Grp 2, Ari 2, Sec. 341, Title B, Califomla Atlministrative Code). ❑ As owner-builtler, I will rat employ anyone to do work which woultl require a permit irom the Division of Intlusinal Sefery, as noted ebove, unless such person hes e permit to tlo such work Irom the tlivision. Signatura: Date: Division ol Industrial Selery Pertnit Number: CER7IFlCATE OF COMPLIANCE AND AllTMORIIATON OF ENTRV: I cenity under penelry of perjury that I have read Nis epplication entl stete that the infortna�ion given is correct. I egree to comply wllh ell stete lews and ciry ordlnences rela�ing to Duiltling construction, entl euthonze representatives of the Clry of Cos�a Mesa lo en�er upon Ihe above-described property for inspadion purpases. I agree not to acupy or allow occupancy ot any buildinq authanzed by this pertnit until finel insDecllon. [�7•I�7�IiFi�#drt.P�il�i 1616 Flxed System Final Fire Preventlon 1266 Pool Spa Final 200 Final Re-Raof 201 FIneI BIocWReteining Well 202 Final Feaory Fire Place 203 Finel Slgn 204 Final Demolition �g �$ COpE I IMSPECTIONTYPE 206 Final Mechaniwl 20B Final Plumbing 210 Finel Elecincal 212 Ffnal Fire Preventlon 220 Final Planning Approvel 222 Final Site � 250 FinalBuilding/Occupency PE� U�ELfl ! CITY OF COSTA MESA BUILDIN6 DIVISION F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754-4856 • w�vw.ci.costa-mesa.w.us � FOR INSPECTIONS CALL: �(714) 754-5626 '��+,. ' PERMIT NUMBER. E07-00561 PERMIT TYPE JOB ADDRESS: Vicinity: , ELEC 450 AG E SCOPE OF WORK: PHASE u ELECTRICAL INCLUDES: 7 LIGHTFIXT 807-00698 �� c.. rnq ,. y;� � f " OWNER: THE IRVINE.CO PHONE: 949-720-5536 - - '�.:'i:;. s� _ _� „�,, r ,' e � -a �� ` �,i AVE`iCl CM "s- � I �..� r ' ar s � TM ;.i., APARTNIENT HOMES STATUS: DATE ISSUED: `-': ISSUED BY: i5, 4 SWITCHES AND 1 SUB PANEL TO 2( �:� T= A, , . f- � �Address - � ��1�t01NNOVAI City/Siate/Zip: IRVINE, �C APPLICANT: PEGGY BLOCK -- - - -•Address -� �-8 EXECUTIVE PHONE: 714-557-0366 " ��;"1 � City/State/zZip' f-,iRVWE, CA-�. � � �.e. n ' _'_ _ . ____ - .. CONTRACTOR: WESTERN.NATIONAL CG Address: 8 EXECUTIVE CIRCLEUnit `� CitylState: IRVINE;-'CA -:r. Zip ELECTRICAL PERMIT FEES �� A' Electrical Plan Check Fee Electrical Permit Fee: �' ` � { Reinspection Fee 3p;; , TOTAL FEES "�-� ,e cr,�.i,vrt�: { �r.u� . � r ' .:- 92614 ' '- ` ' �.. r, �, ,ti �� v� ut��. �� r�� '�' � �t �. rJ6 _ . +! .. �r� r ` � , . -:i,. c�i'14 .. --- - .:'�:.`T _., nse nlo. = k 'PHONE:��.-�7 � ,CECL: `� I , ,• ° , t '. ISSUED 07/13/2007 SOK CAR GARAGE. REF.: r Umf - , , •'� CIRCLE -"Umt,��,t � - 1-. /�'. 40973 ' ` ; 14�=557-0244 ),�'; i �T. NOTICE: The work aulhorized by this permit shall comply with all applicabla handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must wmply with all applicable codes, and all required inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will resultin the expiretion of this permit. CODE /. INSPEC710N ME DATE IN�$ �QO ,e INSPECTION ME D� NTIi n��s 1616 Fixed System Final Fire Preventiom 208 Final Mechanical � 1266 Pool Spa Final � 208 Final Plumbing I'T ' 200 Final Re-Roof � 210 Final Elecincal P/�}- � ff�y�,1i 1' 201 Final Block/Retaining Wall 212 Final Fire Prevention � V 202 Final Faclory Fire Place - 220 Final Planning Approval 203 Final Sign 222 Final Si�e 204 Final Demolilion 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION. I hereby aKrm untler penalty of perjury one of [he �_. ..ring declarations: � ❑ I have and will maintain a cerlificate of consent to sel(-lnsure (or workers'� wmpensalion, as provided for by section 3700 of the Labor Code, for the peAortnance of the work for which this permit is issued. • �-� I have and will maintain wurkers' compensation insurance, as requi{ed by seclpn 3700 of the Labor Code, for the perfortnance of the vmrk for which tfiiS permit is issued. My workers' compensation Insurance carner and policy number aret 1,�,,•� .� " �Carrier 1.. 1� I�VI:U�.L (IDis secfinn need�rro�t �be/ m�m,�lefed A Le pe�mR/ _is v�a1luetl a! on¢ hunCr�etl tl/ollars (S100J orless ) �� Policy Number: I.LT-.�� l �U`�"S�tibt�o ❑ I certify that in the pertormance of lhe work for which this permi[ is issuetl, I shall nol employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the vrorkers' compensation pmvisions of Section 3700 of the Labor�Gy I all forthwith comply with these provisions. j I�c�L —7 �� bla� ' Ap0liwm's5ignaWre , Dale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVII FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed untler pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pro(essions Code, and my license is in (�uyll fAor/c�e and effect. '� Lic. # � `T�1"l�� Class # �J s� -� f � e( n'7 ConVaaor's SiqnaWre Dat� CONSTRUCTION LENDING AGENCY: ❑ I hereby affrtn ihat there is a construction lending agency fa ihe peAortnance of the work fa wfiich ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signa�ure OWNER-BUILDER DECLARATIONS: I hereby affirm lhat under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business antl Professions Code: Any city or county which requires a permit Io construct, aller, impmve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to fle a signed statement thal he or she is licensed pursuant to Ihe provisions of the Contraclors License law (Chapter 9(commencing with Section 7000) of Division 3 of [he Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects [he applicant to a civil penalty of not more than fve hundred dollars ($500).�: ❑ I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe structure is not intended or offeretl for sale (Sec. 7044. Business and Professions Code: The Contractors License Law does not apply to an ovmer of propeAy who builds or improves thereon, and who tloes such vrork himself or herself or through his or her ovm employees, provided that such improvements aie nol intended or offered for sale. If, however, the building or improvemenl is sold within one year o( completion, the owner-builder will have Ihe burden of� proving that he or she did not build or improve for purpose of sale.�. - �� ❑ I, as owner of the property,-am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Pro(essions Code: The con[ractors License Law dces not apply to an ovmer of property who builds or improves thereon, and wfio contrac[s for such project vrith a contractor(s) license pursuant to ihe Con[2ctors License Laws.). ❑ I am exempt under sec. � Business and Professions Code for this reason: Owner ID vedfied by tlri� nse. ❑ Yes ❑ No �� Driver's License No. Expires: Venfication of Ownership by (type of documenl, i.e. - property [ax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT GERTIFICATION: ❑ I hereby cert'rfy that no excavation frve (5) or more feet in dep[h into which a person is required to descend, will be made in connectbn with work au�honzed by this pertnit, and that no building structure, scaffdding, falsework, or demolition or dismanlling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Gry 2. M 2, Sec. 341, Ttle 8, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone [o do work which vrould require a permit fmm the Division of Industrial Safety, as noted above, unless such person has a permit to tlo such vrork from Ihe division. Appliranfs Signalure Division of Industnal Safery Pertnit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre builtlinq occupant need to file antl certi(y a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Seclion 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater [han a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature antl pressure). 2. Does or will [he appliwn[ or present or future building occupant need to fle a regishation form for acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, wilh some exceplions, requires registra[ion with the Costa Mesa Fire Department by each business which at any one time has on hand a quantiry of acutely hazardous materials equal [o or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feel of compressetl gas at standard IemperaWre and pressure). 3. Does or will the applicant or present or fulure building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Ves ❑ No (Section 25534 of the Califomia Health and Safery Code provides that the Cosla Mesa Fire Department may require the preparelion, certification and filing with the Fire Departmen[ of an RMPP by businesses which are required to register acutety hazardous materials vrith the Fire Department. 4. If an RMPP is presently required, has Section 25534 of Ihe Cali(omia Health and Safety Code been fully complietl with? ❑ Yes ❑ No 5. Does or will the applicant or present or future builtling occupant require for the vrork which is the subject of this application a permit for such wnsiruction or motlifcation (rom the South Coasl Air Qualily Management Disinc[ or from any other air pollution control district or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Code requires that the requested in(ormati0n be fumished on applications ta non-residential building pertnits). 6. Will any part of the faciliry to be constructed untler this permit be wilhin 1000 feet from [he outer 6oundaries of a school? ❑ Ves ❑ No Q/ "yes", Ihe (acility must meet [he requirement of Sections 25534 and 42303 of the Califomia Health and Safery Cotle�. 7. If a permit from the Soulh Coast Air Quality Management Dis[rict or other air polWtion control district or agency is required for the work whic� is the subject of this application, have all of the disclosures prescnbed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No. . 8.. (If'yes", attach certificate of compliance from the appropriate air pollution control oKcer). . � �CERTIFICATE OF COMPLIANCE,I certify that untler penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. - � ! . .. � . . � .. , , . SignaWre . Date CERTIFICATE OF COMPLIANCE AND�AUTHORIZATION OF ENTRY: I. certify under penalty of perjury that I have read �his application and state lhat lhe information given is correct I agree to comply vdth all state laws"and city ordinances relating to building construction, and authonze representatives of Ihe�City"of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any builtling authonzed by this permit uMil final inspection. . ._ ' Sign LegalOwner(s) D te! SignaWre - �. . Date � �q� 305]-4fi(3/0]) � - � - � , And or AUNonzetl Appliwnl Date r � n JobAddress: 45O ENCLAVECI Suite: AE Vicinity: Primary OCc: U Parcel Number. TPN007095 Applicane PEGGY BLOCK Address: 8 EXECUTIVE CIRCLE Type of Construction: V-N Zoning: Status: ISSUED Applied: 05/21/2007 Issued: O6/05/2007 Phone: 714-557-0244 IRVWE,CA - "��-�,, �-.� ..Zip:�_92814-- , ISSUEDBY: - ��'��' _ � . . — _- - _ _ i ^ . ownec THE IRVINE-CO%`!�� ' - + , � �' i� ��;`� Address 1101NNOVATION�� -° � � � / ' ��:;-��-� �� , !'�i� _, � � -' � �� , �'� �! � Phone � 949-720-5536� !'�� A � IRVWE CA , \� _� � - —Zip � 92612; � _A j ��- �.� �,% \ _• \ . =f _ . � \ � \J ' •,��\ Contractor :; WESTERN�NATION,ALCONTRACTORS � � �� , V'� �� '�� Addres5;l�8EXECUTIVECIRCLE� '�� , l.� �� i � \ �' � /�� Phone: 714-557-0244 �� :� .� "� ; / �� i,�� ' �. //. "-c ,�" - : 'IRVWE�CA,: � _�A� / . �,� ��! / ��.� i , ! ,� !� Zip; 92614�� ; ��i License: 840973 � ;�\ � \ %� \\\��, �.,'! � .. /. �'Arcii :, `� � �� .�' Eng: Address: . "% ; Address: , � Phone: � ; ` � , �- '�'� V i � A. �� i , � �Zip:. , � - `� � �Lwense: - � �'�ti� i ' , /. � �l �l _ - - . - L � / V \:, - - � �` ��. A �. . �',�, A _U\ ; �.' ; .'- :�.a ' �� Phone. � - , , � : ; , \ 1 Y � License: �`1 ^�'l •.1� A' �� 1 . ' � SCOPE OF PERMIT � , ��.�-` ' . , ' _ PHASE 11, ENCLAVE APARTMENT HOMES % �� , , � ' =� ' �. i �� CONSTRUCT 7,474-S.F. DETACHED, 6 CAR GARAGE. A � • � � - ' � ! _ , .. __-_____ _- —_-_- _ _r__ ' __ - ! , ,,� .'` 1;.,;!,'� t FEE SUMMARY!,T; ' l•Y` `` Plan Check: $165.13 - _ ' --- - - - -- Calc Valuation: \S�os,�ao.00 � � Permit ;, $1,016.15 ` r, 4;' ClaimValuation � � �5to3ie000 -� � SMIP�Res -$10.32 �,�� i v��„�,��-_ �..�P�/�. fii � . � � U! , .. . ., SMIP Com � `� $0.00 - - -' G,��—� �- � , G� �`�� r /�; '-i � �. � Other ` $0.00 . _ - �; i i- , J, ` . �Inspection - - $0.00 � � � � � __ i, � ', � � �� ,� p t , � � / , , , �,� \'' 'Total . ',, $1,191.60 �l � < <�;'. � �r i�' l \� � /;/ ^ �. �` . � � _ - .+..;.-aR�:�:.i' � �/ � � / i � � ` � ` `� '� � ��>PLANNING &'•ZONING � %�?/ - ' � ' �.r _ ',�-, � i, SETBACKS � , . � _ �� . /�%' ! '; �� .� :._� �� - � :..r �� > ; MAIN STRUCTURE Front 0�0�\ �1 -�� Rear 0 0� �` ' Left 0 0' �` �'G �- Right 0 0� � � ' / o p i o„� � � / A / �, i � � ACCESSORY �� Front� 0 .0 A� \ ,Rear 0 0 � � � � Left' 0 ��0 ; = Right%�0%� ` /�� .� , i , . - n � ; ��, � �.. _ _ - -��Ati ' � " �' J �� , , ` ij l�i�C�� , PARKING ��Existinai' O�i� Reawred��c0��, � � Pr000'sed:-="0,-"�� /�ij 1 �/,' 1 � �x�c= �_ >�. � O i � � / ��'':�\ L� ��`� /, ��-�_=- _---- - _�� i>;<i i�, v`� . ''(',�/1-;v __ -- --� .�i-� �� / �� %� �"\ _'% 'I c,•-� _ � \ �,,. i� � /1 + �� r' � � '� 'i� � _,. , ��1 . �� _�- � %. ., �� .�� _ -�„\`.;, ,�'�� ..- :i!;�/�, ' �- _��=,�; — -- - - ; �: %; j , _ -,;�� - _, �.. 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, 72-21-92) '� EXPIRA710N: This permit shall automatically expire and become void if work is not commencad within 780 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 cotles, and all requiretl Inepeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration.o,_ f.this.permit. FOR INSPECTIONS CALL: (714) 7545626 � 2C6&66 (8/00) WORKERS'COMPENSAnON OECLARAnON: I hereby aflirm under penatly oF perjury one of Ihe following tleclarations: . I have and will maintein e certificate of consent to self-Insure for workers' compensetion, es providetl for by sectlon 3700 of the Lebor Cotle, for the peAormence oi ihe work for which ihis permit is issued. : pl;have antl will maintain workers' compansetion insurance, as requiretl by section 3700 of Ihe Labor Cotle, for the petlormance of the work Por which this permit Is Issued. My wo er ' comp@nsa. �on �j�'ran e carrier and policy number are: � I '��^7+ /�/ 1I ^^ -�[� Catrier:, �/l��%Nl :1�\��i.� P,oliCy,Num6er:;L��V�bY-��1✓'v �is"secfian ne not be c mplefed i( fhe permit is valuetl af one hundred dollare ($f00J or /ess.J ❑ I certify Ihat in Ihe pertyyy ance of the work for which this pertnil is issuetl, I shall not employ eny person in any manner so es to beco e subject to iha workers' compensation laws of'cal ornla, end egree that if I should become subject to the workers' compensatlon provisions of Sectlo 3700 ihe Lebor Code, I shall forthwith comply w.ith these p,milasio� s. �,].�( p,, �/j ' /] ApplicentSignatur— e: . �_ .1 PI/�l /1T !1W� P �. �p Dete-'�"""v��`� � � � / —� !�-�--�—.-_.. I WAANIN�G'. FAILURE TO SECURE� PFA ENSATION COVERAGE IS UNLAWFUL AND SIIALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITIIXJ TO THE COST OF fAMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, INiEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: ot Chapter 9(commencing with Section 7000) ot Professions Code, entl my license Is In full CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm thal there is a construction lending agency for tha peAormance of Ue work for which ihis permit is issued. (Sec. 3097, Civil CoGe). Lender's Name: Lenders Addreu: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirtn that under penalry of perjury Ihat I flm EXEMPT FROM THE CONTRACTOHS LICENSE LAW for the following reason (Sec. 7031.5, Buslness and Protessions Code: Any city or county which requires e permit ro construct, alter, improve, tlemolish, or rapeir eny slructure, prior to ils issuence, elso requires the applicant for such pertnit to file a signed statement ihat he or she is licensed pursuant to ihe provisions of the Contrectors License Lew (Chapter 9(commencing with SecNon 7000) ot Divislon 3 of Ihe Business antl Professions Code) or that he or she is exempt theretrom and the basis for the allegetl exemption. Any violetion oF Section 7031.5 by eny applicant for a permit subjects the epplicant to a civil penalty of not more ihan five huntlred dollars ($500).): � ❑ I, as owner oi �he property, or my employees with weges as their sole compensation, WILL DO THE WORK, antl the struc�ure is not Intended or oXared for sale (Sec. 7044, Business and Professions Code: The Contractors Licensa Law does not apply to an owner of properry who builds or improves thereon, antl who doas such work himself or herself or ihrough his or her own employees, provided that such improvements are not intentletl or oHeretl tor sele. If, however, the building or Improvement is sold within one year of comD�etion, Ihe owner-builder will have ihe burden of proving that he or sha did not build or improve tor purpase of sele.). ' ❑ I, as owner oi ihe pmperty, am EXCWSIVELY CONTBACTING WITH LICENSED CONTRACTORS to wnstrua the project (Sec. 7044, Business end Professions Cotle: The cantractore License Lew tloes not apply ro en owner of properry who builds or Improves ihereon, and who contrects for such pro�ect wlth e contrador(s) license pursuant to ihe Contractors License Laws.). ❑ I am exempt under sec. Business antl Protessions Cotle tor this reason: Signature: Date: Owner ID verified by tlriveYs license. ❑ Yes ❑ No Dnver's License No. Verifiwtion of Ownership 6y (rype of document, i.e. - property tax bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: ❑ I hereby certity that no excavation tive (5) or more teet in depih into which a person is required to descend, will ba mede in connection with work euthorized by Ihis pertni�, antl ihat no building sUucture, scaftolding, falsework, or tlemolition or tlismantling thereot, will be more Ihan �hirry-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califamia Adminisirative Cade). ❑ As owner-builder, I will nat employ enyone to do work which would require e pertnit trom the Division af Industrial Satety, es noted ebava, unless such person hes a permit to tlo such work irom the tlivision. SignaNre: Date: Division of Industrial Safery Partnit Number: CEHTIFlCATE OF COMPLIANCE AND AUTMOHVA710N OF ENTRV: I certity under penalry of perjury that 1 have reaC ihis applicetion entl stete thet ihe iniortnation given is wrrect I egree to comply wi�h all stete lews and ciry ordinances relaling to building conswction, antl authorize representatives of Ihe Ciry of Coste Mesa to enter upon the abova-descnbed property for inspectian purpases. I egree not to occupy or allaw accupanq of eny building authonzed by this permit until final inspeclion. COpE I, INSPECTIONTYVE 1616 Fixetl System Final Fire Prevention 1266 Pool SDa Final 200 Final Re-Root 201 Finel BIocWReteining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition �� COOEI INSPECTIONTYVE Qe¢, f(�ALS 206 Final Mechanical 208 210 212 220 Final Plumbing Final Elecincal Final Flre Preventlon Final Plenning Approvel 222 Final Site 250 Finel Bullding/Occupancy � CITY OF COSTA MESA � BlIILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754=5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (774) 754-5626 PERMIT NUMBER. E07-00565 PERMIT TYPE JOB ADDRESS Vicini[y: . SCOPE OF WORK: ELEC STATUS: ISSUED _DATE ISSUED: 07113/2007 �'�::`:` `= ISSUED BY: SOK -a �- -- r.: ' ;.. 1 t Y�`� l.4 450 AE ENCLAVE CI CM�, �' .� Sutte/Untt :; �AE � r _ �� PHASE II, ENCLAVE APARTMENT HOMES �'"`>ti 4. �'', t� 7\ti{ ELECTRICAL INCLUDES: 9 LIGHT�FIXTURES �6 �OUTLETS, 6 SWITCHES AND 1 SUB PANEL TO 200 AMPS FOR 1,474 S.F. DETACHED, 6 CAR GARAGE. REF.: B07-00704 �1;;�' j =� �' r<-�� Y . � �.' �4^ � -�;�� y� ti: :� �� ; r `r': � . ��f ,� �Yt J ' i' t a-. a � - i � � ' �'� . ,', � , �i: . � .. , i OWNER: THEIRVINECO � " � � � ` �" - �Address �'`110�INNOVATION -Unit: � PHONE: 949-720-5536. "��!„ .� � City/Slate/Zip: IRVWE, CA , . � APPLICANT: PEGGY BLOCK � � Address: 8 EXECUTIVE CIRCLE Unit�' PHONE: 714-557-0244� � � - -� _, � v-� Ciry/StatelzZip: �. . IRVINE, CA �- . .j . : ... —_. . _ _ . . - CONTRACTOR: WESTERN��NA710NAL CONTRACTORS ' License No: 840973 Address: B EXECUTIVE CIRCLEUmt ��.. c � t�� '` " PHONE: � 714-557•0244 � City/State: IRVINE�CA `l•=t� . ZipCode: 92614 � � � �� CELL:�� '" ` � ,�, , _.. ,, _ . _ .. .��, ,. _ ,� . , �i - ELECTRICAL PERMIT FEES ? "� Electrical Plan Check Fee: "`;$0 00 ' A" Electrical Permit Fee: � ,, �.`, $77 10 r {", ".� .'" Reinspection Fee `='� ` $0 00 `� � ` Y �y✓1 f .. TOTAL FEES '=�::w'�`�=.,�:�,$77:10 �— _ ;,:;: ., ="_ ";°" ��z�`� ' . . y ,. .. _�;_,.ry . 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, 72-21-92) . EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and f nal approval will result in the expiration of lhis permit. GOOE �. INSPECTION TTE 7818 Faetl System Final Fire Prevention 1268 Pool Spa Final � 200 Final Re-Roof 201 Final BlOtk/Retaining Wall 202 Final Factory Fire Place D�T IN7171RL5 CODEt IN57ELTIONTYPE 208 Final Mechanical 208 210 212 220 Final PlumDing Final Electrical P/�- Final Fire Prevention Final Planning Approval 203 Final Sign 22T Final Site 204 Final Demolition 250 Final Building/Occupancy pqjg INnnn�s �� _Et� WORKERS' COMPENSATION DECLARATIO� � I hereby aKrtn under penalty of perjury one of th owing declarations: ❑ I have and will maintain a certificate of wnsent to self-Insure for workers" compensation, as provided for by section 3700 of the Labor Code, for the peAortnance of Ihe work for which this pertnit is issued. � I have and will main�ain v.orkers' cwnpensation insurance. as required by, sectan 3700 of the Labor Code, fw lhe peAortnance of Ihe aork for which this pertnit is issued. My workers' compensation Insurance carner and policy number are: ' �\ae�H~fVlu�f-ur_L. Carrier. (TNsseamneedratbe pe�ed/l0repemNisvaNeOatme�viMiedtlo0ars(EIO�)nMss) Policy Number: W � �� 1�1��i �O ��b� � ❑ I certi(y tha[ in the peRortnance of �he work for which this permit is issued, I shall not employ any person in any manner so as to become subject [o ihe workers' compensation lavrs of Califomia, antl agree that if I shoultl become subject [o [he vrorkers' compensation provisions o! Section 3700 of the Labor Code� II �f rthwith comply with these provisions. `t-'��UL ��l�bLO� " ApplicanCs S�gnawre Da�e WARNING FAILURE TO SECURE WORKERS' COMPENSATION CAVER4GE IS UNLP,WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE L480R CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(wmmencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fu/llf fonr/ce{ and eHect. Lic. # 'Tl/"1 � Class # �j `7 l6 D'� Gonlracmr's5ignaWre ' Daie CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn lhat there is a consWc[ion lending agency fw the peRortnance of lhe wurk fa which this pertnit is issued (Sec. 3097, Gvil Code). Lender's Name: Lender's Address: Dale OWNER-BUILDER DECLARATIONS: I hereby affirm that untler penalty o( perjury [hat I am EREMPT FROM THE CONTRACTORS LICENSE LAW (or the follovring reason (Sac. 7031.5, Business and Pmfessions Code: Any city or county which requires a permit to con5[ruct, alter, impmve, demolish, or repair any Slructure, prior to its issuance, also requires the applicant for such permit to file a signed statement thal he or she is licensed pursuant lo the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 0( the Business antl Protessions Code) or tha� he or she is exempt Ihere(rom and the basis for the alleged exemption. Any violation of Section 7031.5 Gy any applicant for a permit subjects the applicant to a civil penalry o( not more than fve hundred dollars ($500).J: ❑ I, as ovmer of [he property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the structure is not imended or offered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves thereon, antl who does such work himself or herself or Ihrough his or her ovm employees, provided that such improvements are not intended ot offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden o( proving Ihat he.or.she did not build or improve for purpose of sale.). ❑ I, as owner.of the pmperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business and Professbns Code: The contractors License Law dces nol apply to an owner of property who builtls or improves thereon, and who contracts forvsuch project wilh a contracta(s) license pursuant lo the Coniractors License Laws.). � I am exempt untler sec. Business and Professions Code for this reason: S'ignaWre 3059-46�0I0]) Owner ID venfied by dri�nse. ❑ Yes ❑ No Driver's License No. Expires: Verifcalion of Ownership by (lype of document, i.e. - property tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � - ❑ I hereby certify that no ezcavation frve (5) or more feet in depth in[o which a person is required to descentl, will be matle in connection with work authonzed by Ihis pertnit, and that no building sWCNre, sc�ldding, (alsev+ork, a demolition or Oismantling ihereot, will be more than thirty-sirz (36) feet high. (Chap. 32, Gry 2. M 2, Sec. 311, Ttle 8, Califomia Atlministrative COAe). ❑ As ovmer-builder, I will not employ anyone lo do woM which would require a permit from lhe Division ot Industrial Safe[y, as notetl above. unless such person has a permil lo do such work from the division. Appliwm's SignaWre Division ol Industrial Safety Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response ro Blease or ihreatene0 release of a hazardous malenal? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safely CoCe requires, with some exceptions, Ihat a Business Plan be fletl with the Costa Mesa Fire DepartmeM by every business which has a[ any one time tlunng a reportetl year a quantity of hazardous matenals equal to or greater t�an a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressetl gas at stantlar0 temperature and pressure). 2. Does or will lhe applicant or present or future builtlinq occupant need to file a registration form for acutely hazardous matenals? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safe[y Code, wit� some exceptions, requires registretion with the Costa Mesa Fire Department by each business whic� at any one time has on hand a quantity of acutely hazardous matenals equal lo or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic teet ot compressetl gas al s[andard temperaWre antl pressure). 3. Does or will Ihe applicant or present or tuture building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous malenals)? ❑ Yes ❑ No (Section 25534 of the Califomia Heallh and Safety Cotle provides that the Cosla Mesa Fire DepaAment may require the preparetion, certification and filing with Ihe Fire Departmenl o( an RMPP by businesses which are required to register acutely hazardous materials with the Fire Departmenl. 4. If an RMPP is presently required, has Section 25534 01 the Califomia Health antl Safety Code been fully complied vrithl ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupanl require for the work which i5 lhe 5u6ject of Ihis applita[ion a permit for such construction or modificalion (rom the South Coasl Air Quality Managemenl Dislrict or trom any other air pollution conirol dislnct or agency? ❑ Yes ❑ No (Sectbn 658502 0( the Califomia Govemment Cotle requires tMt tha requested information be fumis�etl on applications fa non-residential building permits). 6. Will any part of the faciliry to be constructed under this permit be within 1000 teet from the outer bountlanes of a school? ❑ Ves ❑ No (If yes", the lacility musl meet the requirement of Seclions 25534 and 42303 o( the Califomia Heallh and Safely Cotle�. 7. I( a permil from the South Coast Air �uality Managemenl DisMct or other air polluiion control district or agency is required for ihe work which is lhe subject of this application, have all of the disclosures prescriDetl by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No, 8. Qf'yes", anach certificale of wmpliance from �he appropriate air polNtion control oKceq. CER7IFICATE OF COMPLIANCE: I certity that under penalry of perjury the information given above is correcL I a9ree to comply wilh all state laws antl city ordinances regartling Hazardous Materials and Emissions. ' - . SignaNre ' �ale ' CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury that I have read Ihis applicalion and state Iha[ Ihe information given is correct. I agree to comply with all state laws and ciry ordinances relating to building construction, an0 aulhorize represenlatives of the Cily of Costz Mesa to enter upon lhe above-tlescribed property for inspection purposes. I agree not to occupy or allow occupancy of any building aulhorized by Ihis permil until final inspection. � SignaWre alOwner�s) ate `7 l � �67 AnClor Aut�arrzeE Applican� Dale . , - - � •, . . dobAddress: 450,ENCLAVECI ' Status: ISSUED Suite: X Applied: 05/21/2007 Vicinity: Issued: OS/24/2007 Primary Occ: U Type of Consiruction: V-N Parcel Number: TPN007088 Zoning: Appiicanc JERRY�CROSBY Address: 8 EXECUTIVE CIRCLE Phone: 774-557-0244 IRVWE,CA ---��i�, .,-. Zip:c.92614 ISSUED BY: � �'" �.]G'.' ' .�_"- ,- -. - ;- ��. owner. THE IRVINE�CO%� '� ��, ' / � � ,�-_ Address 1701NNOVATION', - � , , . - , � � � � .' �. -- ` � Phone �949�720-5536� '� �J �' ., IRVINE CA.. �� `� � '' --- - --Zip 92812��/ /�\ ��. i �, � �/ . � - - J / ��_ �i�!. � V ��//_/ � _` - ��A� � �� \� Contrac�or:�,ri�WESTERN�NATIONAI CONTRACTORS '�� _/�i �� Addre'ss:��BEXECUTIVECIRCtE,';% � �;� „- ��, � �,� �� ='. � � � � % , `_ ; �',��%%� "- Phone: 714-557-0244 VA' � ,�, � �� , /�J� IRVWE,CAi'%"� �� ( � �� % �'' Zi � � ��`�� License: 840973 �/ � Pl' 92614 i�� `\ \� �\ � � �\\ �'�� //-> �,: . ,I; �ArcFi : � /c�i, ' �-; Address: � " %/,�,j; � _ � ' i- � _ // - 21p: , , � � Phone: , �` . � oe _— _ _ . . Ai .. ,- : _ _ �PHASE II, ENCLAVE APARTMENT HOMES , �- \ " �, �-. / } CONSTRUCT A 743 S.F. DETACHED, 3 CAR GARAGE_ _ ,; Plan Check:, ., $105.02 Permit ,'- � $664.75 SMIP Res. 55.20 SMIP Com: � � $0.00 Other $0.00 � Inspectian , $0.00 � Total:�, � � $777.97 Eng: Address: , �, �> � �� ,. � L ' . �. �'� , �i': SCOPE OF PERMIT �� V � A�� _. .c��A, . �o,A �'�'Phone� �� '� .,\ , , \. � , � �.Lcense: , � �'��' �'. � �� / V� � �`' �� ; '' ' , �' }+` i . 1� � �. . _' i;_//;�'FEESUMMARY,,��, �`; �, �� ` .�_ -- - -- ' - _- - -` CalcValuation , j �'Se2o�o!00, ti, ` t , 1,�, Nr Claim Valuation �� ssz,oio.00 � .� .�,1*.., r�� > �'.��%✓' - , , � ' 1. r L._ C ), _„ _ �;, .�. 'i. _ - , �. _., - . , -�— � . _ .. _ _ r - / , , - — _ � �� i! ; � , , s � �i�� , __ ; � � , ' ` �''-�PLANNING&ZONING � %% ��' /� � �= e V - . t � �Y ' _ . ., o- - �. //� n � %� SETBACKS ' : ��.- �. � �, �-s ' 'o . ^ � ,-:;.r-�ii� �� /�'� 5 MAINSTRUCTURE Fmnt 0 0,��\� � Reac 0 0� ��teft� 0-0 � " Righl �!� �� -� � , - . . , A / � / //J / ACCESSORY F,_r �t 0 0\\ �.Rear 0 0' ��Left 0 0 ,� RighL� 0-�0 ��j- /� %� � � i \ � \\ , _' � �:/\ V // � I / � vI A: � 1 � _ //� �� J PARKING ��;Existin � 0 /� Reamred ��0- ,�� Pr000sed - :;0 - � J � / � i ��` . ��/��/r_. �'�--`'--__- _ �--' �_ �\�i;�`-��Jf � cA � %�� J 1 ,�� - - � - �� i� ��j �� ;i'�., ,,r-�,. ,�, i� `��_� ,--. ..�\��,, ., ,- 1_." `'�.� ;j%��/�// , , / � � ` -�,_ .>. -- ,-;i:'"��,J�'� � 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 penod of 180 days. � INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and� la I requlred inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this per'mit. FOR INSPECTIONS CALL: (714) 754-5626 �� za+sas (aroo� WORKERS'COMPENSAnON DECLARATON: - _ I hereby eXirm under penalry of perjury one oF ihe tollowing declarations: �,; -- ❑ I hava and will meintaln e certificate at consent lo setl-Insure br workers' compensatlon, es provlded for by section 3700 of the Labor Code, for the pedortnence of Ihe work for whlCh thl5 pertnit Is issued. ��Pheve and wlll maintflln workers' compensation insuranccj(�s required by section 3700 of Ne Lsbor Code, tor the pedortnance oF t�e work for which this pertnit Is issuetl. are: �� - Polity Numee=}��iY S 7�� ❑ I certify thet In the pedormence of iha wark far which this permit is issuetl, I shell not employ eny person in eny menner so es to become subject to the workers' compensetlon laws of Calllomla, antl egrea that ii I should becoma subject to t�e workers' compensatlon proWsions of SecU 3700 ot tha Labor Cotle, I shall toRhwlth compywithth mvisions. �� )O� ppplicenCSigneNre:_ � Uate:'^�•- � W I�RE' E� RE WOR RS' COMPENS ON COVERAGE IS UNLAWFUL rWD SHFLL SUBIECT AN E� R TO CRIM NAL PE ES PND qVIL FlNES UP TOONE MUNORED iTN)US4NDDd1ARE 1 .00O�,IN � ONTOTHEC STOFGOMPENSATION,DAMAGESASPROVIDEDFORINSECTION3lO80FTHElABORCODE,INTEHEST,ANDATTOFiNE1"SFEES. LICENSED CONTRACTORS DECLARATION: 9(commencing wilh Section 7000) oi DlWsion 3 ot the Business e,cc�d Professions Code, and my Ilcense is in full CONSTFiUCT10N LENDING AGENCY: ❑ I hereby atllrtn thel lhere is e construction lending agency for ihe pertormance ot lhe work tor which this pertnit is issued. (Sec. 3097, Civil Gode). Lentler's Name: Lander's Atltlress: Signeture: OWNER-BUILDEH DECLARATIONS: Date: I hereby aHirtn thet untler penelry ot perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW far the tollowing reason (Sec. 7031.5, Business end Professions Code: My ciry or counry which requires a permii to construct, alter, improve, tlemolish, or repeir eny strucWre, prior to its iuuance, also requires the epD�icant tor such pertnit to tile a signed statement thet he or she is licensad pursuant to the provisions oi the Contractors License Lew (Chepter 9(commencing with Sedion 7000) of Divlslon 3 of the Business and Protesslons Code) or that he or she is exempt tharefrom and the Dasis tor the elleped exemption. Any violetion of Section 7031.5 by any applicant for e Dermit subjects the applicent to e civll penelry af not more than tive hundrad dollars ($500).): � ❑ I, es owner ot t�e property, or my employees with wages as Nelr sole compensatlon, WILL DO TME WORK, antl tha structure is not intentleA or oHereA for sele (Sec. 7044, Business end Professions Cade: The Contractors License Law does not apply to an owner of properry who builds or improves thereon, and who does such work hlmsell or herselt or thraugh his or har own employees, provitlatl that such improvements are not Iniended or oHered for sale. If, however, the builtling or impravement is sold within one year of completion, the ownar-builder will heve ihe burden of proving iha� he or she ditl not build or improve tor purpose of sale.). ' ❑ I, es owner ol the propeny, am EJ(CLUSIVELV CONTRACTING WI7H LICENSED CON7RACTORS to construct the project (Sec. 7044, Business and Protessions Code: The comrecrors Licensa Lew daes not appty to an owner of proparty w�o bulltls or Improves thereon, end who coniracts for such project wlth e confractor(s) license pursuant to the Conirectors License Laws.). ❑ I am exempt untler sec. Business and Professions Code lor Ihis reeson: Signeture: Date: Owner ID verified by tlr'rvefs license. ❑ Yes ❑ No Drivers LJcense No. Expires: Vedficetlon oi Ownership by (rype of document, i.e. - properry tax bill or daed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICATION: ❑ 1 hereby certily thel no excavation five (5) or more feet in depih into which e person is required to tlescend, wlll be matle In connecllon with work authorized by this permit, end that no building stmcture, scaHolding, talsework, or demolition or dismantling ihereof, will be more than Ihirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, Calitomla Atlministrative Code). � ❑ As owner-builder, I will not employ enyane ta do work which would require e pertnil from Ihe Division of Industrial Sefery, as nated above, unless such person hes e permit to do such work irom Ihe division. Signature: Dete: Divislon ol Indusinal Safery Permit Number: CERTIFlCATE OF COMPIIANCE AND AUiHORVATION OF ENTRY: I cenify undar penelry ot perjury that I have read this epplication and state thet Ihe information given is correcl. I egree to comply wllh ell state lews antl city ordinances relating to bullding construction, end euthorize representatives of the Ciry of Cosla Mesa to enter upon the ebove-Eescribed properry for inspection purpases. I egrae not to occupy or ellow occupency of eny 6uilding euthonzed by lhis permit until finel inspection. COUE /' INSPECTIQI.A9E — 1616 Fi:ed System Final Fire Preventlon 1266 Pool Spe Flnal 200 201 202 203 Final Re-Rool , Final BIacWRelaining Wall Final Fectory Fire Place Final Sign " 204 Flnal Demolitlon � � � CODEt INSPERIONTYVE 208 Final Mechenical 20B Final Plumbing 210 Finel EIeCI�iWI 212 Finel Fire Preventian 220 Final Planning Approval 222 Finel Site 250 Finel Builtling�Occupenry Da�e PAg It�Lfl �� • CITY OF COSTA MESA ` BDILpING DIVISION F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz p14) 754-4856 • www.ci.cosfa-mesa.ca.us �, FOR INSPECTIONS CALL: (714) 754-5626 ��i PERMIT NUMBE E07-00557 PERMIT TYPE ELEC STATUS: ISSUED __ - ... DATE ISSUED: 0 7/1 312 0 0 7 �,"�v -=�; ':'' - --�ISSUED BY: SOK _.. f �.: �7 {, � �.ti � t,J', :` J , � � ;�, � � JOB ADDRESS: 450 X ENCLAVE CI CM�• �� '�' '�; SuitelUnit:'' �-::X Vicinity: .=x �� r ' . ' _ x ='� �. x�. :-,n.. � j ,� � . - i �.�. SCOPE OF WORK: PHASE II, ENCLAVE APARTMENT HOMES = - ``�"7�� ELECTRICAL INCLUDES: 5 LIGHT FIXTURES; 3;OUTLETS, 3 SWITCHES AND 1 SUB PANEL'FOR 3 CAR GARAGES. REF.: 807-00693 r* � ;r4�� r „r�j�� ' � �:�\- - _ . , �`•' � - '� , . ' �- OWNER: THE IRVINE CO`�-_ t�:��,'�` �� .� Address: 1101NNOVATION��'Unit: -� . � PHONE: 949-720-5536' ,� - ' ,'`°, . "_ - . - � �. CitylState2ip: IRVINE, CA � ", - . � "_ , - � . �' i - - .. . � ' . - . APPUCANT: PEGGY BGOCK ��4�tiJ% •.— Address: 8 EXECUTIVE�CIRCLE �Unit: , PHONE: 774-557-0366 �' ' -�' � City/State/zZip: IRVINE,CA � i .p.' : CONTRACTOR: WESTERN�NATIONAL CONI'RACTORS`; .-' . -. � ' . ' License No. 640973 �-_� ' � Address: 8 EXEWTNE CIRCLEUnik � � � - -� PHONE: 714=557-0244 . City/State: IRVINE,�CA �-=� � �, . ZipCode: 92674•, . _ _ _ CELL: - � , - �' . - .- -. - .. . � . - - �t . �. �s :; . __ . . = r >. `� . .. ELECTRICAL PERMIT FEES'� : � - Electrical Plan Check Fee: ! , � `.: $0.00 Electrical Permit Fee: . � $66 10 � ��' :�' Reinspection Fee � � _ $0 00 ': °r , TOTAL FEES , ,: � $66 10;��; , , � r , � , >.�,.. ... ,.. :..� ...<�:., ,..._;. ; �-�. �r. �.�,... ' , . _ : _. _ - � , ,,?. d ,i ��E�., � ...� �� .i- :�iM1 i.;. � - _ - i+; ;; ;� � ,�- : _ >'' . . � ,. , _ a;,� " � �- . ?r NOTICE: The vrork authorized by this permit shall comply wilh all applicable handicap access requirements under Califomia slatutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such vrork must comply with al� appliqble codes, and all requtred inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. COOE�. INSPEC710NTYPE DATE N l 1818 Fixed System Final Fire Prevention 1266 Z00 201 202 203 Pool Spa Final � Final Re-Roof Final Block/Retaining Wall Final Factory Fire Place Fina15ign 204 Final Demolilion COOEt INSPEG110NTYVE 206 � Final Mechanical 208 Final Plumbing 210 FinalElectriWl 212 Final Fira Pravention 220 Final Planning Approval 222 Final Site 250 Final Building�Occupancy �jE NI TIiIALS WORKERS' COMPENSATION DECLARATION: � I hereby aKrm under penalty of perjury one of Ihe ng declarations: ❑ I have and will maintain a certifcale of consenl to self-Insure�for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of ihe vroB for which [his permit is issuetl. I have and will maintain wnrkers' compensation insurance,-as required by seclbn 3700 of the Labor Code, for [he pedormance of the wnrk fa which this pertnit is issued. My workers' compensation Insurance carrier antl policy ;Ca eerar��l _�u�\lJ�al� (inissedionne1e�eviro�r��e1'�' def(edAlhepemrrtisvalveCafwehunEreOtlollars(Ef00Jwless) Policy Number. �n�.. L1 �l =1�1 LL�� 0�2.� ❑ I certify that in the performance of the vrork for which lhis pertnit is issued, I shall not employ any person in any manner so as to become subject ro the vrorkers' compensation laws of Califomia. and agree that if I should become subject to the workers' wmpensation provisions of Section 3700 of the Labor Cod� I shay forthwilh comply with these provisions �I-��o�tL '� � b (o� � ApplionCSSig�Wre � Dale WARNING: FAILURE TO SECURE WORKERS' COMPENSP.TION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aKrtn Iha[ I am licensed under provisions of Chapier 9(commencing vrith Section 7000) of Division 3 of Ihe Business antl Professions Code, an0 my license is in full for/c�e and eHect. j� Lic. # 4 `'l � ass # l � �7 l b p � -- CanlraclorsS�gnaWre Dale i CONSTRUCTION LENDING AGENCY: ❑ I hereby af(um that there is a wnstruction lending agency fw ihe peAwmance ol the v.ork forwhich this pertnit's issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lenders Address: Date OWNER•BUILDER DECLARATIONS: I hereby affirm lhat under penally of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5. Business and Pro(essions CoOe: Any city or county which requires a permit to construcl, alter, improve, demolish, or repair any sVucNre, prior [o ils issuance, also requires the applicant for such permit to fle a signed statement that he or she is licensed pursuant to lhe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code) or [hat he or she is exempt [herefrom and the basis for the allegea exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry ot not more lhan fve hundred dollars ($500).): ❑ I, as ovmer ot the pmperty, or my employees with vrages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does nol apply to an owner of property who builds or improves [hereon, and who does such wnrk himself or herself or through his or her ovm employees, providetl that such improvements are not intended or oftered for sale. If, hovrever, the building or improvement is sold within one year of completioq the ovmer-builder will have the burden of provinq that he or she did not build or improve tor purpose of sale.). ❑ I; as owner of the property,�am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the pmject (Sec. 7044, Business antl Pro(essions Code: The cmt2clors License Law dces not apply to an avner of propeRy wfio build5 or improves thereon, and vfio contracts tor such project wilh a contracla�s) license pursuant to the Cont2c[ors License Laws.). ❑ I am exempt untler sec. Business and Pmfessions Code for [his reason: SiqnaWre Dale 305'l�a6(3/O)) . . Owner ID verifed by driv�nse. ❑ Yes � Na Dnver's License No. Expires: Verification of Ownership by (rype of tlocument, i.e. - property tax bill or deed): �� DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' ❑ I hereby certrfy that no excavation frve (5) or more feet in depth into which a person is requireC to tlescend, will be made in connection with work authonzetl by t�is pertnit, and that no builtling stmcture, scaf(dding, falsework, ct demolition or tlismantling thereof, will be more than thirty-s� (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 347, Tille 8, Califwnia Atlminist2Me Code). ❑ As ovmer-builtler, I will not employ anyone to do work which woultl require a permil from the Division of Industrial Safely, as noted above, unless such person has a permit to do such vrork from lhe tlivision. AOPIiwnCs Signalure Dale Division of Industrial Safery Pertnit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the appliwnt or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatenetl release of a hazardou5 material7 ❑ Ye5 ❑ No (Section 25505 of the Califomia Health and Safety Cotle requires, with some exceptions, that a Business Plan be filed with ihe Costa Mesa Fire Department by every businass which has at any one time during a reportetl year a quantity of hazartlous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of wmpressed gas at 5landard lemperdture and pressure). 2. Does or will the applicant or present or future builtling occupant neetl to file a registration fortn for acutely hazartlous malerials7 ❑ Yes ❑ No (Section 25533 0! the Calilomia Health and Safety Code, with some exceptions, requires registration with ihe Cosla Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to ar greater than a v+eight of 500 pounds, or a volume of 55 gallons, or 200 cubic feel of compressed gas at standard temperature anC pressure). 3. Does or will ihe applicant or present or future building occupant need to prepare an RMPP (Risk Management antl Prevention Program lor acutely hazardous materials)? ❑ Yes ❑ No (Seclion 25534 of the Cali(ornia Health and Safety Code provides lhal the Costa Mesa Fire Department may require the preparation, certification and filing with lhe Fire Department of an RMPP by bu5inesses which are required to register awtely hazardous malerials with the Fire Department. 4. If an RMPP is presenUy required, has Section 25534 of the Cali(omia Health and Salety Code been fully complietl with? ❑ Yes ❑ No 5. Does or will the applicant or present or future builtling occupant require for the work which is the subject of this appliwtion a permit for such construction or motlifcation (rom the South Coast Air Ouality Managemenl District or from any other air polWtion conlrol dislrict or agency? ❑ Yes ❑ No (Section 658502 ot the Califomia Govemment Code requires that Ihe requested in�ortnation be fumished on applications for rron-residential building permits). 6. Will any part of the faciliry lo be constmcletl untler this permit be within 1000 feet from the outer boundaries o( a school7 ❑ Yes ❑ No Qf "yes". [he facili[y must meel Ihe requirement of Sections 25534 and 42303 o( the California Health and Satety Code�. 7. I( a permit from the South Coast Air Quality Management Dislncl or other air pollution control disMct or agency is required for the vrork which is the subject of this application, have all of the disclosures prescribed by Calitomia Health and Safety Cotle Section 42303 been made7 � Ves ❑ No 8. pf yes", attach cerlificate of compliance (rom the appropriate air polWtion control oKcer). � . CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the infortnation given above is correct. I agree to comply with all state laws and city ortlinances regarding Haiartlous Materials and Emissions. SgnaWre Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this applicalion and s�ate that the information given is cortect. I agree to comply with all state laws antl city ordinances relating lo building construction, antl authorize representalives of the Ciry of Costa Mesa to enter upon the above-tlescribed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by lhis permil until final inspection. 5��_� �jie(6� � And/O/Aul�Onz¢OAOPIiWnI Date Job Address: 450 ENCLAVE CI Status: ISSUED Suite: Y Applied: 05/21/2007 Vicinity: Issued: 05/24/2007 Primary Occ: U Type of Conslruction: V-N Parcel Number: TPN007089 Zoning: ' . � Applicant: �JERRY CROSBY Address: 8 EXECUTIVE CIRCLE � _ Phone: 714-557-0244 IRVWE, CA - � - _ _ _`Zip::.+ 92614 - ISSUED BY: � .��j- �.' _ _ , .__ -- _. - > Owner. THEIRVWE'CO '� ; ,� S ' � �\ Address 170 INNOVATION � -" � 5 , � , �� i , � �� , �� / ... � . . � ' �.. � i Phone. 949-720-5536 ,. � �� IRVINE CA�-� � .� j � � . Zip:_ 92612�� ,�%. ` � ��'i/i --;_.� _,.��__ ��. � c Contractor� /WESTERN�NATIONAL:CONTRACTORS �� ! �i �� Address: �'8 EXECUTIVE CIRCCE,' -� � ' -� - � / � �� - � � �. � �/ci/'� PhOne: 714-557-0244 `�� , �,� �\:� r� �.� �IRVINE; CA� � �� i '� �> � 2ip.' 92614� %�j� License: 840973 �� ,� _� � i , ' i ��/ i.%; _ A� � V / V �\: . � Arch :, Address: � . Zip: 1 � -_ Phone: • , ' _ �, ^L�� -�icense: �� • . Eng: Address: \' �. � " ;� �. �'�� ',A` ( i `Bhone: �' � `, �> '. � � ., � . i "�:� � �, ' �� „� � '�Licenset �- ' " �i. , , - � - � � j � ' � �. �� , -'� SCOPE OF PERMIT ;=i,'',' \i=, ,� � � � � ' PHASE II, ENCLAVE APARTMENT HOMES � �� ;, � �� . `.. �. � , � �; � � ��`� CONSTRUCT A 743 S.F. DETACHED, 3 CAR GARAGE. _ _ _ � � � � � � � � - - -�,,. - ._ - . - - . � . � � �� slr,: �FEE.SUMMARY...,. _�: ��_`: � , � Plan Check: $108.02 "-- _ Calc Valuation: i \ 8e2;oio.00 Permit $664.75 � - Claim Valuation: ! � � ' ; S5z,oio.00 f � SMIP Res: $5.20 � � ��'� _ � ,- �� ' SMIPCom: $0.00 --_ _.__--� �� \` --� -G_ ;` , , , Ottier: , $0.00 � Inspection: $0.00 � Total:�� $777.97 .. . . _; // / r' /J -�- . �..' %�� ,�-? '?' �„ /�� „�.� '/� / %"i _ i � i ,� C � � � ' � � � ��PLANNING & ZONING /�� SETBACKS � �' . � f � � '� � � � � �_ . > ' �, t . < i� � - ' % .._ . . ' � � � „a x_ , �;v-. /i MAIN STRUCTURE Front 0-.0„� � �Rear 0 0 �� Left 0- 0 , � Right !j0- 0 � � � �/ �// \, � � <,;, � / � - �� . �; ; r�-� � �i/ ACCESSORY � Front ,0-,0 '' �� -Rear 0 0� , Lef�� 0 0 , ; Right ' 0= 0'�j � �� / � � '� � i ��/�� 0 � . � ,_' .j� % � C�� V C/��, PARKING �- Existina � 0 �. Reawred� Oc.�- ��,Pr000sed ' o �i� ��, '� i V A' �� r r ,� ti _ - —_`._ - �` ��./; " / �i / Ii � '\ ��. /�ir - .-_ - -� ,�j� � � . � ' � i � � / - -� C � . � � __ �. r, ' '.. � ��.� 1 /; , i � ��i 1 �_ �', - � �. � � �� % /-(/� -V�';= � A..�:..,��.I� �... • • " --�/:� / _� ' V -,�r._ '- " � /ic �V - ..ir^j„ - _ - -..-1�� ' ' . NOTICE: The work authorized by this permil shall comply with all applicable handicap access requirements under Califomia statutes and related regula�ions. (Ord. No. 92-28, § 1, 12•21-92) . EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. // INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes;�and all requlred Inspectlona entl final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of tl�is permit. FOR INSPECTIONS CALL: (7/4) 7545628 U zaaasscaroo� WORKEHS'COMPENSAnON DECLAflAnON: I hereby eXirm untler,penelry of perjury one oi the following declarations: ❑ I heve end will melntaln e ce�iticate of consent ro setl-Insure for workers' compensation, es provitled lor by sectlon 3700 af the Lebor Code, for t�e pedortnance of the �..w�for which this permii i5 iuuetl. qw,�r I heve entl will malntaln workers' compensetion insurance s requiretl by sectlon 3700 ot the Lebor Code, for the pertortnance of the work for which thls permlt is issued. �O My workers' mpe satlan In urence carner�a�w icy ber are: cama�:�- %r�..7� �,�.T.�.�� ea�yN�mo�: %✓.L?,�6�Oli�i570DL6 �s secNon need nof be complefe i fhe permit is valuetl at ane hundred dollars ($100) or less.) ❑ I certify that in the pertortnence ot the work for which this pertnil is issueq I ahell not employ eny peraon In any manner so es to become subject to Ihe workers' compensetlon lews oi Celifomia, en� gree t if I should 6ecome subjecl lo ihe workere' compensetion provislons at Sectlyyyn 37 0l ihe Lebor Cotle, I shall lorthwlth wmplywiththe provisians. ,// /�7 Appilwnt'Slgneture:�e Dete:d� S�/ ��6 WARNINO: FAILURE T S RE WORN S' �MPENSATI iN COVERAGE IS UNIAWFUL AND SW1LL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND pVIL FlNES UP TOONE HUNDRED TTIOUSANDOOLURE ,000),IN IIXJTOTHE OFCOMPENSATIIXJ,DAMAGESASPROVIDEDFORINSECilON3)OBOFTHELABORCODE,IPREREST,ANDATTORNEI"SFEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm that I em licens� ur�pr,pfpvjqippgyFChapter 9(commennng with Sectlon 7000) at Division 3 oi the Cotle, and my Ilcense is in tull CONS7RUC710N LEN6ING AGENCt! ❑ I hereby atfirtn tha� there is a construclion lending agency for ihe pertortnance of the wark for whicli Uis pertnit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lentlers Address: Signeture: _ OWNEP•BUILDER DECLARATIONS: Date: I hereby aMirtn ihat under penalry ol perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7037.5, Business entl Professions Code: Any ciry or counry which raquires e permit to construct, elter, improve, tlemolish, or repair any structure, prior to its iasuance, also requires the applicant for such permit to lile e signed statement thet ha or s�e Is Ilcensetl Dursuant to the D�ovislons of the Contrectors License Lew (Chepter 9(commencing with Sectlon 7000) of Division 3 of the Business end Prafessions Code) or that he or she is e:empt ihereirom and ihe besls lor ihe alleged exemption. Any violatlon oi Section 7031.5 by any epplicant far e permit subjects the applicant to e civil penelry of not more than five huntlreA tlollers ($500).): ❑ I, es ownar ol Ihe properry, ar my emplayees with wages as their sole compensatlon, WILL DO THE WORK, entl the structure is not intentleC or ottered tor sale (Sec. 7044, Business end Protessions Coda: The Contractors License Law does not apply to an owner ot property who builtls or improves Ihereon, entl who tloes such work himsetl or hersell or Ihmugh his or her awn employees, pmvidetl ihat such improvements ere not intended ar oMered for sale. If, however, the huiltling or improvement is soltl within one year of completion, the owner-builder will heve the burden of proving Ihet he or she did not build or improve for purpose ot sale.). ' ❑ I, es owner of the pmperty, am E%CLUSIVELV CONTAACTNG WITIi LICENSED CONTHACTORS to construct the pmject (Sec. 7044, Business and Protessions Code: The contrecrore License Lew tloes not appy to an owner oi property who Gullds or impmves ihereon, and who contracis for such project with e contreqor(s) license pursuant to the Comrecrore License Laws.). ❑ I am ezempt untler sec. Business antl Protessions Cotle for this reason: Signature: Date: Owner ID venlietl by tlrivers licensa. ❑ Ves ❑ No Drivefs License No. Vedticatlan oi Owners�ip by (type af documem, i.a. - propeM» 6ill or tleetl): OIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Ezpires: ❑ I hereby certify that no excavalion frve (5) or more fee� in tlepih into which e pereon Is requlred to descend, will be made in cannection with work authodzed by �his pertnit, and that na building structure, sceflolding, falsewark, ar demolition or dismantling thereoi, will be more Ihan t�lrry-siz (3fi) icet high. (ChaD� 32, Grp 2, Ar12, Sec. 341, Title 8, Celitomia Atlministrative Cotle). ❑ As owneo-builder, I will noi employ anyone to tlo work which woultl require a permit irom t�e DlWsion of Indusiriel Sefery, as noted abova, unless such person hes a pertnit ta do such wark irom Ihe division. SignaNre: Date: Division ol Indusirial Salety Permit Number: CERTiFlCATE OF COMPLUWCE AND AUfFIORIZATON OF ENTRV: I certity under penelry ot perjury thet I have reatl t�is application and sta�a thet ihe infortnation given is correct. I egree to comply with ell state laws end ciry ortlinances relating �o bullding conslructlon, entl authotlze representatives of Ihe City of Coste Mese to enter upon the ebove-descnbetl property for inspection purposes. I agree not to acupy or ellow occupancy oi any building authorized by t�is permit until final inspection. COUE �. INSiECTONTYPE � PAIE U�55 7616 Fixed System Flnel Fire Prevention 7266 200 201 202 203 Paol SDe Final Finel Re-Rooi Final BIocWRetaining Wall Flnal Factory Fire Place Final Slgn 204 Final Demoliiion •� . . ' OI�• 11' 206 20B 270 212 220 Final MeU�anical . Finel Plumbing Finel Electriwl Finel Fire Prevention Finel Planning Approval Pdg II�LS 222 Finel Site y� T 250 FInelBuiltling/Occupency }yZs �� %� CITY OF COSTA MESA . BI/ILpING DIVISION F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us �. � FOR INSPECTIONS CALL: (714) 754-5626 �m� PERMIT NUMBER. E07-00558 PERMIT TYPE ELEC STATUS: ISSUED - ,DATE ISSUED: 07113/2007 - - ISSUED BY: SOK JOB ADDRESS: 450 Y ENCLAVE CI CM ,'` �'. Suite%Unit:' .,�.;Y Vicinity: .. ' � .. _ . . , .. � i i : •� ,l . _., � .�. SCOPE OF WORK: PHASE II,.ENCCAVE APARTMENT HOMES '� '� `" °?.,_�,�,_c.., , ELECTRICAL INCLUDES: 5 LIGHT FIXTURES!3'OUTLETS, 3 SWITCHES AND 1 SUB PANECFOR 3 CAR GARAGES. REF.: BW-00694 � � � y� ; ! OWNER: THEIRVINECO� .�i'�� , � ,_ �-Address: 1101NNOVATION�Unit: PHONE: 949-720-5536� - . . - - . • City/State/Zip: IRVINE, CA � �, APPLICANT: PEGGY BLOCK � `- Address: 8 EXECUTIVE CIRCLE Unit: PHONE: 714-557-0366 ' � . . - � - City/State/zZip: IRVINE, CA , � .- .,.... . . . ,. . � , , , CONTRACTOR: WESTERN NATIONAL CONTR,4CTORS� .� •" -" License No. 840973 - ' Address: 8 EXECUTIVE CIRCLEUnit � �� - -�� • � � � PHONE: 714-557-0244 ' City/State: � IRVINE,;CA `' '� ZipCode,_92614'�; .,_ - - _ � �., , ..,CELL: ;' - � '._'__-_`�., _ _ _ .:; _" ., . i.. : ;. ._ _.. . - - .� . � . , . ' . . _ _' _ ... . . � , . .,G;' -- . �: � �� . � . _ _ ' . � , ELECTRICAL PERMIT FEE$, � � - '" ` " ` Electrical Plan Check Fee: $0.00 , . Electrical Permit Fee: �.566.10_ �#,`�4 _ - " +• . �: � Reinspection Fee � _ $0:00 ` - • �. TOTAL FEES � � � � $66:1U,� _ � "� , �' - � . ,« �� . _ , ._. -. ; NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali(omia statutes and related regula6ons. (Ord. No. 92-28, § 1, 12-21•92) EXPIRATION: PERMIT EXPIRES t80 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permil to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obfain inspections and final approval will result in the expiretlon of this permit. COpEt, INSPECTIONTYPE }1�yF IN1fM fADEt INSPECTIONME Q�/jE IN717IAL5 1818 Fixed System Final Fire Preven6on 208 Final Mechanical t268 Pool Spa Final � 208 Final Plumbing �/,,�.� 200 Final RaRoot ' 210 Final Elecirical l�/ 1 � 20t Final Blak/Retaining Wall 2t2 Final Fire Prevention 202 Final Factory Fire Place ' 220 - Final Planninq Approval 203 Final SiBn 222 Final Site 204 Final Dertrolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: 1 hereby affirm under penalty of peryury one of the ton..rving tleclarations: ❑ I have and will mainlain a certificate of consent to sel(-Insure.focworkers'• compensalion, as provided for by section 3700 of the Labor Code, for the peAormance of the work for which Ihis permit is issued. ' i I have and will maintain woAcers' compensation insu2nce, as required by ectbn 3700 0( tha Labor Code, fa Ihe pertortnance ot Ihe aork Iw which this permit is issued. My workers' compensation Insurance wrrier and policy Ca neerarG.� �� u�a� (Thksiiunneetl�ro�tG�e+ pefe,alLlnepe.rrrisreq.etlalaAren,�un�0ie/tltlolars(f�a0lvkv) Policy Number. 1h�1.� 4'fC�l�l�j4- ��U(JL1� ❑ I certify lhat in the perlortnance o( Ihe work for which this permil is issued, I shall not employ any person in any manner so as to become subject lo the workers' compensation lavrs of Califomia, and agree that il 1 should become suDject lo Ihe workers' compensation provisions of Section 3700 0l ihe Labor C I sh II forth th wmply with these provisio s. �u�. ��blo� � . Apd��nPs SignaNre � Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDf1lON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF 7HE LABOR CODE. INfEREST, AND ATfORNEY'S FEES. IICENSED CONTRACTORS DECLARATION: I hereby affrtn t�at 1 am licensed under provisions of Chapter 9(commencing with Seclion 7000) of Division 3 of Ne Business and Professions CoCe. and my license is pin- f�u5ll lorc/e� and eHecl. �ic.# C�`-r�`i�� Classtt� �� '7�1�6 0'7 � GanVaCor's5i8^aWre i Daie CONSTRUCTION LENDING AGENCY: ❑ I hereby affvm Ihat there is a constmction lending agency fa the peAwmance of the nork lor wfiich tNs pertnit is issuetl. (Sec. 3097. Civil Code). Lender's Name: Lentler's Address: OWNER-BUILDER DECLARATIONS: I hereby aKrtn Ihal untler penaly of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW lor Ihe folbwing rea5on (SeC. 7031.5. Business and Professions Cotle: Any ciry or wunry which requires a permit to wnslruct, alter, improve, tlemolish, or repair any swcwre, prior to its issuance, also requires the appliwnt for such permit to file a signed stalement lhal he or she is licensetl pursuant to the provisions ol lha Contrectors License Law (Chapter 9(wmmencing with Section 7000) o( Oivision 3 0l the Business antl Pro(essions Code) or that he or she is exempt therelrom and Ihe basis (or the alleged esemption. Any violalion o( Section 7031.5 by any applicant for a permit subjects the appliwN to a civil penalty o( not more than five huntlrea tloliars ($500).): ❑ I, as ovmer o( the property, or my employees with v2ges as their sole compensalion, WILL DO THE WORK, antl lhe slruclure is not intendetl or oftered tor sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner ol property who builds or improves lhereon, and who dces such work himself or hersell or lhrough his or her ovm employees. provided thal suc�'improvements are not intended or offared for sale. If, however, the builtling or improvement is sold wilhin one year of completion, the ovmer-builder will have tha burden of provinq that he or sha did nol build or improve for purpose of sale.). � ❑ I, as owner of the property, am EJ(CLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to wnsWct the project (Sx. 7044, Business and Professions Cotle: The cont2ctors License Law dces not apply to an ovmer of property who builtls or improves ihereon, and who contracts for such project with a cmtractor(s) license pursuant to the Cont2ctors License LavS.). ❑ I am exempt under sec. Business antl Professions Code (or this reason: ]05146 (3I01) Owner ID� verifed by drivi nse. ❑ Yes ❑ No Dnver's License No. Expires: Verification of Ovmership by (rype of Gocument, i.e. - property tax bilbor tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cedily Ihat no ezcavation frve (5) or mae fcet in depth into v.fiich a person is required to descend, will be made in conneclion vrith wwk auNor¢ed by this permil, and that no building sWcture, scafldding, (alsework, a demolition or tlismanlling thereof, will 6e more than Ihi�y-six (36) leel high. (Chap. 3.2, Grp 2. Art 2. Sec. 341, Title 8, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do v.ork which woultl require a permit Irom the Division o( Intluslrial Sa(ery, as noted above, unless such person has a permit to do suc� work (rom the tlivision. Applicanfs Slgnalure Date Division of Industnal Safety Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future builtling occupant need lo file and cerlify a Business Plan lor emergency response to release or threatenetl releasa of a hazardous material? ❑ Yes � No (Section 25505 of the Cali(omia Heallh antl Safety Code requires, with some exceptions, that a Business Plan be filed v+ith lhe Costa Mesa Fire �epartment by every business which has at any one time during a reported year a quantity of hazardous materials equal lo or greater than a weight of 500 pounds, or a volume of 55 gallons. or 200 cubic teet of wmpresseC gas at standartl temperature anC pressure�. 2. Dces or will ihe applicant or present or luture building occupant need to file a registration form for acutely hazarclous materials7 ❑ Yes ❑ No (Section 25533 of Ihe Califomia Heallh and Salery Catle, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which a1 any one time has on hand a quaniity of acutely hazartlous matenals equal to or greater than a weight of 500 pounds, ar a volume ol 55 gallons, or 200 cubic feet of wmpressed qas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Managemenl antl Prevention Pfogram (or atutety hazardous materials)? ❑ Yes ❑ No (Section 25534 0( ihe Califomia Health and Safery Code provides that Ihe Costa Mesa Fire Department may require the prepa2tion, certification anC lling with ihe Fire Department of an RMPP by businesses which are required to register awtely hazardous materials with the Fire Depariment. 4. II an RMPP is presently requiretl, has Section 25534 of the Califomia Health and Safety Code been fully complied with7 ❑ Yes ❑ No 5. Does or will Ihe applicant or present or future builtling occupant require tor the work which is the subject of Ihis application a permit for such conswction or motlification from the South Coast Air Quality ManagemeM Distritt or from any other air pollution control dislrict or agency7 � Yes ❑ No (Section 658502 of the Califomia Gwemment Cotle requires that tha requested inlormation be fumishatl on applicafions (or rao-resitlential buiitlirg pertnits). 6. Will any part o( the facility to be consiructetl under this permit be within 1000 (eel Irom the outer bounGanes ol a sc�ool? ❑ Ves ❑ No pf yes", the facilily musl meet the requirement ot Sections 25534 antl 42303 of Ihe Calilornia Health and Safety Code). 7. If a permit Irom the South Coast Air Quality Management DisMct or olher air pollution control tlistricl or agency is required for the work v+hich is the subject ol this application, have all ol the disclosures prescnbed by Calitomia Health and Safety Cotle Section 42303 been matlel ❑ Yes ❑ No, 8. (If'yes", attach certificate of compliance from the appropriate air poHution control officer). , CER7IFICA7E OF COMPLIANCE: I certify that untler penally of perjury the intormation given above is wnecL I a9ree to comply with all stata laws and cily ordinances regarding Hazartlous Materials and Emissions. Date CER7IFICA7E OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certi�y under penalty of perjury thal I have read this application and state that the information qiven is correcL I agree to comply with all state laws and city ortlinances relating to builtling construction, antl auNorize representatives of the City of Costa Mesa to enter upon the above-described property tor inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by Ihis permit until Mal inspection. � Si8^��u,��'allOvmeqs) a � Da�e � �J ��16 � ' AnClorAu�M1onz¢tlA001iWn1 � Ddl¢ I JobAddress: 450 ENCLAVECI Suite: A Vitinity: � Primary Occ: U Parce� Number: TPN007082 Applicane JERRY CROSBY Adtlress: 8 EXECUTIVE CIRCLE Type o( Construaion: V-N Zoning: StaWs: ISSUED Applied: 05127/2007 Issued: OS/24R007 Phone: 714-557-0244 IRVINE, CA "" „��-' 2ip; :.92614' -_ ISSUED BY: -�' !/G�-. -- " .'_�,_�' ` ` > ,,� Owner THE IRVINE C09 i,= "`�r—�� '• � 1��/ "�,��,_ /'�, �.� Address 170 INNOVATION �� 1 � "� � j , � � �� . �,�� , , . � � � � � �. ' � Phone:� '949-720-5536� ^��'�.:��-, IRVINE CA ,. � � � -� -_ Zip 92612' r� , �� \� Contractor i WESTERN NATIONAL.CONTRACTORS ` ` `` � \ � \ \ � \\� � . � � � .� � � ��; / �� Address ' �8 EXECUTIVE CIRCLE �'�� \ � � /��'� / i� � � � � , ^.� �AV' � ;%� . . i -. � � /,"�� Phone: 714-557-0244 ��o . , _ _ / � \� � i, � � IRVINE,CA J� � �� / \�:\\ �'� "�� Zip: 9261 %'/ f� � icense: 840973 \\\\\ /�\ \�� Address: � , '� � '= . ,� - . �� . , ,',� � 7 Eng: s Address: ,.� Phone: � _ � - ' o,o ` .� i L _License.. 7�' `' � ", -�. � �, ., " -'- - � _ . ��., . � .� ; .. ., � � . ' " -.��` , _ ', � _ �',� �. �� Phone:, � ' ,�� . � � _ � . _ � . ,. _ �. ' license.�� l � ,-� �_ .�� . , , �'�'� � � � SCOPE OF PERMIT � _ �'��'�� '�� .. . ' i. _ >. PHASE II, ENCLAVE APARTMENT HOMES � � /� � \ . � � '� \i � ` � ' � � A/ : � �� ",' � �. � i.. CONSTRUCT A 743�S.F. DETACHED, 3 CAR GARAGE._ � __ _ __ _ _ _ _ _ : __ , _ _ � �, �, � �, � � � - , / . . i;i. r� �.,.i�;-'T' i - : -vn-v�� ' Plan Check: , Permit: ��, ��. SMIP Res: �� SMIP Com: ' Other. . ��Inspection: �� `� TotaL•� �108.02 $664.75 $5.20 $0.00 $0.00 $0.00 $777.97 _ � ' �V,-I'FEESUMMARY...'``.;. �:=; � � " . \ � � ' - � � � Celc Valuation , � � ssz;oio.00 i � a� ,�� Claim Valuation i �� . iS5z,0io:oo � �✓ .. �,�'�., fr-- .-z,f"� vL - �,I r,! i / „ I ----� -- ' � f�� i�d �• , 1 _ � . . . _ . _� . . _�" �'�'---_.� i. `�Y� r i �r � ,ll �'`-=1 i�r � � �- JT, �/�� '��% i ,, >� �: _ � 't: � � � � � T%vPLANNING & ZONING �/� � , f . ;, SETBACKS `� � -, . � _ � ,� ,t� z. .z�.v::.ti _i ii,�/� � �� - �r / MAINSTRUCTURE Front 0-0.0� ��'"��'�Rear 0 0' -`"Ceft` 0 0� �� v- Right %0 0 `� '�� /�� " _ . . .v' ,-, „-%��1 �i/ � ii ACCESSORY . Front 0- 0 � � �� Rea 0 0 � c �LefL� 0 0 .� � , Riqht%j � '��, �� \ J PARKING \ �Exislina i�j0 �� Required ��OC>��Praposed�� /��0\�/,%!�� \. �� ; i � / i '� � \ �\ � _ _ _ - _ _ _..--�' � �� /`� � �� \ � � i � ��'V '��1��,�� j/,..Ar -�i �� S�� 1:' j /� � i �� "i � � � S i i i � � - ' ) ', � -�� % /j %� � \`�\�� ,`�-/1..�/.:� '�, '�J —'',.�/1'i'� \ _��C7. ��. ,--.��7! � J / 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 1241-92) EXPIRATION: This permit shali automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned � for a p0riod Of 180 day5. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable c es, and all I required inapeetlona and final epp�oval must be obtained. Fallure to obtain inspections and final approval will result in the expiration of,�i� permit. V FOR INSPECTIONS CALL: (714) 7545626 2aae-ee leroa) . WORKERS' COMPENSATION DECLARATION: ' I �eraby ettirm under penalty of perjury one of the tollowing tledarations: ❑ I heve entl wlll maiNain e certilkate of consent to sell-Insura tor warkers' compensatlon, es proviAed for by sectlon 3700 of �he Lebor Code, tor Ihe pertormance of the work for which this permit Is issued. wlll es requ� by sectim 3700 of the Lebor Catle, tor the pertortnance of ate �PoIICy.Numbei: � or less.) ❑ 1 cenily that in the pertortnence of the work far which this permit Is issuetl, I shell not employ eny person in eny manner so es to become sub�ect to ihe workers' compensatlon laws ol Celllomla, d egre iat ii I shoultl Decome sub�ect to Ihe workera' compensetlon prodsions of Sectlon 3700 oi iha LeDor COEe, I shall lotlhwlth complywit�the roNsions. r/36 / � ApPllcanP3lpnelure::'- ' ' Date:_ S �(� yg., ,;.� � .., —7 WNflNINO: FAIWRE T SE RE WOij� RS' COMPENS ON OOVEMGE IS UNLAWFUL AND SHALL SUBIECT AN EMPl01'ER 70 CiiIMIlY1L PENALTIES AND CML FlNES UP TO IXJE HUNDRED TIIOUSrW D DOLURE ( ,000). IN A[1 RqN TO TNE C OF COMPENSl�TION, DPMA�ES AS PROVIDED WR IN SEGTION 3]OB OF THE IABOR CODE, IMEREST, M1D ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm that I em Ilc e tl r r vIs10 s ol C�apter 9(commendng with Sectlon 7000) ot Divislon 3,W:Ihe�Business a Pmfessions Code, end my license Is In tull ��..• �.. torce�eno�enett,Ucrx-- — - '�ae3s-k—�--'�J � Corlt�uor'a��6;- - —' �o:�--�Y� �� CONSTRUCTION LENDING AGENCV: ❑ I hereby eNirtn that there Is e construnion lendinp egency br Ne pertormence ol l�e work tor whic� thls permit is issuetl. (Sec. 3097, Cidl CoOe). Landera Neme: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: . I hereby ettirm thet unAer penelry ot per�ury Ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for I�e following reason (Sec. 7031.5, Business end Professions CoCe: Any ciry or counry which requires e permit to wnstruct, elter, improve, tlemolis�, or repalr any structuro, D�a< <o its issuanrs, elso requires the epplicent tor such pertnit ro file e signed stetement thet he or she is Iicensetl pursuant to lhe provisions at the Cantrectors License Lew (Chepter 9(cammendng with Sectfon 7000) at DNision 3 of [he Bu5ine55 entl Pmtesslons Code) or Ihat he or she Is exempt Iherefrom end ihe haSU for the elleped eaemptlon. Any vidatlon of Section 7031.5 by eny applicant for e pertnit sub�ects the epplicam lo a Gvil penalry of not more Ihan frve hunAretl tldlars (5500).): ❑ I, as owner ol the property, or my employees wIN weges as their sde compensetion, WILL DO THE WORK, end tha sWcture is not Intemled or oflereO for sele (Sec. 7040, Business and Pmtessions Coda: The Coniractors Lkense Lew tloes not appty to an owner of property who builds or Impmves thereon, and who does such work himsetl or hersell or through his or her own employees, pmvitletl Uat suU improvements are not intentletl or oHareO for sela. tl, however, the building or imprwement is soltl within one year of completion, Ihe owner-builder will heve the burden of Droving �hat he or she did not build or improve lor purpose of sele.). ' ❑ 1, es owner ol Ihe pmperty, em E%CIUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct t�e project (Sec. 7044, Business end Pmfessions Code: The wniractors Ucense Lew does nm appry m an ownar oi properry w�o builds or Improves thereon, and who conirec�s br such pra�ect wlth e wntradoqs) license pursuant to t�e ConireIXors License Laws.). ❑ I am exempt under sec. Signature: Owner ID veritied by drivefs license. ❑ Yes ❑ No Business and Prolessions Code tor this reason: Veriticeilon at Ownership by (type of document, I.e. - property ta< bN or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: Drivers License No. DBiB: Eapir05: ❑ I �ereby certify that no excavetion INe (S) or more teet in tlepth Inta whlch e parson Is requlred lo descend, wlll be mede In connection wlth work euthorized by this permil, and Uat no building 9iructure, scaflolding, telsework, or tlemolitlon or Eismantling thereof, will De more Ihen thirty-six (38) teel high. (C�ap. 32, Grp 2. Art 2, Sec. 341, Title B, Calilomia Adminisiretive Cotle). ❑ As owner-bullder, I will not employ enyone lo do work whicli woulO reQuire e permit irom Ihe Divislan ol Industriel Selety, es noted eDove, unless wch person has e permlt to tlo such work trwn Ihe d'Msion. . SlgnaNre: Oate: Division ot Industriat Sefery Pertnit Num6er. ICERTIFlCATE OF COMPLJANCE AND AUTNOR¢A710N OF ENTRV: I certity unOer penelty ol perjury that I have read this ep0lication end state that Ne information gNen is I conect I egree to comply with all siete lews erM dry ardinances relatlng Io bullding constructlon, entl euthodze representetives af the Ciry of Costa Mese to enter upon Ihe above-descnbetl D�operry tor inspectlon purposes. I egroe not lo occupy or ellow accupancy ol eny building authonzed by thls Dermit until tinel inspectlon. cooe �. ixsvernoxme 1616 Fl:etl System Finel Flre Prevention 1268 Pool Spe Final 200 Final Re-Roo1 201 FInaI BIocWRetalning Well 202 203 204 Final Fectory Fire Place Finel Sign Final Demolitlon PA1E It�64 COOE� INSPECTONTYFE 206 Final Mec�enical 208 Finel Plumbing 210 Finel Electrical 212 Finel Flre Preventlon 220 Final Plenning Approvel 222 Finel Site 250 Final Bullding/Occupancy � �LL F7� ��. •�Y�. CITY OF COSTA MESA BUILpING DIVIS/ON 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMiT NUMBER " E07-00552 PERMIT TYPE ELEC STATUS: ISSUED DATE ISSUED: 0 711 312 0 0 7 - - _ - - - 9SSUED BY: SOK r -. JOB ADDRESS: 450 A ENCLAVE CI CM �' . SuitelUnit: ,�,_ A vicinity: � � � � � . ' ' � �� "�',-. SCOPE OF WORK: PHASE II,,ENCCAVE APARTMENT HOMES ^+'� �� \� '�t'.'' ELECTRICAL INCLUDES: 5 UGHT EIXTURES,�3.OUTLETS, 3 SWITCHES AND 1 SUB PANEL'FOR 3CAR�GARAGES. REF.: 807-00688 ��. :�I'� :T � �� • �. _ � . . . ,- .:'_' ,. � . . ',x-�,. .' OWNER: THE IRVWE CO � , � ' ;J'.•"^ � � � � Address: 110 INNOVATION �' Unit: . ' PHONE: 949-720-5536 � � . � � � .'. � � , , , _', CitylState/Zip: � � IRVINE, CA � , . � .. , . . . - _ �. . . APPLICANT: PEGGY BLOCK �' � Address: 8 EXECUTIVE CIRCLE Unit: PHONE: 714-557-0366 ' , ` - . City/State/zZip: IRVINE, CA ,� CONTRACTOR: WESTERN NATIONAL CONTRACTORS'.' �' � ..''.License No. 840973� ' Address: 8 EXECUTIVE CIRCLEUniC -� � � � � - " � �" PHONE: 714-557-0244 .� � CitylState: IRVINE�CA . . = ZipCode: 92614� � � _- -- -_ ; �� ; CELL: - - � , _ . � -- . . . . � . . "1, � - - , ELECTRICAL PERMIT EEES - , ' Electrical Plan Check Fee �`: . �0.00 - - .. � Electrical Permit Fee: � � �'S66.10., • . _ ' ReinspectionFee -%> $0.00 r •, , , - TOTAL FEES � � $66:10 ' > - � '�� ,, �..._.--- . , ,� _ _ �� . NOTICE: The work authorized by this permit shall comply with all applicable handiwp access requirements under Califomia statutes and related regulations. (Ortl. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the vrork authorized under this permil to be considered legal, such work musl comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit. CODE1. INSPEC710NT9E �T, IN �[ INSPEC7IONTYPE Q/yLF IN7I71AL5 1676 Fixed System Final Fire Prevention 208 Final Mechanital 1266 Pool Spa Final � 208 Final Plumbing 200 Final Re-Rool 2t0 Final Electncal Ztl ti�Y �/ /� 201 202 203 Final Block/Reiaining Wall Final Factory Pire Place Final Sign 204 Final Demolition 212 Final Fire Prevention 220 Final Planning Approval 222 250 Final Site Final Building/Occupancy WORKERS' COMPENSA710N DECLARATION: I hereby aKrm under penalty of perjury one of Ne io��w+ing Ceclarations: � ❑ I have and will maintain a certificate of consent lo self=lnsura for wvrkers' compensation, as provided for by section 3700 of lhe Labor Code. for the peAormance of the v.ndc4or which this permit is issued. /� I have and will mainlain �.orkers' compensatbn insu2�e, as required by ' sectron 3700 of the Labor Code, for Ihe peAwmance ot tha �+ork for wfiich this permit is issued. My vrorkers' wmpensation Insurance carner and policy number .ye: �� u� a � (Carrier. � (TlirsseCimnee�J�nd�/E+er��defe0/dthepLemb!,is�v—ah2dalme�vr3edddars(SIOOIOrIefi5.1 (Policy Number: 1.1J1�4�o l��V �t= �� ❑ I certify Ihat in the peAormance of tha work (or which this permit is issued, I shall not employ any person in any manner so as to become subject to Ihe workers' wmpensation laws of Califomia, and agree thal il I should become subject to the workers' wmpensation provisions of Seclion 3700 of �the Labor e, I all foAhwith comply with these provision . .c�'�L `�� b �0�7 � /ovliwnfsSiqnawre � Oale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAf2S ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND A7TORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby atfrtn that 1 am licensed unEer provisions ol C�apter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force antl eHect. ^11�—� r Lic. # � � Q� � \ Class # 1J (-��j % lb b7 � Contranor's5ignaWre / Wte i� , CONSTRUCTION LENDING AGENCY: ❑ I hereby affcm that there is a constmction lending a9ency for the perfortnance of the xoAc for wfiich this permit 5 asued. (Sec. 3097, Civil Code�. Lender s Name: Lentlers Address: SignaWre ��e OWNER•BUILDER DECLARATIONS: I hereDy affirm Ihat under penally of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor t�e following reason (Sec. 7031.5, Business and Pmfessions Code: Any city or counry which requires a permit to construct, aller, improve, tlemolish, or repair any slructure, prior lo its issuance, also requires Ihe applicant (or such permit to fle a signetl statement Ihat he or she is licensed pursuant to the provisions of the Conhactors License Law (Chapter 9(commencing with Section 7000) of Division 3 0( tha Business and Professions Code) or that he or she is exempt lharefmm and the basis for the alleged exemplion. Any violation of Section 7031.5 by any applicant for a permit subjects Ihe applicant to a civil penalry of not more than fve hundred dollars ($500).�: ❑ I, as owner of lhe property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the structure is not imended or oflereU for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tices not apply to an owner o( proDerty who builds or improves Ihereon. antl who dces such work himself or �ersel( ar Ihrough �is or her awn employees, providetl that such improvements are not intended or oHered lor sale. II, however, the building or improvement is sold within ona year of completion, the owner-builder vrill have the burden o1 proving that he or she ditl not build or improve for purpose of sale.). ❑• I, as owner ol ihe property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to construct lhe projecl (Sec. 7604, Business and Professbns Code: The conUactors License Law dces rwt apply to an ovmer of propeAy who builds a improves thereon, and wfio contracts Iw such prqect with a contracta(s) license pursuant m the Contractors License Wws.�. ❑ I am eaempt under sec. Business and Professions Code for this reason: Signamre , , Dale l05]�d6�]I01� Ovmer ID verifietl by driv� nse. ❑ Yes ❑ No Oriver's License No. Expires: Verifcation of Ovmership by (type o! documen�, i.e. - properly tax bill or deetl): . DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation fine (5) w mora feet m Oepth into v.fiich a person is required to descend, will be made in tonnection with �wrk authorizetl by ihis pertnil, and that no builtling slmclure, sc�fdding, falscw�wk, a CemWition or dismantling lhereof, will be more than thirty-s& (36) feet �igh. (Chap. 3.2, Grp 2, iVI 2, $2L. ��, TII�Q $, �.2�I�Ofllld %1dffI1f1151f2W2 COdB�. ❑ As owner-builder, I will not employ anyone to do work wliich would require a permit from the Division of InOustrial Salety, as noted above, unless such person has a permit to do such work from the divi5ion. ApplifanCs 518^nWre Daie Division of Industrial Safety Permit Numbec HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicanl or present or (uture building occupant need to fle and cehify a Business Plan for emergency respOn58 lo relea5e or threatened release of a hazardous material7 ❑ Yes ❑ No (Section 25505 of the Calilomia Health and Safety Code requires, with some exceptions, thal a Business Plan be filed with lhe Costa Mesa Fire Department by every business which has at any one time tluring a reportetl year a quantiry of hazartlous matenals equal to or greater t�an a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas al standard tempera�ure and pressure). 2. Does or will the applicant or present or future building accupant neetl to file a registration form for acutely hazardous matenals7 ❑ Yes � No (Section 25533 of the Califomia HeaIN anC Safery Code. wilh some exceptions, requires registration with the Costa Mesa Fire Department by each busines5 which at any one time ha5 on hand a quanlity of acutely hazardous matenals equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of wmpressed gas at sUntlard temperature and pressure). 3. Does or will the appliwnt or present or future building occupant need to prepare an RMPP (Risk Managemen[ antl Preventlon Program for awtety hazardous materials)? ❑ Yes ❑ No (Section 25534 of ihe Califomia Health antl Safery CoCe proviAes that Ihe Costa Mesa Fire Department may require lhe preparatiDn, tertifitation and filing with ihe Fire Department o( an RMPP by businesses which are requiretl lo register acutely hazardous materials with the Fire Department. 4. I! an RMPP is presently required, has Seclion 25534 of the CalifOmia HeaIN antl Sa(ety Coda been fully complietl with7 ❑ Yes ❑ No 5. Does or will the applican[ or present or fuNre builtling octupant require for the vrork which is the subject of this application a pertnit (or suc� construclion or motlifcation from ihe South Coasl Air Quality Management Distric� or from any olher air polWtion control dislnct or agency? ❑ Ves ❑ No (Sectbn 65850.2 of ihe Califomia Govemment Code requires Ihat the requesletl infortnatbn be fumis�e0 on applications for ran-residential builtling permits). 6. Will any part of Ihe faciliry to be conslructe0 untler Ihis permit be within 1000 (eet from the outer boundaries of a school? ❑ Yes ❑ No (II yes', the facilily must meet me requirement of Sections 25534 and 42303 o( Ihe California Health and Safety CoOe). 7. I( a pertnit from the Soulh Coast Air Quality Management Districl or olher air pollWion control district or agency is requireA for Ne work wliich is Ihe subject ol this application, have all of the disclosures prescribed Dy Califomia Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No, 8. (II yes", attach certificate o1 compliance from Ne appropriate air pollution wntrol oKcer). . CERTIFICATE OF COMPLIANCE: I certify lhat undar Denalry of perjury Ihe informalion given above is cortect. I agree to comply with all state laws anC city ortlinances regarding Hazardous Materials and Emissions. � Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalry of perjury that I have read this appliwtion and sWte that the information given is correcl. I agree to comply with all state laws antl city ordinances relating to building construction, antl authorize representatives of the City of Costa Mesa to enter upon lhe above-described property tor inspection purposes. I agree not to occupy or allow occupancy of any Duiltling authonzed by this permit until final inspection. Signat Legal Owner(s) e ' O - �� °�� ,ME/orAut�orizetlAOV�iwn1 / Dale JobAddress: 450 ENCLAVE,CI Suite: B Vicinity: Primary Occ: U Parce� Number: TPN007083 npp�icant: JERRY GROSBY Address: 8 EXECUTIVE CIRCLE 7ype of Construction; V-N Zoning: StaWs: ISSUED Applied: 05/212007 Issued: 05/24/2007 Phone: 714-557-0244 IRVINE, CA - ' ; .� ._f_ �Zip:.- 92614 ---._ ISSUED BY: �%!� -.i-�- - - \ Owner. THE IRVINE CO>, �� -' �� " � � / - � =- �� Address 110 INNOVATION�i � '� � ' , � , � � i ' � ; �� - � � , - � � Phone 949 720-5538 �� -; _� jRV�IN CA.� �� ;` � _ ; _Zip 926121 � � � _'� � �A_� V� .�� V . A�-% "_ � � , ��.'�.�� Contractor.' j'WESTERN.NAT � ., / i i Address:' - j8 EXECUTIVE CIRC /i';! '\ � ,;=��; . � ,,, � � �IRVINE, CAi%� , '.�ZiP> 92614�i:>� roRs � ,��;�� , \ � _.��_ , i �,�� , Phone: 714-557-0244�.:�� j � ��,, �� ( � ��C.� License: 840973 ��,A/ � �� ,r � � A / A �.. A �nrcn : � �; . Eng: �'\�� C�"�: .�> �� -_�' Address: f _ Atldress: . - � _� A;'• �. � , ,-.��. � � " - Phone: ;` � � ��Phone; . , .„ \ � ' ./ . � � '�� .. . �� '. ^� V' • , ' �Zip: _ , i ,- i y -License: . _- . �' .' -_ _ �. � �� i � .Gcense: � ��A' `, . .`"i .. � ��. ! ' � � � � SCOPE OF PERMIT � � ��✓ � ^- ' � �• � PHASE II, ENCLAVE APARTMENT HOMES -� / �. ��,,, \l '� . � i - � ,� � •- " . CONSTRUCT A 743 S.F. DETACHED, 3 CAR GARAGE. _ _ _ _ � � . ' � �- � . - . . - : _- - - . ' , ' � 1 Plan Check: Permit s SMIP Res: SMIP Com: Other: Inspection: Total: 5108.02 $664J5 �� $5.20 50.00 � - a0.00 $0.00 $777.97 ' FEE SUMMARY �; `• .�- _ . , _ - -- CalcValuation: ss2,oto.00, U � Claim Valuation: "% ' � � ss2,oio.00' _ •Cl)�^ �� . _��. `��n•,� �� ' , . J � , - � i - ; �_ . , � ��;-` ,� � ' �� _ �/ � � - � ,�< / � /� , �>'PLANNING & ZONING '�-� ' '�� - ' SETBACKS �' � �- � .' � �� ` � �,�.0 '�_ � 0 ,i - ti..• ' c� :-:...-i/ij/ 1 /,�i� MAIN STRUCTURE Front 0. 0�� Rear 0 0' ' LeN 0 0' �" �' ''Right 0- 0 ��.� �%/ ' - � �'�� ° ' o„,. . �/� /.1 i i ; ACCESSORY Front 0. 0 . - Rear �0 0_ „ ;� LeffN 0- 0 Right;' 0- 0%�, ;, �� . ��A ; �i . � �\ ,' _� ".�i�/ / /� i � � ✓�\ �i PARKING ��Existm % �o � � Redu eC ��0: �� Pi000sed .� 0 � � /�`�/� �� ` ��ii - -- % ��A� � /� � � / � � —�- - - _� \� , � i �' � A�-�� .i /� - � . �f �-. A \:.i i i � ' . - � .i _ � '� C �, /j / _ ' . .- L /,�,� i �\\ _ ,� __/:.i l�),J �- ' � ��/�J,"�ij �� ' `_ �i-._S r. ' '%///i� � 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, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced wlthin 180 days, or if work Is suspended or ebandonetl tor a periad of 180 days. INSPEC710NS: In order for the work aulhorized under this permit to be consldered legal, such vrork must comply with all applicable codes!and ail required Inepecllona and final approval must be obtainetl. Failure to obtein Inspectlons and flnal approval will result in the expiration of this'permit. FOR INSPECTIONS CALL: (714) 7545826 � zaaaae �eroo� WORKERS' COMPENSA710N DECLARATON: ' I hereby etfirtn under penfllry of perjury one ot Ne }dlowirg dederations: ❑ I heve end will maintain e certitirate of consant to selFlnsure for workers' compensatlon, as provided lor by seclion 3700 at the Lehor Coae, tor Ihe pertortnence af ihe ,, work tor which NIs pertnit is issued. workers' one reyuired by section 3700 oi ihe Lebor Cade. tw the peRortnance of the vrork tw xTkh Nis pertnit ia issued. 6er ere: � 1 n s�. / i. n! . 1�.. Ma or less.) ❑ I certify that in t�e peAortnenca of Ihe work �or w�lch Ihis permlt is Issued, I shall not emplay eny person in eny menner so es to become subject to the workers' compensetion laws oi Gelifomia, an gre hei II I 6h0uld hecome sub�ect to Ihe workers' compen50llon proWslons ol Sectlon 3700 of the LObor COAe, � 5�ell forihwlth wmply with those p visians. �/[ a/O7 App_IlcanLSig�.elure:--- D� -��3 �WARNIN(i�FAILURETOSE R WO(L(E COMPEN$A ONCOVEPAOEISUNUWFULrW�SHALLSUBIECTANEMPLOVERTOCRIMI PE TIESANDGVILFlNESUPTOONEHUNDRED THOUSAND DOLLARE (5100. IN ADO TO TNE Cp pF CpMpEN$pTIpN, �PAIAGES AS PROVIDED WR IN SECTION 3%OB OF TNE LABOR CO�E, IMEREST, ANO ATTOfiNEY'S FEES. IICENSED CONTAACTOHS DECLARATON: 1 here eNirm thet 1 em Iice�y�aCg�p�rq r s�q �jot C e ter 9 commend with Sectlon 7000 ot Divlsion 3 0l ihe Business epp Pmfessions Coda, and m Ilcense Is In fu0 Jace•�ect,.Llc..N"'h =C_7U� n3 � a ( �e ) �.N. ►S Y c��uec,orssignaNre.�_ G.4a�e"—,� � c � CONSTRUC710N LENDING AGENCY: ❑ 1 hereby eHirtn t�el Nere is e conswction lendinp epency br the pedortnence ot t�e work Por which Ihis pertnit is issueC. (Sec. 3097, Civil Cotle). LenOer's Name: Signeture: _ OWNER-BUILDER DECLARATIONS: Lendefs Address: Date: I hereby aMirm that under penalry of perjury that I flm E%EMPT FROM THE CON7RAC70RS LICENSE LAW for the lollowing reamn (Sec. 7031.5, Business entl Professions Cotle: Any ciy or wunry which requires e pertnit to rnnstrud, alter, improve, demolish, ar repair any structure, prior to its Issuance, elso requires the epplicent tor such pertnit to file e signed statemem thet he or she is IicensgA pursuant ro t�e provlslons at t�e Cantracrors License Lew (Chapter 9(commencing with Section 7000) of Dlvision 3 at ihe Business entl Professions Code) or ihat he or sha is axempt theretrom end the basis tor the alleged eaamptlon. Any violation ol Secllon 7031.5 by any applicant for e pertni� subjects Ihe epplicent ta e civil penalry ol not morg �hen five hundreA dollars (5500).): - ❑ I, as owner oi the properry, ar my emplqrees with wages as their sole compensation, WILL DO 7ME WORK, end t�e struqure Is not intendetl or oHereE for sale (Sec. 7044, Business end Prolessions Code: 7he Contrflctors LJcense Lew does not apON �o an owner oi properry who builds or improves Ihereon, and who does such work himself or herself or thmugh his or her own employees, proNded ihat such improvements are not intentletl or oHeretl tor sale. It, however, the builtling or imDrovement Is sold within one year ol comDletion, ihe own@o-builtler will heve Ne Ourtlen oi proving that he or she tlitl not builtl or improve for Durpose oi sale.). • ❑ 1, as owner o( the Oroperry, am EXCLUSIVBLY LONTRACTNG WI7T1 LICENSED CONTRACTORS ro construct the project (Sec. 7044, Business anC Professions Code: The contrectors License Lew does not appty Io en owner ot properry who builds or improves thereon, and who conirecis for such pro�ect vrith e contrector(s) license pureuam Io Ihe Contractors License Lews,). ❑ I am exempt under sec. Signature: Owner ID venlied by dAvels Ilcense. ❑ Yes ❑ No Buslness entl Pmfession5 Cotle tor thl5 ree5on: Vedfication of Ownership by (type ot documem, Lg. - property lex blll or deeC): DIVISION OF INDUS7RIAL SAFETV PERMR CERTiFICATION: Drivers Licensa No. Dete: Ezpires: ❑ I hereby cenily Net no excevatlon tNe (5) or more feet in tle0�h ��to w�lch a person Is requlred to descend, wlll 6e mede In connectlon with wwk authorized by 1hb permit, end thal no bullCing sirucNre, scaHqitling, falsework, or demolition or dismantling thereol, will be more than thlrry-sla (38) feet high. (Chep. 32, Gry 2, Art 2, Sec. 341, Tltle 8, Celifomia Administretive Cada), ❑ As owner-builder, I wlll not employ enyone to tlo work which would require e permit Irwn �he Divlslon ol Indusiriel Selery, es notetl ebove, unless such person �es e permit to tlo such work Irom the divislon. Signature: Da�e: Divisian of Indusiriel Salery Pertnil Number: CERTIFlCA7E OF COMPLJANCE AND AUTHOR17A710N OF EMRV: I certity untler penalry ot perjury t�af I heve read this eDPlication flnd siate Ihat ihe infortne6on gNen Is correct. I agree to compy with ell stete laws end ciry oNinances relating to bui101rg consWction, antl authodze representetives of Na Giry af Costa Mesa to enter upon Ihe ebove-tlescriEed properry tor inspection purposes. I agree not to occupy or allow occuDency ot any building euthorized by t�is permit until finel inspection. GQOEI, INSPELTONTYPE Q�jE � 1816 Fized System Flnal Fire Preventlon 1266 200 201 202 203 Pool Spe Final Finel Re-Root Finel BIacWRetalning Wall Final Fectory Fire Place Finel Sign 204 Flnal Demdiqon j�Qyf�j INSVECTIONTYPE 206 Finel Mechenical 20B Final Plumbing 210 Finel Electdcal 212 Finel Flre Preventlon 220 Final Planning Approval 222 Final Site 250 Finel Building�Occupanq PAg �64 �� CITY OF COSTA MESA BI/ILO/N6 D/VISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.d.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 75d-5626 PERMIT NUMBER: E07-00553 PERMIT TYPE ELEC STATUS: ISSUED - DATE ISSUED: 07/13I2007 - - _ ISSUED BY: SOK , li��_ . . ._ . _ . JOB ADDRESS: 450 B ENCLAVE CI GM', `� Suite/Unit' ,�B Vicinity: ..�, � � , .. . , SCOPE OF WORK: PHASE II, ENCL:4VE APAf2TMENT HOMES ' ELECTRICAL INCLUDES: 5 LIGHT FIXTURES,-'3'�OUTLETS, 3 SWITCHES AND 1 SUB PANEL"FOR�3 CAR�GARAGES. REP.: 807-00689 � .t L�' ' ..;," ' � ; : OWNER: THE IRVINE CO �, � ��? � ' - � - � Address: 1101NNOVATION�� Unit: . � . PHONE: 949-720-5536' APPLICANT: PEGGY BLOCK PHONE: 714•557-0366 � � • i:' ,I . .., . . i. ". _ ' �. CitylState2ip: Address: Ciry/State/zZip: CONTRACTOR: WESSERN NATIONAL CONTRACTORS:,' ` Address: B EXEQUTIVE CIRCLEUnit - - � - '-'` " " � City/State: IRVINE,�CA-� , !� ZipCode:.92614,;,,-- _ —, ... ELECTRICAL PERMIT FEES - � Electrical Plan Check Fee: _ J', S0.00 ,. `. Electrical Permit Fee: � • $66:10 -' " Reinspection Fee �� . 50.00, _ �, � TOTAL FEES � ' , . $66.10., ;`< r,�. _ _ . _. _ ,� .i, - -- IRVINE, CA . . ' , 8 EXECUTIVE CIRCLE �Unit: IRVINE, CA ' � . '�Licen'se No. 840973 ; � �� PHONE: 7'14-557-0244 :. ! � 'I.vs,.,,,CELL:. � , � ... . . ', . . ' �'�' �-� ;;' _ " NOTICE: The work authorized by this pertnit shall comply with all appliwble handicap access requiremenLs under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 780 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the vrork authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be oblained. Failure to obuin inspections and final approval vrill result in 1he expiration o( this permit. 40DE I. INSPEC710N TPE 1818 FueE System Final Fire PrevenGon 1288 Pool Spa Final � 200 Final Re-Rool 201 Final81ock/Retaining Wall 202 Final Fatiory Fire Place 203 Final Siqn 204 Final Dartalition Ij�jg IN � SOOE � �NSPECTION 7YiE 208 FinalMechaniral 208 Final Plumbing _ _ ___ _ . . . 210 Final ElecUiwl 212 Final Fire Preveniion 220 Final Planni� Approval 222 Final Site 250 FinalBuiltling/Occupancy P'LF INiIiIpLS � 1• WORKERS' COMPENSATION DECLARATION: . I hereby af6rm untler penalty of perjury one of the fo��wing declarations: ❑ I have antl will maintain a certificate o( cohsenl l0 SBIf-InsUre for wOrkers' compensation, as provided for by section 3700 of the Labor Cotle, for the peAormance of the work lor which Ihis permit is issued. � � 1 have arM will maintain v.arkers canpen;ation insu2nce, as 2quired by ��tion 3700 of the Labor Code, Iw the perfamance ol the work for which tNs permit is issuetl. My workers' compensation Insurance carner and policy number � �� u� L i Carrier. (TivsseGmnee0rol candeteesmepermaavnhn,yalarenuMmdtlaaars(Si001vMu) !Policy Number. wi.2� � �45�� ❑ I certity ihat in Ihe pertormance of the work for which this pertnit is issued. I shall not employ any person in any manner so as to become subjecl to lhe wvrkers' compensation laws of Califomia, and agree ihat it I should become subject to the workers' compensation provisions of Seclion 3700 of the La od I shall lonhwith comply with lhese Oro�ipi s.� r�� L �< i ( Appliranl'sSigwWre � �ate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed under provisions of C�apter 9(commencinq with Section 7000) of Division 3 0( ihe Business and Prolessions Code, and my license (is }in full force and eflect. , Lic. # X �� Q�� Class # � � `� l b Convaaor's Signawre / Ua�e CONSTRUCTION LENDING AGENCY: ❑ I hereGy affcm that there is a consWction lending agency for the peAormance ot the v.ork fa which Ws pertnit R�sued. (Sec. 3097, Civil Code). Lender s Name: Lander's Adtlress: Slgnawre OWNER•BUILDER DECIARATIONS: I hereby aKrm thal under penally of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor t�e fqllowing reason (Sec. 7031.5, Busine55 and Professions Code: Any city or cqunty which requires a permit to consWct, alter, improve, demolish, or repair any sWcture, prior to its issuance, also requires 1�e applicant tor such pertnit to file a signed statement that he or she is licensed pursuant to the provisions of the Conlractors License Law (Chapter 9(commencing with Section 7000) of Division 3 0l the Business and Professions Code) or lhat he or she is exempt therefrom and the basis tor t�e alleged exemption. Any violation of Section 7031.5 Dy any applicant lor a permit suDjects the applicant to a civil penalry of not more than five huntlred dol�ars ($500).�: ❑ I, as owner o1 lhe propeny, or my employees with wages as their sole compen5ation, WILL DO THE WORK, and the 5trutture is not intenCetl ar offeretl far sale (Sec. 7044, Business and Professions Code: 7he Contractors License Law tices not apply to an ovmer o1 property who builds or improves thereon, and who does such vrork himself or herself or thmugh his or her own employees, provided that such improvements are not intended or offered for sale. If, hovrever, lhe building or improvempnt is sold within one year of completion, the ovmer-builtler will have Ihe burden of proving ihat he or she. ditl not build or improve for purpose of sale.). � ' �..I, as owner of the property, am E7(CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conswct the pmject (Sec. 7044, Business and Professions Cotle: 7he contractors License Law dces not apply to an owner of propetly who builds or improves thereon, and who contracts for such project v.ilh a contwc�a(s) license pureuant to ihe Contractore license Laws.). � I am exempt under sec. Business and Professions Code for this reaso�: ws�.ae �aro�� Ovmer ID verified by driv� nse. ❑ Yes ❑ No Driver's License No. Ezpires: Verification of Ownership by (rype of document, i.e. • property Wx bill or deetl): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certRy that no excavation five (5) or more leet in depth into wfiich a person is required to descend, v.ill be made in connection with v.ork autfqrized by Ws permit, and ihat no builtling strucWre, sc�fdding, falscwwAc, a demolition w dismantling thereot, will be more than thiny-six (36) fcet hiqh. (Chap. 3.2, Grp 2. !vt 2. Sec. 341. Title 8. Calitamia Administrative Code). ❑ As owner-builder, I vrill not employ anyone to tlo �+rork which would require a permit from the Division of Industrial Satery, as noted above, unless such person has a permit to do such work from Ihe tlivision. Ap0licanl's Signalure Daie Division of Induslrial Satety Pertnil Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or future building occupant need to file and certify a Business Plan for emergency response lo release or Ihreatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 ot the Calitomia Health and Satety Code requires, wil� some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantiry o( hazardous materials equal lo or greater than a weight o( 500 pountls, or a volume of 55 galbns, or 200 cubic teet ol compressed gas at sWndard temperawre and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration fortn for acutety hazarCous matenals? ❑ Ves ❑ No (Section 25533 ot the Califomia Health anC Sa(ery CoCe, with some exceptions, requires regislration with lhe Cosla Mesa Fire Department by each business wtiich at any one time has on hantl a quantiry of acutely hazardous materials equal to or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 abic feet of compressed gas at sfandard temperaWre and pressure). 3. Does or will the applicant or preseN or future builtling occupant need to prepare an RMPP (Risk Management antl Prevention Prog2m for acutety hazartlous materials)7 ❑ Yes ❑ No (Saclion 25534 0! the Califomia Health and Sa(ery Cotle provides thal lhe Costa Mesa Fire Department may require ihe preparalion, certifiwtion and filing with lhe Fire Department of an RMPP by businesses which are required lo register acutety hazardous materials with the Fire DepaAment. 4. If an RMPP is presenuy required, has Section 25534 of the California Health and Safety Code been fully complied with7 ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupanl require tor Ihe work which is Ihe subject of this application a permit tor such cons[roction or motlificalion from the South Coasl Air Qualily Management District or from any other air pollution contml tlistrict or agency? ❑ Yes ❑ No (Settion 65850.2 of the Cali(omia Govemment Code raquires that Ihe requeste0 information be (umishetl on applications lor ron-resitlential builtling pertnits�. 6. Will any part of Ihe faciliry lo be wnsWcled under lhis permit De within 1000 feel from tha outer bountlaries of a school? ❑ Yes ❑ No pf yes , the laciliry must meet the requirement of Sections 25534 antl 42303 ot Ihe California Health antl Salety Code). 7. If a permit trom the South Coast Air Qualiry Management District or otAer air pollution contml tlistrict or agency is required for t�e work which is the subjecl o( this application, have all ot the disclosures prescriDetl by Califomia Health and Safefy Code Section 42303 been made? ❑ Ves ❑ No. 8. (If'yes", attach certifiwte of compliance from the appropriate air pollution wntrol officer�. CERTIFICATE OF COMPLIANCE: I certify Ihat untler penalry of perjury the information given above �is wrrect. I agree to comply with all state laws and ciry ordinances regartling Hazardous Materials and Emissions. Wie CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalry o( perjury that I have reatl Ihis application and state that tha intormation given is conect I agree ro comply with all slate laws and ciry ordinances relating ro builtling consWction, and authorize representatives o( the Ciry o( Costa Mesa to enter upon the above-tlescnbed property for inspection purposes. I agree not to occupy or allow occupancy of any Duiltling authorizetl by this permit until final inspection. Signa�e9alOwnMs) ^ �ai� O � �ii / NW/orAUNonzeEAD0licam i Wte ,looAddress: 450 'ENCLAVE CI suite: AA Vicinity: Primary Occ: U Parcel Number. TPN007091 App�icant: JERRY_CROSBY Address: 8 EXECUTIVE CIRCLE Type of Construciion: V-N Zoning: . Phone: 714-557-0244 IRVINE, CA , " � _ � ' ��Zip: - .92614' -__ - - � , ; - "� — - - - - ' - Status: ISSUED Applied: 05/21/2007 Issued: 05/24/2007 ISSUED BY: e� ; ,�i. �i � _ _-- � - -- . A Owner. THE IRVINE CO' �.";r —' � � � ' i �� Address 110 INNOVATION- % "� " � ' � � � ` �� , �. - . - � � � , Phone 949 720-5538 - . �_� �� IRVINE, CA.� � � � �_ _-- - �Zip 92612_ _ � � � -�� \ � Comractor." i.W STERN�NATIONACCONTRACTORS _ � �� .�� \� � Address:"%�8 EXECUTNE CIRCLE,'�i'� � ' � � � � i ;� �� ; , i ' � i Phone: 714-557-0244 �� . � . �' ✓ , � � �. _ ,, _�_,,,:- ` �/� � �� IRVINE CA� �. , � Zips 92614 /ii� � License: 840973 ��/ � /,'n ///, ,�t �:�.� .�\ �Arch : � Address: ' � Zip: Phone: . , �.. ��, ' , -License: � _ _�, Eng: Address: � - � •V � �� _ \ i „Phone: � �� License: � � � " SCOPE OF PERMIT � � - ? " \•'� � PHASE II, ENCLAVE APARTMENT HOMES � �� ` � ��, � \ � \i � ` CONSTRUCT 497 S.F. DETACHED, 2 CAR GARAGE. _ _ : _ \ i " , � =� � '� � _ _ _'^. Plan Check: Permit: SMIP Res: SMIP Com: Other: �?, inspection: Total\ $80.07 5492.75 33.48 50.00 $0.00 $0.00 $576.30 � � � „1%,�' FEE SUMMARY_r:_, �_ •�: '� � � ' Caic Valuation: , �' � 534,790.00 V' � ,�. rJ� Claim Valuation: ' � ' �- ssa,�so.00' , �^ «� � _��. �i�'. „ �1, , - — = --- - `--' - `� _' _ // ii: �� _ ...; j�/"/',_ i � 'i �� ,/i��' `�, -� - . � � f., , ,. � ' .�'�.i- :PGANNING K`�LUNING i%�' -- - % . � d� i . �%i SETBACKS . � '^ ' ` '„ ,.:v.,;.. � __, "., � ` . ,i � MAIN STRUCTURE Front 0-,0, � � Rear � 0- 0. - � " Left 0- 0` � � 'Right �'' 0- 0 ' � � � " - , �,� /A �� ;. ACCESSORY � Front 0-,0 �� _Rear 0 0' � Left� 0-0 � . _ -Right% 0 0�//-� , % ' � . _ . �� %i � �� / = � � ;/�� _ ��,r�� o � c �� PARKING �Existina. ; 0 Reauired �0.� ° Pr000sed��0� /�� r _ ,� � �- ti ' � - �/� ,/'� �— ' "_ - _ % �.; � � �/ � � � ,��. _ "_ _.__ ,�':� ^�� C�. .�� ' , � . . . �"/ � � � ' / � _•� , ��/�� /� �/ , � _ � �. _ _� ' J \� . � �_' " ` //� �� . . - - _ __ __ . ;,�/ �_ NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and relatad 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 for the work euthorized under this permil to be considered legal, such work must comply with all applicable codes, a, all requlred Inapeetione and tinal approvel must ba obtalned. Failure to obtain Inspectlons and final approval will result in ihe ezpiration of this�mit. FOR INSPECTIONS CALL: (7/4) 7545826 2d48d8(BNO) WORKERS'COMPENSAnONDECLARAnON: I hereby eHirtn under penelry of per�ury one of the following dedarallons: ❑ I have and wlll maintaln a cenificate at consent to self-Insure for workers' compensatlon, es provided lor by sectlon 3700 0l the Lebor Cotle, for the pertortnance of the �work for which lhis permit Is issued. I�`Aeve antl wi0 maintein workero' compen5atl0n insurance, es requlretl by seNm 3700 0l Ne LeOor CoAe, for Ne pertartnance of ihe wwk tor wNM Ihis pertnll L9155uetl. b nsatlo Insurence carrier d II mher ere: 'i�-w�,� n,.,,,� �P_ ,:-w�zl�ys)u�b not be oomple !! the permlrls velued et me hundred dWlars (St00) or less.) ❑ I certity Nat in Ue pertormance of the work lar which Ihis pertnit I5 issued, I shall not employ any persan in eny manner w as lo become subjeCt lo ihe workera' compensa9an lews oi Calitomie, entl egr that i� I s�oultl become sub�ect to Ihe warkers' campenseUon pmvisi^. on�of Sec}ipn 3� 01 Ne Lebor Cotle, I shell torthwith compy with these p ions. i �/ AppACa�1l'��—� Dete: � jv Q� W�NG: FAILURE TO SE RKERS' C PEN$pPpp� C ERAGE IS UNLAW FUI. M!D SHALL SUBJECTlW EMPLOVEfl TO CRIMIWIL PENALTIE$ AND CM� FlNE$ VP TO ONE MUNDpED iF10USAND DOl1APE (5100, ADDRION TME Cq$T OF pAPENSATION, DMNGES 0.S PROVIDED FOP IN SECTION 31080F THE lFBO(i CODE.INiEREST. AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECIAHATION: C�aptar 9(commencing with Section 7000) of Division 3 ot the Business �qtl Professions Cotle, enA my license is In full CONSTRUCTION LENDING AGENCV: ❑ I �ereDy aNirtn that t�ere is e conswction lending egency br Ihe peAortnence at Ihe work lor which Ihis pertnit is Issued. (Sec. 3087, Civil Code). Lendefs Name: LenOar's Atldress: Signeture: OWNER-BUILDER DECLARATONS: Date: I hereby flMirtn thet under penalty of perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the tollowing ree5on (Sec. 7031.5, 8u51ne55 enE ProfesslOnS Coda: Any ciry or counry which requires e pertnit lo construct, elter, Improve, demdish, or repair any structure, pnor to its issuance, elso requires Ihe applicant far such pertnit to file e signetl statement t�at �e ar she is Ilcensed pursuent lo Ue provisions ol the Contrectors License Lew (Chapter 9(commendng wit� Section 7000) of DlNslon 3 of the Business and Pmfessions Code) or that he ar she Is exompt therefrom enA t�e Desis tor the ellegetl exemptian. Any violetlon of Sectlon 7031.5 by eny epplicant for e pertnit sub�ects ihe epplicam to e civil penalry of not morg Ihan flve �undred dollers (E500).): ❑ I, as owner of the property or my employees with weges es t�elr sole compensaqon, WILL DO THE WORK, and the structure Is not IntenCeA or oNeretl tor sale (Sec, 7044, Business and Protessions Code: The ContraMors License Lew does not appty to an owner of property who builds or improves ihereon, and who does such work himsetl or herselt or through his or her own employees, O�tlad that such imprwemenis are not intended or ottered lar sale. II, however, the bullding or improvement is sold within ona year of completion, ihe own�r-Guilder will have 1he Ourden oi proving that he ar she did not build or imprwe for purpose ot sale.). ' ❑ I, as owner o( Ihe property, em EXCLUSNH�Y COMRACTING WRH LICENSEO CONTRACTONS to consfruct fhe prqed (Sec. 7044, Buslness anC Professions Coda: The contradors Lkense !aw does not eppty to en owner of Oropeny wtw 6uilAs or Improves t�erean, entl w�o contracts tor such pro�ect wlth a conlreMor(s) license pursuant to �he Contrectors License Lews.). ❑ I em exempt under sec. Business en0 Proteuions Code tor Ihis reason: Signature: Date: Owner ID venfietl by Arivers license. ❑ Ves ❑ No Drivefs LJcense No. Vedfication of Ownership by (rype of tlaument, i.B. - property tex 6111 or deed): F�pires: DIVISION OF INDUS7RIAL SAFETY PERMR CEqTIFICATION: ❑ I �ereDy certlly that no excevetlon INa (5) or more leet In depih Into which e person is required to descend, will Ue mede in connection with work eut�orized by thls permit, and that no buildinp strucNre, sceflWtling, falsework, or demoliHon or dismantling Ihereof, will be more t�an Ihirty-six (38) teet high. (Chep. 3.2, Gry 2, Art 2, Sec. 341, TIIIe 8, Celifomia Atlministretive Cotle), ❑ As owner-builder, 1 will nol employ enyone ro da wark whlch woultl require e pertnit tmm tha Division at IndusMel Sefery, es noteC above, unless suc� peraon has e permit to tlo such work trwn the tlivision. Signature: Date: Division of Intlustrial Safery Pertnit Number: ICERTIFlCATE OF COMPUANCE IWD AUTHOR17A710N OF ENTAV: I cerUfy under penelry ot perjury that I heve read this epD�ication end state thet t�e inlortne�lon plven is I cortecL I agree to compy wilh ell stete lews entl city ordinances relaling to building construdlon, enO aut�adze representatNes ol t�e Clty ol Caste Mose to entar upon Ihe ebovadescAbetl property tor inspection purposes. I egreo not to occupy or ellow occupency ot eny building euthorized by this permi� until final inspoctlon. GODE I. INSVECTIONTYPE Q�¢. �45 1616 Fixed System Flnel Flre PrevenOon 7266 200 201 202 Pool Spa Final Final RaRoof Final BIocWRetaining Well Final Factory Fire Place 203 FInaI5lgn 204 Finel Demolitlon CODEt �xsveenoNme 208 Finel Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Finel Site 250 Flnel eullding/Occupency CITY OF COSTA MESA BI/ILDIN6 DIV/SION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754�1856 • www.ci.costa-mesa.w.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: E07-00546 PERMIT TYPE ELEC STATUS: ISSUED DATE ISSUED: 07113/2007 ;-., • :�'�:. "_ . - - ISSUED BY: JOB ADDRESS: 450 AA ENCL`AVE�CI CM �_`'� ' Swte7Untt ��:;;AA Vicinity: . . - _. � _ . `' � �.., i-:;�, ' , _ , SCOPE OF WORK: PHASE II, ENCIAVE APARTMENT HOMES � ELECTRICAL INCLUDES: 3 LIGHT FIXTURES, 2 OUTLETS AND 2 SWITCHES FOR 2 CAR GARAGE. REF.: 807-00701 , f� - , _ . . \ . � � `„ • _ �' ' i r � . � . . _.._ : � � � , -' .'r.. ,.- ._ �- OWNER: THE IRVINE CO . � ' ' � - �`' Address:� - -.1101NNOVATION Unit:� �- � ' PHONE: 949-720-5536 • - �=' � , - �" �' Cily/Stale/Zip: � -IRVINE, CA . � , � � �� . . .. . ' , . APPLICANT: PEGGY BLOCK �� - Address: 8 EXECUTNE CIRCLE Unik PHONE: 714-557-0366 � , - � - �� Ciry/State/zZip:• IRVINE, CA , ,_ , CONTRACTOR: WESTERN NATIONAL CONTRACTORS ' -,-License No. 840973 . , Address: BEXECUTIVECI�RCLEUnit:- �� .;`.:.. ._.._�_. '-. i.`.�., PHONE: 714-557-0244 City/State: IRVINE, CA � � ' ZipCode 92614 �,", , - � � �, CELL: � � � ELECTRICAL PERMIT FEES .` Electrical Plan Check Fee: , Electrical Permit Fee: :;;. Reinspection Fee TOTALFEES ' $0.00 .:i•�' , $31�.20' . -� $0.00<- . . $31:20.� <_-=. '. - - > -- - - - ';;`, 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, § 7, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requtred inspections and final approval must be obtained. Failure to obtain inspectlons and final approval will result in the expiration of this permit. COOE /. INSPECfION TYPE 1818 Fized System Final Fire Prevention 1288 Pool Spa Final � 200 Final Re-Rool ' 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 204 Final Sign Final Demolition IjAjF� IN p �OOE� INSPECl10NTVPE 206 final Mechanical 208 Final Plumbinq 210 Final Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Octupanry I7\IiI:11114LR'. ZO _t �M WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalry of perjury one of ihe lo��..+ring tleGarations: ❑ I have and vnll maintain a certificgte ol consen� to sel(-Insure (or workers: compensation, as provided lor by section 3700 0l lhe Labor Code, for the pertortnance of I�e work tor which this permil is issued. �_ I,have and will maintain v.orkers' cpmpensation insurance, as required by G —� L ecWn 3700 of the Labor Code, fa the peAormance of Ihe worlc (or which this pertnit is issued. My workers' wmpensation Insurance wrtier and policy number ar : t_,,.�fl�^ � Camer: �%(. VC�� I 0 V,�� (�v`ssetldnneetlrrof6e�] !te011ha!p��m/��luvaclucvlota�enu�rq7retl'M6xrsfSt00Jaless'.) �olicy,Number. W C O`� �OL V CJ4 J� b6 Le ❑ I certify lhat in lhe peAortnance of the work !or which this permit is issuetl, I shalt no( employ any person in any manner so as to become subjecc to the workers' compensation lavrs of Califomia, and agree that if I should become subject to the vrorkers' compensalion provisions of Seclion 3700 ot the Labor Cotl� all oAhwilh comply wiN Ihese provisio . r,�L � � Appliwnl'sSlg�Wre_ - / -Dale _, �� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLP.WFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARS (5100,000), IN ADDffION TO 7HE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 QF THE LABOR CAOE. INTEREST, AND ATTORNEI"SFEES. LICENSED CONTRACTORS DECLAhATION: I hereby aKrtn t�at I am licensed under provisions ol Chapter 9(commencing vrith Section 7000) of Division 3 of Ihe Business and Prolessions Code, and my license is in (ull (orce anC eHect. CLic. # ` �� Class # ' � � Contractor's SignaNm Da�e . C-- - - CONSTRUCTION LENDING AGENCY: ❑ I hereDy affirtn that [here is g consiructbn lentling agency for the peAormance of the xork fa which Ws permit is issued. (Sec. 3097. Civil Cotle). Lentler's Name: Lender's Address: OWNER-BUILDER DECLARATIONS; I herehy atfirm mat unCer penalty of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAw tor the lollovnng reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, impmve, demolish, or repair any sWCWre, prior lo its i55uance, also requires the applicant �or such permil to file a signetl slatement that ha or she is licensed pursuant to the provisions of Ihe Coniracrors License Law (Chapter 9(commencing wim Section 7000) o( Division 3 of the Business and Professions Cotle) or that he or she is exempt lherefrom and the basis for the alleged exemption. qny violation of Section 7037.5 by any applicant for a pertnit subjects the applicant to a civil penalty of not more than five hundretl tlollars ($500).�: ❑ I, as ovmer of the property, or my employees v+ith vrdges as tneir sole compensation, WILL DO THE WORK, and the strucNre is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ownar of property who builds or improves thereon, and who tices such work himself or herself or through his or her own employees. Orovided that such improvements are not intentled or ofteretl for sale. I(, hov.Ever, the building or improvemenl is sold wilhin one year of complelion, the ovmer-builder vrill have the burtlen of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the� property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to const�vct Ihe projecl (Sec. 7044. Business and Professbns Code: The contractors License Law dces nol appty to an owner of property who builds or improves thereon, antl who contracis for such project with a cmtraa«(s) license pursuant to the Contractas License taws.). ❑ I am ezempt under Set. Business and Professions Code for this reason: Sipnaiure . Aate • 305]<6�Y0)) Owner ID verified by driv� nse. ❑ Yes ❑ No Driver'S Litense No. Ezpires: Verifiwtion ol Ownership by (rype o( document, i.e. • property tax bill or tlee0): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � ❑ I he2by ceARy that no excavation frve (5) or more feet in Cepth inlo which a person is required to descend, will be made in connection with work autMrized by this pertnit, antl that no huilding stNCNre, scaffdding, falsework, a tlemolition or tlismamling thereof, will be more than lhiAy-s& (36) feet hiqh. (Chap. 32, Gry 2. M 2, Sec. 341, Tille 8. Califomia Atlministrative Code). ❑ As ovmer-builtler, I will not employ anyone to do work which would require a permit lrom the Division of Industrial Sa(ety, as noted above, unless such person has a permit to do sucA wvrk from t�e division. nppiiram's Signature Date Division ol Industrial Safely Pertnit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and cehify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 0l Ihe Califomia Health and Safety Cotla requires, with some exceptions, thal a Business Plan be fileC wit� the CosW Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic teet of wmpressed gas at standartl temperature antl pressure). 2. Does or will Ihe applicant or Dresent or fWure building occupant naetl to fle a registration form !or acutely �azaraous mateiiats? ❑ Yes ❑ No (Section 25533 0l tha Califomia Heallh anC Safety CoEe, with some eaceptions, requires registration vnm the Costa Mesa Fire Department hy each business which at any one time has on hantl a quantity o( acutely hazartlous materials equal to ar greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic teet of compressed gas at stantlard temperaWre and pressure). 3. Does or vnll the appliwnt or present or future building occupant need lo prepare an RMPP (Risk Managemen[ and Prevention Program !or acutey hazardous materials�? ❑ ves ❑ No (Section 25534 of the Califomia Health and Safety Code provides that t�e Casta Mesa Fire Departmenl may require the preparaUon, certification anC filing with the Fire Department of an RMPP by businesses which are required to register acutely hazartlous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of lhe Califomia Health and Safety Code been fulty wmplied with? ❑ Yes ❑ No 5. Dces or will Ihe applicanl or present or future builCing occupant require lor lhe work which is the subject of lhis application a pertnit for such conslruction or mo0ification from the South Coast Air Quality Management Distnct or from any other air polWtion contml Cislrict or agency? ❑ Y85 ❑ No (Section 65850.2 0( the Califomia Govemment Cotle requires that the requested informatbn ba fumished on applications (v rwn-resitlenlial builAing pertnits). 6. Will any part o( lhe tacility to be constructetl untler this permil be within 1000 feet from �he outer boundaries of a school? ❑ Yes ❑ No (If yes', the tacility must meet the requirement o( Sections 25534 and 42303 of the Calitomia Health and Safery Cotle). 7. If a pertnil from Ihe South Coast Air Qualiry Management Distnct or olher air pollution control tlisMct or agency is required for the v.ork which is Ihe subject o! this application, have all ol the disclosures prescribed by Calilomia Health and Safety Code Section 42303 been made7 ❑ Ves ❑ No, 8. pf yes', attach certificate of compliance from Ihe apP�opriata air polWGon control o�cer). . CERTIFICATE OF COMPUANCE: I certify that unCer penalty of perjury the intortnation given above is covecL I agree to wmpty with all state laws and ciry ordinances regartling Hazardous Materials and Emissions. - ' .. , SignaWre Date, CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this applicalion and stale thal the inlormation given is correcl I agree to comply with all state laws and city ordinances relating to builtling wns[ruction, and authonze represenlatives of Ihe City ot Cos1a Mesa to enier upon Ihe above-described propeny lor inspection purposes. I agree nol to occupy or allow occupancy of any builtling authorized by this permit uNil final inspection. $ig Wr I Owneqs) 0 �e `7 b 0 ! M Ipr,AUV�MilE AppIiOM � � tp l . ;. JobAddress: 450 ENCLAVECI • Status: ISSUED Suite: AB Applied: OSI27I2007 Vicinity: Issued: 05/24/2007 Primary Occ: U Type of Construction: V-N Parcel Number: TPN007092 Zoning: npplicant: JERRY CROSBY Address: 8 EXECUTIVE CIRCLE . �'� . - -Phone: 714-557-02a4 <%YZ�� IRVINE, CA --" ��% -- 3ip:--= 92674 _ ISSUED BY: .i ��G,��_�" - -- - � - . Ownec THE IRVINE CO%!� � -" i � � -� �� `\ . Address 7101NNVATION��';� ,_� � �� - ' ' , ,� �;�� . � " - . - `. Phone �949 720 5536 � - � . IRVINE; CA, � � � � -' �- �. ,- Zip 92612 __ � �� j �� \ � \ - ._ / � , . _. _ _ " C / V � \ � \ Contrector: ,WESTERN-NATIONA�CONTRACTORS -�� "�.�.��`• �"��-,� Address:' ��BEXECUTIVECIRCLE'/ �� ; �.A �� /�,��-,,�� ' ' j � - ' j� � ` Phone: 714-557-0244 � � � � �� ! � A� � �� %, �' IRVWE.CA:%�� ':�� ( / ��`�� %�Zip:l 92674/;f�i � �License: 840973 � \��U ./�\\�\ /AicFi :, - '�":; � Eng: � Adtlress: � � � � � , - Address: _ - � . .. . - - _,.� Phone: :�..�' ., . •�o „ �- , , .. � � � >J;.%�. . \ . � i . , Zip:- � , � ' ,-License _ •�. - ' . - � . L� � _.. . � _ . . _ - _ � � � - SCOPE OF PERMIT � - = �. �� PHASEII,ENCLAVEAPARTMENT,HOMES � � � � A CONSTRUCT 497 S.F. DETACHED, 2 CAR GARAGE. ; _ : . _ _ _ _ - _ � ,., r-v Plan Check: Permit: � SMIP Res:' SMIP Com: Other: `Inspection: Total: 580.07 5492.75 53.48 $0.00 50.00 50.00 $576.30 ' ��.A Phone:� � � ' � � � � � License`. � ' �\' �, , �C i�' _,� � t,,-. .: FEE SUMMARY .. . , _ �\ � � � -- � -' - - -- � C81C V81u8ti0n: ; ,� ' 83a,790.00 �� . _�� _ f,� �� C�81fl1 V81U2f1Of1: ' � � � j534,790.00 _ � y��;; _� >, � ,� — ' i �' -, i . ._ ____� - �_' _ _ _ `.- ` �� i , , ;� r_ � � - - ;�a: �L � � '" " ' .,�r�'?PLANNING&�ZONING i'/' - /;� SETBAQKS . � � �r ' /� r �r"i . � . . U , �:�r -�•� -•:1. _ } � i MAIN STRUCTURE Front 0. 0 � �'- ' Rear� 0- 0 '�� "� ""Lefl� , 0- 0 � � ` � Right '� 0�0 - ' � ;� i� . . „ ' - ' ; � i"�� ACCESSORY,, , Fr �t 0-0 � �A,Rear � 0 0`_ �. o " Leh 0 0 , - RighL' 0-0--' �. !�' / � i / � �� l •• . . �� / � �� , PARKING ' �Existin ; 0 Reauired �^0�- � �'�Pr000sed—;0� � ;��;�� i� �� //�` • � - - � '� �V�V:�� i�/ � ` / �. '�� , _ �- �`=� '�� , , � , _ . •� � � / ' � ' , �;�i� `- i � �-� �� —' .� �,. t� _ � � �-�%/i? �-_ - -_ _ — — — ; 'r�o� - -� _� _-�_�„ - � NOTICE: The work authorized by this permit shall comply with all applicable handicap access raquirements under Califomia statutes antl related regulatlons. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permN shall automatically expire and become void if work is not commenced within 1B0 days, or if work Is suspended or abandoned for a periotl of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable c s, and all required inepectlons end final epproval must be obtalned. Failure to obtain inspections and tinal approval will result in ihe expiration of tJrypermlt. FOR INSPECTIONS CALL: (714) 7545826 zs.o-ae �am� � WORKERS'COMPENSAnON DECLARATON: I �ereby affirtn unOer penelryof perjyry one of t�e (ollowing AeGaretions: ❑ I heve end will malntein e cenlllcete of consent to sell-Insure lor workers' compenseUon, es providetl for by section 3700 0l the Lflbor Cotle, lor the pertortnance of ihe work for which this pertnit Ls Isguetl. � 6have and wlll malntain workeB' compensa(i Insure , es requlretl by section 3700 al tha Lebor Code, tor Ne pertortnance of Ihe work for which Nis pertnit Is Issued. My work s' o�pensatl n Insurance carri9 ndpol' numEer are: ��// �Z / 'Ca-rlrer � {'1/�,�� Pdiry-Namber:;tP� Z e(�(/p� 6 �(fhis sec6on need nat b� B Me permit Is velued ef one hundred Collare (5/00) or less.) ❑ I cenity thet in the pertormencg of t�e work for which this portnit Is IssueQ I shell not employ any person in eny manner so as lo become subject to ihe workers' crompensation lews ol Celllomla, end e Re th II I a�ould Dewme subJect to the warkers' compensatlon provisions o1 Sorypn 3700 pf t�e Lebor Cotle, I shell tort�with comply with these Pr sions. �G/ ; G; � ��Appli-ce--n.�t'Sipr✓eNre:"'-'- ' - Ddle;. - � l WAFMNG: FNLURE TO SE R WOFiK�pg' OMPENSATION OVERAGE IS UNLAW FUL M!D $MALL SU9IEGT AN EMPLOYER TO CRIAONAL PENA�TIES AND CML FlNES UP TO ONE HUNDRED T/KMISAND OOLLARE (51 IN ADqT� O TNE C06T OF COMPENSA710N, DPMAGES AS PROVI�ED FOH IN SECfION 3]060F THE IABOR QD�E, INTEREST, AND FTTORNEI^S FEES. LICENSED CONTAACTORS DECLpqAT10N: I hereby aHirtn Ihat I am Iicens� �tlefR�vlsloDvof C�epter 9(commencing with Sectlan 7000) of Dlvision 3 of the Business � Proiessions Cotle, antl my license is In tull CONSTFiUCTION LENDING AGEN�y: � ❑ I hereby ettirtn ihet there is e construction lending agency tor t�e pedortnance of ihe work for w�ich Ihis permii is issued. (Sec, 3097, Civil Code). Lenders Name: Siqnamre: _ OWNER-BUILDER DECUIRATIONS: Lantlefs Atldress: Date: I hereby eNirm thet under penelry of pe�ury ��a� I em E%EMPT FROM 7HE CONTRAC70RS LICENSE LAW far the follawing reeson (Sec. 7031.5, Business antl Profeuions Cade: Any ciry or counry which requlros e pertnit to construct, alter, Improva, demollsh, or repair eny structure, pnor to Its issuance, elso requires ihe applicant br such pertnil to lile a signad stetement t�et ha or she Is licensed pursuent to ihe proNslons of Ihe Contreccors IJcense Lew (Chapter 9(crommencing wlth Sectlon 7000) of DlWslan 3 al the Buslneu entl Professions Cotle) or thet he or she is exempt iherolrom entl tha �asis for the elleged exemptian. Any Woletlan of Soctlon 7031.5 Gy eny epP��a�t far e pertnil suDlects the epplicent to e Gvll penelty of not more than live huntlred tlollers ($500)J: ❑ I, fls owner of t�e properry, or my employees wit� wages es Ihelr sole compensation, WILL DO THE WORK, a�M t�e si'uciure is not In�entletl or otteretl tor sele (Sec. 7044, eusiness antl Professions Code: The ContreIXors License Lew does not appty to fln owner ot property who builds or improves Iheraon, and who does such work himself or harsetl or thraugh his w her own employees, provitled that such imprwemems ere not Intended or oNered tor sale. If, hawevar, the building or improvement is sold wiNin ane year of comDleiion, the owner-6uilder will heve the burden ot proving ihat �e or she tlitl not build or improva tor puryose af u�e.). ' ❑ I, es owner of the property, em E%CLUSIVELV CONTRACTING WRM LICENSED CONTRACTORS lo cronstruct Me pro�ecM (Sec. 7044, Business and Profe55ion9 Cotle: The wntractors LJcense Lew does not epON �o an owner of pmpeny who builds or Imprwes thereon, and wM contrects br such pro�act wii� a contredor(s) license pursuant to the Contrettors License Lews.). ❑ I am exempt under sec. BuSiness and Professions Cotlo for this reeson: Signature: Date: Owner ID vedfietl by tldver's Ilcense, ❑ Ves ❑ No Dnvefs License No. Vedtication of Ownerehip by (rype af document, i.e. - properry te�c Olil or tlaetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: Ezpires: � t here�y cerlity ihat no ezcavation five (5) or more feet In tlepth into which e person Is requlreO to tlescend, will De made In connectlon with work auNwizetl by tMs pertnit, antl Ihat no builtling strudure, scaHolding, lalsawork, or tlemdition or dismantling thereot, will be more than ihim/-six (38) leet high. (Chap. 32, Gry 2, Ah 2, Sec. 341, TNe B, Calilomie AtlminLstrative Code). ❑ As ownervbullAer, I wlll not employ enyone to tlo wwk whic� wauld requlre e permit from t�e DMslon ol Intlustrial Selery, es noted above, unless such pereon has e pertnit to do such work trom Ihe tlivision. Signature: Date: Division of Industnel Safery Pertnit Number: ICERTIFlCATE OF CAMPLIANCE IWD AUfHORQATtON OF ENrtiY: I certify under penalry of per�ury that I heve read this eppliwtion end stete Uat ihe intormation gNen is I cortect. 1 agree to compty wIN all stete laws and ciry ortlinences relating to 6uilding wnstruction, and authorize reprasentaUves oi the Ciry oi Costa Mesa to enter upon Ue abovadescri6ed property for inspection purposes. I agree not to oaupy ar allow occupanry of any 6uilding authorized by this permit until finel inspeclbn. �ppF,a, u�svecnoN Trve 1676 Fi:ed System Final Fira Prevention 7266 Pool Spa Final 200 Finfll Re-Roo1 201 FIne181xWRetelni�g Well 202 203 204 Finel Fectory Flre Place Finel Slgn Flnal Demolltion „+`-� � --�. PdIF 1I�Id1�9 COOE1 INSPEC710NTYPE 206 Final Mechanical 208 Final PNmbing 210 Finel FJectrical 272 Finel Flre Prevention 220 Finel Plenninp Approvel 222 Finel Site 250 Finel Bullding�0auperwy � � � 'l� •i "' � A CITY OF COSTA MESA BYILDIN�'r DIVIS/ON 77 FAIR DRIVE, COS7A MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ti.costa-mesa.w.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER! E07-00547 PERMIT TYPE ELEC STATUS: ISSUED DATE ISSUED: 07I13/2007 ' . - � , ' ISSUED BY: JOB ADDRESS: 450 AB ENCLAVE CI.CM'� �+ ; SuitelUnit: ``'AB Vicinity: - , �, . _ . . � �- " . . . j"_ ;,. � .. . , . , . , . ' .- ` =;. . .. SCOPE OF WORK: PHASE II, ENCLAVE APARTMENT HOMES '� `� � � ,�_ � ELECTRICAL INCLUDES: 3 LIGHT FIXTURES, 2.OUTLETS AND 2 SWITCHES FOR 2 CAR GARAGE. REF.: B07-00702 • , �:. '-r , . =`j {.. � - .. , � OWNER: THE IRVINE CO � � � �' . , - � �,. Address: • -� �170 INNVATION Unit: � � - PHONE: 949-720-5536 � - � . - � ,� �'� � . �'� � � City/State/Zip: ��,,:IRVINE, CA ' . �'. , � .. _ . � , � i APPLICANT: PEGGY BLOCK , � . Address: 8 EXECUTIVE CIRCLE UniC PHONE: 714-557-0366 � ; ; '- ' ' - City/State/zZip: ,.IRVINE, CA � ,� , , � _ . � . _ _ ' _ . . . � ; � - , CONTRACTOR: WESTERN NAT,IONAL CONTRACTORS �� . • License No. 840973 . . Address: 8 EXEWTNE CIRCLEUnit: _ _ .. ! i PHONE: 714-557-0244 CitylState: IRVINE, CA � , ZipCode: 92614 "- _ -- , CELL: � -" � `' '�. ELECTRICAL PERMIT FEES , Electricat Plan Check Fee: �0.00.. � , Electrical Permit Fee: i 531.20 , Reinspection Fee $0.00' . • � , .. � TOTAL FEES , ,$3120`� : _ - ;,;. � -.` ;�' —— " .- �� , NOTICE: The work authorized by this pertnit shall wmply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28. § 1. 12-21-92) . . E%PIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � INSPECTIONS: In order for the vrork authorized under this permit to be considered legal, such woik must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failwe lo obtain inspections and final approval will result in the expiration of this permit. 40DE1. INSPEL710NTYiE QAjE IN 1 CODE/ INSGECPONTVPE Qy/jE IN7IMlS 1818 Fixed System Final Fire Prevention 208 Final Mechanical 1268 Poo15pa Final � 2q8 Final Plumbing 200 Final Re-Rool 210 Final ElecUical � l�^ 201 Final8locWReteining Wall 212 Final Fire Prevention 202 Final Factory Fire Place ' 22q Final Planning Approval 203 Final Sign 222 Final Sile 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: _ I hereby aKrm untler penalry o( perjury one of the tu��..+ring declaralions: � ❑ I have and vrill maintain a cerlifcate of consent to self-Insure for workers; compensation, as provided for by section 3700 of the Labor Code. for the p Aormance of the work lor which this permit ig issued. . !� I have antl will maintain workers' canpengation insurance, as required by ��ection 3700 of the LaDor Code. fa lhe pedwmance of lhe v.ork fw wfiich lhis pertnit is issued. My vrorkers' compensation Insu2nce cartier antl policy LCameef�47V""1 U ��u�Q `- (Tnasecimriee1C�no�tnbe^� p1et/eClNepe�md/a dhie0atmenurqm�7e/cta'lars(SfoolakssJ Pvlicy Number. WCJ v� b L-1 ub �� d � t{� ❑ I certify that in the peAortnance of the work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject lo the workers' compensalion laws of Calilomia. antl agree lhat if I should bewme subj lo Ihe workers' wmpensatiorl provisions of Section 3700 of lhe Labor e ort�with comply with Ihese prov'isions. G1L % � 1 b � 0^7 � l�ppliranfs3lgnaWre ! Dale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CAST OF CpMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3706 OF THE LABOR CADE, IMEREST, AND AiTORNEI"SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn lhal I am licensetl under provisions of Chapter 9(commencing v.ith Section 7000) ol Division 3 of the Business antl Professions Code. antl my license i in full fonrce anC eHect. ,�I� Lic. # � � "�� CIa55 # l / i l� 0� f Convaclor's5ignaWre tOale CONSTRUCTION LENDING AGENCY: ❑ I hereby affvm that there is a wnsl�uction Iending aqency for the peAortnance o( Ihe v.ork for which this pertnit is 5suetl. (Sec. 3097, Civil Code). Lentler's Name: Lentler's Address: SigwNre Dale OWNER-BUILDER DECLARATIONS: I hareby affum that under penalry ot perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the (qllovnng reason (Sec. 7031.5, Business and Pro(essions Code: Any tity or cpunty which requires a pertnit to consWct, alter, improve, demolish, or repair any s[ructure, prior to its issuance, also requires the applicant for such permit to file a signetl statement ihat ha or s�e is licensed pursuant [o the provisions o( the Contracrors License Law (Chapler 9(tommencing vrith Section 7000) of Division 3 of lhe Business anC Prolessions Cotla) or that he or she is exempt therefrom antl l�e basis (or the alleged ezemption. Any violetion of Section 7031.5 by any appliwnt for a permit subjecls the applicam to a civil penalty of not more than five huntlred dollars (5500�.): ❑ I, as ovmer of ihe property, or my empl0yees with v.ages as their sole compensation, WILL DO THE WORK, and the structure is not intendeC or oHered for sale �Sec. 7044, Business and Protessions Cotle: The Con[ractors License Law does not apply to an owner of property who builds or improves lhereon. and who tices such work himself or herself or through his or her ovm employees, provided that such improJements are not intended or oRered for sale. If. hovrever, lha builtling or improvement is sold vnthin one year of complelion, the ovmer-builAer will have the burden of proving that he or she did not builtl or improve for purpose of sale.). � ❑�, I, as owner of the property, am El(CLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to wnswct Ihe project (Sec. 7044, Business and Protessions Code: The conlractors License Law dces not apply to an ovmer of property who Duiltls or improves Ihereon, and whp contracls for such project with a contracta�s) license pursuant to Ihe Cont2ctors License Laws.). ❑ I am exempt under sec. Business and Prolessions Code for Ihis reason: SigneWre Wte ]OS��a6(YO]) ,; Ovmer ID venfied by drivi t5e. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ovmership by (rype of document, i.e. - properry tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certAy Ihat no excavatbn frve (5) w mae teet in depth iNo vfiich a person is required to descend, will be made in wnnecl'an vrith work authorized by this pertnit, antl that no building sinxture, scaffdding, falsev.ork, v demolilion w tlismantling thereof, will be more Ihan thirty-six (36) feet hig�. (Chap. 3.2, Grp 2. M 2, Sec. 341, Title 8. Califomia Administrative CoCe). ❑ As rnmer•builtler, I will not employ anyone to do work which would require a pertnil from the Division o( Industrial Safaly, as notetl above, unless such person has a permit to tlo such work from the division. npdicmfs Sigwmm Da�e Division of InCuslrial Safery Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: L Will the applicant or present or future building occupant neetl to (le and certify a Business Plan for emergency response m release or threatenetl release of a hazardous maleriall ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Cotle requires, with some exceptions, that a Business Plan be �led with lhe CosW Mesa Fire Department by every business which ha5 at any one time during a reported year a quantiry of hazarclous materials equal lo or greater than a weight o( 500 pounds, or a volume of 55 gallons. or 200 cubic feet of wmpressed gas at stan0ard temperature and pressure). 2. Does or will the applicant or present or fuWre building occupant need b file a registration form !or acutely hazardous matedals? ❑ Yes ❑ No (Section 25533 of the Calilomia Health and Salery Code, vrith soma exceptions, requires regislralion wilh the Cosla Mesa Fire Department by eaCh bUsiness whiCh al any one limB has on hand a quanlity of aCulely hazardous matenals equal to or grealar than a vreight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl qas at standartl temperature and pressure). 3. Does or will the applicant or present or fulure building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 ot Ihe Calilomia Health and Safery Code provides that the Costa Mesa Fire Department may require ihe preparation, certification anC filing wit� Ihe Fi�e DepaMment ot an RMPP by businesses which are required lo register acutely hazartlous materials with Ihe Fire Daparlment. 4. If an RMPP is presently requireC, has Section 25534 of the Cali(omia Health antl Safety Code been fully wmplied with7 ❑ Ves ❑ No 5. Does or vnll the applicant or present or fuNre building occupant require tor the work which is ihe subject ot this apPlication a pertnit for such wnsWction or modification from ihe South Coast Air Quality Management Dis[rict or from any oiher air pollution control tlistricl or agency7 ❑ Ye5 ❑ No (Section 65850.2 of the Califomia Govemment Code requires that the requested information be fumishetl on applications lor ron-residential Duiltling permits). 6. Wili any part of Ihe faciliry lo be wnslructe0 under this permit Ce within t0001eet from the outer Goundaries of a sc�ool'! ❑ Yes ❑ No (If 'Yes", the facility must meel Ihe requirement of Sections 25534 and a2303 o( the Califomia Healt� and Safety Code). 7. If a permit from the South Coasl Air Dualiry Management Oistrict or olher air pollution control district or agency is required for the work which is the subject of this application, have all 01 the disclosures prescribed by Cali(omia Health and Safely Code Section 42303 Deen made7 ❑ Ves ❑ No. 8. (If yes", attach certificate of compliance trom the appropriate air polludon wntrol officer�. CER7IFICATE OF COMPLIANCE: I certify Ihat under penalry of perjury ihe information given above is iortect. I agree to wmply with all state laws and city ortlinances regartling Hazardous Materials and Emissions. � � SignaWre �me CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify under penalty ol perjury that I have read this application ana state that the information given is cortect. I agree to comply vnth all state laws and city ordinances relating to building construction, antl authorize.representatives of the Ciry ot Costa Mesa to enter upon the above-descnbed property lor inspection purposes. I agree not to occupy or allow occupancy of any building authorized by Ihis permit until fnal inspeclion. Signalure I eg�l Ovmtt�s) �D�te � �� J <i /AnOlor Aut�onzetl Applitanl ` Dote l JobAddress: 450 ENCLAVE CI Status: ISSUED Suite: AC • Applied: OSI21I2007 Vicinity: Issued: OS124/2007 Primary Occ: U Type of Construction: V-N Parcel Number: TPN007093 Zoning: Applicant: JERRY CROSBY ' � ' Address: 8 EXECUTNE CIRCLE � Phane: 714-557-0244 IRVINE, CA -" �, ��,-_� ' 2ip: -92614 ISSUED BY: �- ./"'- �- -- -- _ ' - i// �-',- ' - .-- - � �.� - - -=', _.� �... Owner. THE IRVINE CO%/ _�� , " 1� - � �, ! ��' ; A ` ;� Address 1101NNOVATION � � , , � � � � Phone 949 720-5536 � � � � ,A IRVINE CA . -� � � ` ;:; �_ Zlp 92612„� ( . \ � �� \ i i i.. - � �� VA / �}. : �� ,� � _ ,_ , � Contractor' „WESTERN,NATIO AL-CONTRACTORS � � �� r�A� �. � \�� Address:;�%BEXECUTIVE.CIRCLE�'"',%�� "'� �;�\,� i��\ .� '' � �� ,, � /�:�� Phone: 714-557-0244 , ��. �� , �,A�A'�� IRVWE CA ' `�`\ C � � � � � � '% Zip: 92614 / %� � License: 840973 ��A ✓ �� ' ., . ' /!� ��'.� .5V A. � %�� Zip: t ri� , t ,i � / t Phone: e, � icense: ,_ �`"''' _ /, .�% . — _ _ . ; PHASE II, ENCLAVE APARTMENS HOMES � � � � ✓ �./� > CONSTRUCT 497 S.F. DETACHED, 2 CAR GARAGE_ Plan Check: �. Permit: ' , SMIP Res: SMIP Com: Other: ., �`_�Inspection: � � �. Jotal: $80.07 $492.75 53.48 50.00 $0.00 $0.00 $576.30 Eng: Address: � �� -�� `r _. _ i SCOPE OF PERMIT �� ;�� `� :'�;,� ` `j �,v � � �` ', � �Phone: -� � + i A V`' `� A�; ' �Gcense: _ �`; i/ �,. . �-� r' � ��_':,'„'., � _ � �' �, � � � � � � � � �1 � � _ - _ . -- � _-- .--- - - - . %� , __. ,._._.._._. , .,,�.,.,: � � .� '2... _ - - Calc Valuation: , ,� � 83a,�so.0o � jJ� Claim Valuation: �;� �� - j ssa,iso.00j l% � �,; �- � ,�>�, -�', � -� - — �' v.� � � /i/�l ` .�. � . � �, . ; _ y„� � � � � ,,� � � _' _ .�Vi:' htt5UMMAh - _�� ,�� -.-- -` _ S _...u,� / i r ` �? �� l .... �- ,. ��iii /�;� „ .,; , �' ..••2" Y� i./. . � � ' � ` +�i PLANNING&ZONING %<�.' i' SETBACKS . ' � '� -. r / � _� / .'�l. N.�d.-•�Kv _.�� /ry� - �.r1 l' .l_" . . i � MAW STRUCTURE FronL 0 0,\- ' �.Rear 0 0� .�� ' Lefl 0 0 �-, Right ,�0 \ ,� � '� ' " ,. � _ . / i� . ACCESSORY �, Froni 0 0 � � - Rear -0 0 �� . Lefl 0 0 - ,� _ - . RIghL' 0- 0'�; � , /i. % ' .� ' � � ��.� ..� � �'� „ - '' � ��'i��i PARKING Existm - - 0'' . Reamred � o��.� ° Pr000sed-�-�-,0�� i� � � � � � � � - � i' (1�\ � i, �'=� �.:i�i �r �= ' — � � � � � � I'i J; - --- -'� �:r' �� , � " �'�_A - `rc � � , �+ � ,i � "�� .,`i� �:�,_ L� t:��:J� " -� �`—''if� ' �� -�=i.ii �_],'";/,�1�_/.�� 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) IEXPIRATION: This permit shall au[omatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or ab� en d � for a period o( 180 days. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable co' des, and ell required Inspeetlona end final approval must be obtained. Fallure to obtain inspections and final approval will result in the expiration o4this permit. �� FOR INSPECTIONS CALL: (714) 7545626 zaae-ae (croa) WORKEHS'COMPENSAnON DECLARATON: I hereby eflirtn untler penalry oi perjury one of the iollowing deUarations: ❑ I heve end wlll maintein a ceNficete ot consent to sel4lnsure tw workers' campen5ation, as pmvitled for by section 3700 ot the LeUor Code, for ihe peAortnance of the work lor which`Ihis pertnit is is5ued. �I.have eM wW malnfan workers' compenseqon Insurarwe, es requiretl Dy sectbn 3700 ot the Lebor Cotle, tar Na peAortnente ol Ne work fw which thls pe�mit Is luuetl. My workera'p� Ri eilon surenCye�car.r(er. �en!E po�lid�•, number are: t-�y /^G/ I� / �Cmrler.�""�l /) P 5 1_l]�A/�M(/1 ao�l ,Numeor:= �' C��R��/H �J 7� Z CJ .(IMs'section nee nof be aomplefetl'! fhe permll ls ve/ued ef one hundred Oollero (S I00) or Iess.) ❑ I certlty Ihet in the peAormance ol the work tor which thls pertnit is issueQ I shell not employ any person In eny menner so es lo becort�e sub�ect to the workers' compansation lews of Calllomia, apr a Ihat if I shauld became sub�ect to Ihe workers' compensatlon provlslans at Seyyytlon 700 of the Lebor Code, I shell forthwllh comply with the rovislons. � / �� .A�pyRceN Signewre: " e18:� � - 'WMNINO: FWLURE T S RE WO HS' GUMPEN ATION WVEMGE IS UNLAWFLIL AND SW1LL SUBIECT AN EM�EF R TO CRIMfNAL PENALTIES rW D CML FlNES UP TO ONE HUNDRED hKKISAND ,000),IN ONTOTHE�p$TOFCOMPENSATION,DAMAGESASPROVI�EOFORINSELTION31080FTHELABORCODE,INTEREST,ANDATTORNEI"SFEES. LICENSED CONTAACTORS DEClARA710N: I hareby effirtn Ihat I am licens� ury7§yeryvfsio CONSTRUCTION LENDING 9(commencing with Section 7000) of Division and my license is In tull ❑ I hereby eltirtn Ihat there Is e conslrucUon 14nding egency for tha pertormence of Ihe work Por which this pertnit i9lssued. (Sec. 3097, CMI Code). Lentlefa Neme: Lentlefs AdOress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirm that untler penelry o1 per�ury that I em E%EMPT FROM THE COtlTAACTORS LICENSE LAW tor the tdlowing reeson (Sec. 7031.5, Business en0 Professions Cade: Any dry or munry which requires e pertnit to construcL alter, improve, Cemdis�, w repair eny sWcture, prior to Its Issuance, elw reQuires Ne appllcant for suc� permit ro file e Slpned atatement t�e� he or she Is IlcensgA pursuant to Ne proWsians at t�e Cantrectors License Law (Chepter 9(cammendng with Section 7000) oi DlWslon 3 01 the Buslness anC Professions Cotle) or thal ha or sha is e:empl Iherefrom and Ihe besis for Ue elleped exemption. Any vidation of SecUon 7031.5 by any epplicant for e pertnit sub�ects Ihe epplicenl to a dvil penfllty o1 not more Ihen live hunAretl Collars (5500).): ' ❑ I, es owner af t�e properry, or my employees wlth wages as Iheir sole compensetion, WILL DO THE WORK, entl Iha structure Is not Intanded or otfered lor sale (Sec. 7044, Business and Prolassions Gode: The Coniractors License Law does not apply to an owner ol properry who builds or Improves Ihereon, flnd who does such work himself or hersetl or Ihrough his ar her own employees, proviAed ihat such improvements ere not Intentletl or aHered for sale. If, however, the building or Improvemem is soltl within one year of completion, the owngr-builder will have the hurtlen oi proving that he or she did not 6uild or improve lor purpose ot sale.). ' ❑ I, es owner at the properry, em E%CLUSIVPLY CON7RAC71NG WITFi LICENSED CON7RACTORS ro construct the project (Sac. 7044, Business and Protessions Cade: The contractors License Law does n0t epply to en owner af propeny who bullds or Improves thereon, and who coniracls for sucl� pro�ect with a contrectoqs) license Dureuant to the Contractors Llcense LawsJ, ❑ I em exempt untler sec. Business and Prolesslons CoAe tor this reeson: Signature: Dele: Owner ID venfied by drivefs Ilcense. ❑ Yes ❑ No Drivels Licensa No. Vedlicatlon of Ownership by (rypa ol document, i.p, - property taa bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETY PERMRCpq7�FICA710N: ❑ I hereby certify that no exwvation five (5) or more feet in depth Into which e person is requiretl to Aescen4 will be made in conneclion with work eufhoAzed by ihis permlt, and ihat no builtling siructure, scafl0ldinp, felsework, or demolition or tllsmaniling t�ereof, will be more than Ihirty-six (38) teet high. (Chep. 32, Grp 2, Art 2, Sec. 341, 71I1e 8, Califomia AdministretNe Code), ❑ As owner-Duiltler, I will not employ enyone to do work which would require a permil irom Ihe Division af IndustAel Salery, es noted ebove, unless such peraon hes e pertnit to do such work irom Ihe tlivislon. Signeture: Date: Division of Intlusirial Sefery Permit Number: ICERTIFlCATE OF COMPLIANCE ANO AUiHORIZpT10N OF ENTRY: I cenify unAer penelry ol perjury that I have read Ihis eDP��a�lon end state Nat the intormetlon piven Is I correct. I agree lo comply wlih all stete laws entl cliy ortllnences relatlnp ta �uilding consWction, end authodza representeUves of the Clry ot Costa Mese lo enter upon Ihe above-tlescnbed Oroperty lor inspection Duryose8, I egree not to accupy w ellow ocwpanry ol eny Duilding euthorized by this pertnit until Iinal inspection. GOOE t. INSPELTIONTPE 1816 Flxed System Final Fire Preventlon 1266 Pool Spa Final 200 Final Re-Root 201 Finel Block/FleWining Well 202 Finel Fectory Fire Place 203 Finel Sign 204 FlnelOemolitlon Q�i Q� 4Qf� INSPECTIONME 206 Finel Mechanical 20B Finel Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Flnal Planning Approval 222 Flnal Site 250 Flnal Bullding�Occupanry Date P91i V�Lfl � CITY OF COSTA MESA BU/LpING pIVIS10N 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754�856 • www.ci.costa-mesa.w.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER E07-00548 PERMIT TYPE ELEC STATUS: ISSUED DATE ISSUED: 07/13/2007 � =,��y,.,., � :. ISSUED BY: ,.�;:.;, - . -;�� — -y�ti't ;r�.. JOB ADDRESS: 450 AC ENCLAVE�CI,CM 1� '� ._ ,.� Suite/Unit:' ;AC Viciniry: � � - � , . ., SCOPE OF WORK: PHASE II, ENCLAVE ABARTMENT HOMES ' �- ; ' i , � ELECTRICAL INCLUDES: 3 LIGHT FIXTURES; 2�OUTLETS AND 2 SWITCHES FOR 2 CAR GARAGE. REF.: B07-00703 ��' �fr a � � _, ; e` ; _ : ,.. ` OWNER: THEIRVINECO �. ! -� ' . `-'.A'�:"�Address:�� 1101NNOVATION 1Unit:' , � PHONE: 949-720-5536� � � - �� -' � ., � � � � City/StatelZip: � IRVINE, CA � � � �-� . j � - � � � APPLICANT: PEGGY BLOCK Address: 8 EXECUTIVE CIRCLE Unit: PHONE: 714-557-0366 � -�- CitylState/zZip: IRVINE, CA . ,' , , � � - - �,-. � �:j, � . CONTRACTOR: WESTERN NATIONAL CONTRAGTORS��'��" � .-License No. 640973 �� . Address: 8 EXECUTNE CIRCLEUnit . � - , PHONE: 714-557•0244 City/State: IRVINE, CA , ' ZipCode 92614`� ', _ - � � CELL: ,,, . � � - ' i�� . - . -� .. _ _ . _. , � . . i"� � "�,;� __ , , " , . � . ELECTRICAL PERMIT �FEES�;�= � � ; � � � Electrical Plan Check Fee: ,.. . $0.00 . = Electrical Permit Fee: $31.20" ' � � Reinspection Fee - �� , .$0 00 r ' � . TOTAL FEES � � � � $31 20;_ . -� � _, , . . - , �� , NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related regulatlons. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 inspeetions and final approval must be obtained. Failure to obtain inspec6ons and final approval will result in the expiratlon of this pertnit. CODE/, iNsrEcnoxrme pAiE ix�ma3 S4.2E2 INSPEC710NTYPE p�g �5 1818 Fixed System Final Fira Prevention 206 Final Mechanical 1268 Pool SOa Final � 208 Final Plumbing ' ,1 200 Final Re-Rool 210 Final Electnwl � l� 201 Final BIocWRetaining Wall 272 " Final Fire Prevention 202 Final FactOry Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolilion 250 Final BuildingiOccupancy WORKERS' COMPENSATION DECLARATION: I hereby a�rm under penally ol perjury one of the ta�..++ing tlaclarations: ' ❑ I have and Will mainl2ln a cefii(IC2IB Of LOnSen� to 5e141n5ufB (or WOfI(ef5 compensation, as provided for by seclion 3700 of the Labor Cotle, (or lhe peAormance of Ue work for which Ihis permiLis issued. • � i I�have and will maintain workers' compensation insurence, as required by � tion 3700 of lhe Labor Code, (or the peAortnance of lhe v.ork fw which this pertnit is issued. My workers' compensation Insurance carrier and policy number are�j l�� Carrier: 1/1 cN(/��-1 �1.��.LQ � (in'sseCmneednote/eJ�f� /eedmepnerm�lareluedalwrenunde/tl0uears(Si00)alessJ C Policy Number. �A�l. L-� b�i Vt-��5��62(� ❑ I certify that in the peAortnance of Ihe v.ork for which this permit is issued, I shall not employ any pereon in any manner so as to become subject to the workers' compensation laws of California. and agree that if I shoultl become subject to the vrorkers' compensalion provisions ol Section 3700 of Ihe Labor CoQe>� hg aljforthw/ilh CAmply wi[h [hese provisio�s. �O� T C C Wi,Q` � l6 � Ap0lidnYSSi{�naWre Da�e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrm ihal I am licensed under provisions ot Chapter 9(commencing wilh Seclion 7000) 01 Division 3 of ihe Business and Professions Code, and my license is in full force and eflect. Lic. p Q�� ( Class # Convanw's Signature i Date �._- — .— CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn Ihat there is a consWction lending agency for the peRamance of the work for which this pertnit is issued (Sec. 3097, Civil Cotle). Lender's Name: LenOer's Address: OWNER•BUILDER DECLARATIONS: I hereby aKrm that under penally ot perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW (or the following reason (Sec. 7037.5, Business and Pro(essions Coda: Any city or county which requires a permit to consWct, alter, improve. tlemolish, or repair any sWcture, prior to its issuance, also requires the applicant for 5uch pertnil to file a signed slatement lhal he or she is licensed pursuant lo the provisions of Ihe Contractors License Law (Chapter 9(commencing with Section 7000) ol Division 3 ot the Business an0 Professions Cade) or lhat he or she is exempt therelmm and Ihe ba5i5 (or the allegetl exemplion. Any viola[ion of Section 7031.5 by any applicant (or a permit subjects the appliwnt to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner o( the property. or my employees with wages as their sole compensation, WILL 00 THE WORK, and the strucNre is not intended or oflered lor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner o( property who builds or improves lhereon, and who does such work himself or herself or Ihrough his or her own employees, provided that such improvements are not intended or oHered for sale. II, however, Ihe building or improvemenl is sold wilhin one year of wmpletion, the owneo-builder will have the burden of provinq thaLhe�or she did not build or improve for purpose of sale.). � ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professbns Code: The contractors License Law dces �not apply to an ovmer of property who builds or improves lhereon, and who contracts for such projecl with a cmtracta�s) license pursuant to tha Contractors License Laws.). ❑ I am exempt untler sec.- Business antl Professions Code for this reason: SignaWre ,Oale , 305]�a6(10]) Owner ID verified by driv� nse. ❑ Yes ❑ No Driver s Licensa No. Expires: Venfication ol Ovmership by (rype of tlocumenl, i.e. - property lax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby ceAify that no excavation frve (5) or more feel in tlepth into which a person is required to descend, vrill be made in connectbn with wnrk aulhonzed by this permit, and that no building sWcture, scaffdding, falsev.ork, or demolition w dismantling Ihereof, will be more Ihan thirty-sa (36) teet high. (Chap. 32, Grp 2. Art 2. Sec. 341, TM1Ie 8, Califomia Adminislrative Code). ❑ As owner-builder, I will nol employ anyone to do work which woultl require a permit from the Division of Intlustrial Salety, as noted above. unless suU person has a permit to Co such work from the division. Appliranfs SignaWre Oa�e Division of Industrial Sa(ery Permit Number: HAZNRDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or tuNre builtling occupant neetl to fila and certify a Business Plan for emergenry response [o release or threalenetl release ol a hazardous material7 ❑ Yes ❑ No (Section 25505 0l lhe Califomia Health antl Safety Code requires, wilh some exceptions. that a Business Plan be filetl vrith [he Costa Mesa Fire Department by every business which has at any one time Cunnq a reponed year a quantity of hazardous materials equal to or greater than a weight o1 500 pountls, or a volume o/ 55 gallons, or 200 cubic feet ot compressetl gas at sWndard temperature and pressure). 2. Dces or will Ihe applicant or present or (uture building occupant neetl to fle a registration torm for acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 ot the Califomia Health and Satety CoOe, with some exceptio�s, requires regislratlon with Ihe Costa Mesa Fire Department by each business which at any one lime has on hantl a quantiry ol acutely hazardous materials equal to or greater than a vreight o( 500 pounds, or a volume of 55 gallons, or 200 cu�ic feel of compressed gas at standard temperature and pressure�. 3. Does or will Ihe appliwnt or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Prog2m for aculely hazardous materials)? ❑ Yes ❑ No (Section 25534 of Iha Califomia Health and Safey Cotle provides that the Costa Mesa Fire Department may require the prepa2tion, certifcalion anA filing with the Fire Department of an RMPP by businesses wfiich are required lo register acutely �azardous materials with the Fire Depanment. 4. If an RMPP is presently requireC, has Sec[ion 25534 of the Califomia Health antl Safety Code been fully complied with? ❑ Yes ❑ No 5. Dces or will ihe applicant or present or tumre buiiaing occupant require for Ihe work vmich is tne subject of this appliCalion a pertnil (or such constmction or motlification from the South Coasl Air Qualiry Management Dislrict or from any olher air pollUlion Contr0l Oi5lnct or agency7 ❑ Ye5 ❑ NO (Section 65850,2 of Ihe Calilomia Govemment Code requires Ihal lha requestetl infortnation be fumishetl on applications !or rron-residential DuilCing partnits�. 6. Will any part of the faciliry to be conslructeC untler Ihis permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If yes". lhe facility musl meet Ihe requirement of Sec[ions 25534 and 42303 of the Califomia Heal[h and Safety Code). 7. If a permit from t�e South Coasl Air �uality Management Dislrict or olher air pollution conirol district or agency is required for the v.ork which is the subjecl of this application, have all ot the disclosures prescribed by Calilomia Health antl Safely Cotle Section 42303 bean made? ❑ Ves ❑ No 8. (If'yes", attach certifcate ot complianca from the appropnate air pollution Cqnvol officer�. CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the infortnation giyen above is covecL I a9ree to compty with all sWte laws and cily ordinances re jarding Hazardous Materials and Emissions. � Sigreture Daie • CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certily under penalry of perjury that I have read this applicalion and sJate Ihat Ihe information given is cortect I aqree ro comply with all state laws and cily ordinances relating to building construction, and authonze represenlatives of the Ciry of Cosla Mesa to enter upon Iha above-describetl property for inspection purposes. I agree not to xcupy or allow occupancy of any building aulhori2etl by ihi5 permit until final inspettion. . Sipnat LepalOwnals) te � � r�� AnCIqAUUwnEeEAppl�U�l �. .D31e . . .. Job nddress: 450 ENCLAVE•CI Suite: AD � Vicinity: Primary Occ: U Parce� Number: TPN007094 Applicant: JERRY CROSBY Address: 8 EXECUTIVE CIRCLE Type of Conshuction: V-N Zoning: StaNs: ISSUED Applied: 05212007 Issued: OS/24I2007 � Phone: 714-557-0244 IRVINE, CA -- � -- Zip:- 92614 -_ ISSUED BY: , .� - : � , - _ _ owner THE IRVINE CO%: =� - � . �' � i � � �� Address 1101NNOVATION"-' . " � � �= � � " � . , Phone: 949-720-5536 , IRVINE CA. � A ' � � -- _- Zip 92612'_ � � � /,//� ' ��• ��"' ;i-..— -- _-�._ . _�,— �� Contractor:� �- WESTERN�NATIONAL�CONTRACTORS �=�� . �� A ' � \\ -,A Address:� �BEXECUTIVECIRCCE': _ � , , � ' �� Phone: 714-557-0244 �� i , � i �/., �..; ; " � , , . . , A , ,' IRVINE CA- . �� j /� � ` . � �. i '� � Zip: 92614 �� License: 840973 �.V�A�/ �A�� A�ch : . . � � i . Eng: A ` /` . � Atldress: . , � Address: : ' � . � ' - � , � \ , Phone: � � ,� " u> � ,\Phone: � ', � ' V'� � . � � ��!� -� • � L . � �\ � /' - . , , - , _ , . Zip:- , - , � �, -License: . _ � _ . , �_� � ��License; _ i � �� SCOPE OF PERMIT `� �� V'� � , ' PHASE II, ENCLAVE APARTMENT HOMES _ � � \� . , i � , ;� � - . .. � i � � � ,. . - . . � CONSTRUCT A 743 S.F. DETACHED, 3 CAR GAR4GE. _ . � � - � � - �. ,�. � �1i/;�' FEE SUMMARY,. � ,. ��' � � , Plan Check: 5108.02 ,,, Calc Valuation: \ ssz;oio.00 Permit: $664J5 � � �• �i Claim Valuation: � - ssz,oio.00 SMIP Res: 55.20 � � - ' "' '�''� . � ' , ; ,1�- SMIP Com: $0.00 - ---- -- � ��' - Other: , �0.00 ' " ' � � � � ' �� ,�,; � � �Inspection: � 50.00 �� _�� - � i � �. ._ ; , `Total:� $777.97 , � � , •;�.�%,:PLANNING &-ZONING j ` � � ; �� SETBACKS � � -= ii,' � � � �� -" - ` i MAIN STRUCTURE Front. 0- 0'� � ' Rear 0- 0. � `� Left 0- 0 ��'�� '' Righl ;.0- 0 �� ACCESSORY� _ Front 0- 0 ��A Rear 0, 0;� �- Lefl° 0- 0�� , Rig �/j ,0 �/� � �� " i� � � � ' � —� �� '��% AU �� PARKING �Existm ' %0�� Reamred `�0� � � ',Pr000sed ,, 0 � ;� (/� �� j �� '-'\C`� �/�:.\ - - _--_ -_ - � �\\iJ /,7 , � i i � ._ . �!� i�n i - - � � , _ 1 � ,. , - . , ., ; � � - , "-�.. ,-�Gj �� _�� - �,A�,., . ._ - � �ii'%/ NOTICE: The work authorizad by this permit shall comply wNh all applicable handicap access �equirements under California statutes and ralated regulations. (Ord. No. 92-28, § 7, 72-21-92) EXPIRA710N: This permlt shall automatically expire and become void if work Is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable cotleS�,and all requlred Inapeetlone end flnel epproval must be obtained. Failure to obtain inspections and final approvel will result in the expiration of tM�permit. FOR INSPECTIONS CALL: (714) 7545826 zaa+e (a�m� WORKERS'COMPENSAnON DECLARAnON: 1 hereby aflirm untler penelry of perjury ona of Ihe iWlowing Aedarelions: 4 I heve end will maintain e certificate of consent to selt-Insure tor warkers' compensation, es provided for by section 3700 0l ihe Labor Catle, tor the peAortnance o} the work lor w�ic� this permit Is issued. ve antl will woBers' a ere: hunCred dollers 3700 of Ne Lebor Catla, for the peAortnanca oi Ne work for whlch Ihis pertnit is Lssued. OOlorlessJ PUIcy.Number��(/�rJ 7��v ❑ I certily that in t�e pertormence of tha wwk far which this permlt is Issued, I shell not employ eny person in eny manner so es lo became sub�eq to ihe workars' compensatlon laws o1 Celllomla, entl ee that ii I shoulE bewme su6�ect to Ihe workers' compensetlon provisions oi Se n 37 0 of the Lebor Code, 1 shall forihwith wmply wit� t�ese D�ovislons. '//Y a� �Appll�nt'Sl9netwe:--• r�are:'�.. v/ MMNO��LURE TO —C E WORKER OMPENSnTI N LpVEMGE IS UMAW Fl1L AND SHALL SUBIECT AN EM OVER TO CRIMI PEN TIES AND CML FlNES UP TO ONE HUNDRED T/IOUSrW D OOLLARE (S �, W ADOf[! N TO TME COSi OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 3]OB OF THE UBOR ODDE, INTERE5T, M1D ATTORNE'f5 FEES. LICENSED CONTRACTORS DECLAPATION: I hereby eHirm thet 1 em Iicensetl uy�a�ryW�pns yyChapter 8(commenNnp with Sectlon 7000) ol Divislon 3 ot Code, and my Ilcense Is In full CONS7RUC710N LENDING AGENCV: � ❑ I hereby eXirtn that there is e conslrucUon lentling egenty tor Ihe pertormance ol Ue work for which this pertnit is luuetl. (Sec. 3097, Civil Cotle). Lentlefs Nemo: Lendors Address: SlgnaNre: OWNER-BUILDER DECLARA710NS: Date: I hereby eNlrm t�et untler penelry of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business entl Professlons Cada: Any city or counry w�lch requires e permit to rnnsiruct, elter, improve, tlemolish, or repair eny structure, prlor to its issuance, elso requires the epplicent tor such pertnil to file a signed stetement that ha or she Is Iicensed pursuent to the pmvlsions W tha Contredors LJcense Lew (Chapter 8(cammencing wlth Sedlon 7000) of Division 3 at Ihe Business enC Professlons Code) or thet he or she is ezempt therefrom entl the Desis for tha elleged exemption. Any violation of Section 7031.5 by any eppliwnt for e pertnit subJects the epplicem la e civil penalry oF not more than tNe hundred dallars (5500).): ❑ I, es owner o1 Ihe properry. or my employees wilh wages es Ihair sola compensetion, WILL DO THE WORK, and the struccura Is not InientleG or otteretl for sale (Sec. 7044, Busine5s and Professions CoAe: 7Tie Contrectoro License Lew does not apply to en owner of properry who builds or improves thereon, antl who tloes such work himself ar herself or Ihrough his or her own employees, provided thel such imprwements are not Intentled or oflered for sale. If, however, Ihe builtling or improvemem is soltl within one year of com0letion, Iha owner-builtler will heve the burtlen ol proving that he or she ditl no� build or ImD�ove for purpose oi sale.). • ❑ I, as owner oi Ue properry, em El(CIUSIVELY CON7RAC71NG WI7H LICENSED CONTAACTOHS m construct the prqect (Sec. 7044, Business and Professlons Catle: The cantractors llce�sse Lew does not apDN �o an owner ol property who builds or improves thereon, end who contracts for such proJect wiN a conVaaor(s) license pursuant ta tha ConVactors License Lews.j. ❑ t em exempt under sec. Business anC Prolessions Cade lar ihis reason: SignaNre: Date: Owner ID verified by drivers license. ❑ Ves � No Drivefs License No. �pires: Verilicatian of Ownership Cy (rype ot Aocument, I.e. - properry Wa blll or deea): DIVISION OF INDUSTRIAL SAFETV VERMR CERTIFICATION: ❑ I hereby certity that no excavation tive (5) or more teet In depth Into which a person is requlred to Gescentl, wlll ba mede In connectlon with work euthorizetl Dy ihls permil, end ihe� no building structure, scafloldinp, teLsework, or tlemolltlon or dismantling t�ereoi, will he more ��an thirty-sIa (38) laet high. (Chap. 3.2, Grp 2, Ah 2, Sec. 341, Tltle B, Callfamle Administrative Cada). ❑ As awner-builder, 1 will not employ anyone to tlo work which would roduire e permit Irom the Divislon of Industnel Setety, es noted ehove. unless such peraon hes a permlt to tlo such work irom Ihe tlivision. SignaWre: Date: Division ot Industnel Satety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORQA710N OF EHTAY: I certity under penalry of perjury that I have read this application and stale that the intortneUon ghren Is corroct. I egree to comply with ell stete laws end clry ordinences releting to building construction, antl euthorize representetives of the Ciry of Costa Mesa to enter upon the ebove-tlescriDod propeny lar inspection purposes. I agree not to acupy or allow occu0ency of eny building authorized by this permit until Tinal ins0ectlon. COUE �. INSPECfIONTYPE 1618 Fixed System FNaI Fire Preventlon 7266 Pool Spa Finel 200 Finel Re-Roof 201 FIneI BIocWRelelnlnp Wall 202 203 20d Finel Fectory Flra Place Finel Slpn Finel Demolltion Qdg Q�LS 400E1 INSPELTONTYPE 206 Finel MeChenicel 208 Final Plumbinp 210 Finel Elecidcal 212 Final Fire Preven0on 220 Finel Plannlnp Approvel 222 Finel Slte 250 Finel Bulltling/Occupency � ltffi� JobAddress: 450 ENCL•AVECI Suite: Z Vicinity: Primary Occ: U Type of Construciion: V•N Parcel Number: TPN007090 Zoning: qpp�icanc JERRY CROSBY Address: 8 EXECUTIVE CIRCLE _ Phone: 714-557-0244 IRVINE,CA � , ��.�� -�Zip:��- 92674 _ Status: ISSUED Applied: OS121/2007 Issued: 05i2a2007 ISSUED BY: � "�i%�� . .- - __ � , Ownar. THE IRVINE CO`��' �' ; � _ ' - � ' ,'' �: A, ��'' � ' �� Addregs 1701NNOVATION �= ; � - � - _ � � ` Fhone � 949-720 5536 -' �� IRVINE CA� � A � � - _ -..Zip 92612r � � � �� A��.�� i��/ �- `- �. '.. --_ - _ _ , � _ � � A :�� Contractor:' ��WESTERN�NATIONAL C/ONTRACTORS �� '-_� � �_ ;"��- �� / �� - , Address.; ; 8 EXECUTNE CIRCLE "'/ � �, � �� /- � � �'. `, : � / . _ � 'i � ' Phone: 714-557-0244 �� -� -- - � , �\.` ,' � i �� /�d, ; " _ i �IRVWE,CA-i� C�� ' � � �� ,��Zip- 92874��/� LPcense: 840973 �� _�� . / /.^ �i�� .F.' \ _ / \ �� , Arch :� � %/i��i , Eng: �V':.A� , _ . Address: . � Address: - - ' - � , - � " . " - Phone: •. � .�' . ' ` . �Phone: � � � . ..� - . - � . _ . � .. � � - .'� .', _ . , -�' , . , , Zip: , - ' � ' �Lfcense:.. ". - __ � "�-., ��License: - . _ . - � % � , , . � � '. . __ ' � .�� . . � , �� ; SCOPE OF PERMIT �- � :� � �, �. . - � , �f , � PHASE II, ENCLAVE APARTMENT HOMES �_ � � \ ., ' ' � _ � � �j � �. ` - , � CONSTRUCT q97 S.F. DETACHED, 2 CAR GARAGE. _ . , � Plan Check: Permit: SMIP Res: ' SMIP Com: Oth�r: I nspection: 580.07 �492.75 $3.48 $0.00 50.00 50.00 Total: , $576.30 \ i - �- ,n- - � ' r - r-. : - �a.. � � _�; FEE�SUMMARY/:��,-_n,�. ' � � � - � - - - - - Calc Valuation: � � s3a,ieo.00 � .� �. _ ,� �� Claim Valuation: ' �' , , - ssa,79o.00' - � ,-i .� , � � . - __• . _- --` j' -, - � . - � • - , _ _;� �;` - � - �� r � � � /,� � �;;� _ , ��_ � �i �-� ; i - . '% %�-' .i! � ^ <-PLANNING &vZONING '�' �' � � ; / SETBACK5 . �. � � r :�' � � . , z-.� �-�%/ _ ; � MAINSTRUCTURE Front 0�0 � � � �Rear �0-0 �. "�Lett 0-0 ' ,�� Right.-'0-0 " - � , ' � <, .� _ i/,/ / - /, , .' ACCESSORY�,'� Front 0 0 � �,Rear 0 0- , ,-Left� 0 0 �-. Right � 0 0'�j � , � � _ � i � . "' , ; , `, ` �. _ _ ` % ' /" � < PARKING �� Exishn : 0 � -� Reauired 0�� Pr000sed:-�0 � �� 4 � �. �.. �� _ J � �� > �/ � ^-� . _ — / � � i �� . , �� - � L, - _" , - � ' - ��' �'� i � , . ��' � � - , ' -' E '_, �� i�, �� i" .. � -J ,�_��_��" ,,� .` � i ,! % ��: � . \� �;JO�i ,, <��._ : ,- — .—�� , - �<< NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced within 7 BO days, or if work is suspended or for a period of 780 tlays. INSPECTIONS: In order for t�e work authorized under ihis permit to be considered legal, such work must comply with all applicable ca requlred InspaeNona end flnel epprovel must be obtained. Failure to obtain inspections and final approval will result fn the ezpiratlon of � FOR INSPECTIONS CALL: (714) 754-5628 24i&48 (6W) all WOHKERS'COMPENSAnON DECLARATON: - I hereby aRirtn un0er penalry of perjury one oi ihe fdlowing dedarations: � ❑ i heve entl wlll maintein e certlfiwte ot con5enl to self-Insure for workers' compensetlon, es provitletl tor by sedlon 3700 oi tha Lebor Cotle, for �he peAarmance of Ihe work for which Ihlv peimit is issuetl. �I;have arW wlll maintain workers wmpensation insurance. raquirea Dy sectlon 3700 oi Ne Lebor Cotle. lor the pertortnance ot Iha xrork for whiM this pertnit is lswed. � rs' m nsatlon surance cartier e icy u ber are: /I/ '� 2/ ^errier. .. � l-� . . . . Poli _Number:-�%C2�6GCYS b one or less.) ❑ I ceNfy Ihat in Ihe pertarmance of the work lor which this Oertnil Ls issued, I shall not employ eny pereon in eny menner so es to becoma sub�ect to ihe workers' campensetion lews af Calitomia, en pre thet II I should become sub�ecl ro Ihe workera' compenselion provisions ol Sectl 370p of the Lebor Cotle, 1 shall forthwit� comply with these rovisions. / /T1 Appl�gnaluia� . _ /�' >, d��/ WARNINO: FWLURE TO E WORK� 5' WMPENSA ON COVEMGE IS UNUW FLL AND SHALL SU9JECr Ml EMPIOVER TO CiUAU PENALTIES M!D CML FlNES UP TO ONE HUN�RED TMOUSAND DOl1ARE ( 00, ), W AD TO TNE OF COMPENSATION, DMNGES AS PROVIDED FOR IN SECTION 31O80F THE IABOR CODE, IMEREST, Ml� ATfORNE1^S FEES. LICENSED CONTRACTORS DECLARATION: 9(commencing with SeMion 7000) of Division 3 of the Buslness � Professions Catle, antl my license Is In full CONSTRUCTON LENDING 7CGENCY: • ❑ I hereby eHirtn Ihet Ihere is e construction lentling egency tor Ihe peAormence of the work for whlch this permlt is issuetl. (Sec. 3097, Civil Cotle). Landers Name: Lendels AaAress: Slgneiure: Date: OWNER•BUILDER DECLARATONS: I hereby affrm t�at untler penelry of perjury Ihat I em E%EMPT FROM THE COHTHAC70RS LICENSE LAW for the tollov.•Ing reason (Sec. 7031.5, Business end Pratesslons Code: Any ciry or counry which requires a pertnit ta consWct, alter, improve, demalish, or reDeir eny strucWre, pdor lo ita lasuance, fllso requires the eppliwnt for such pertnit to file e slpned statement that he or s�e Is Iicensed pursuent to Ne provlslons of Ue Contractors License law (Ghflpter B(commenUng wlth SecUon 7000) ot Division 3 0l the Business end Profeulons Code) or ihat he or she is exempt iherefram antl the Oasis for the ellegetl exemptlon. Any violatlon ot Sectian 7031.5 Dy eny epplicanl far e permit sub�ects the applicent to a civll penalry ol nat more than five hundred dollars ($500)J: � ❑ I, as owner of lha properry, or my employees with weges as iheir sde compensatlon, WILL DO TXE WORK, and t�e structure Is not intended or ofteretl tor sale (Sec. 7044, Business and Professions Cotle: The Coniractors Llcense Lew does not apply to en owner of property who builtls or improves Ihereon, and who does such work himselt or hersetl or through his or �er own employees, provided Nat such improvements are not intended or ottered lar sale. H, howevar, the building or improvement is sold within one year ol completion, the ov.•ner-builder will have Iha burtlen ot Droving ihet he or she tlitl not builtl or improve lor purpose of sale.). � ❑ I, as owner oi Ua properry, am EXCLUSIVELY CONTRACi1NG WITH LICENSED CONTRACTORS to construct the project (Sec. �044, Businass and Protessions Code: The contractors License Law does nat eppty ro an owner oi pmDerry who builds ar improves thereon, end who comrads tor suc� pm�ea with a contracror(s) license pursuant to the Contradors License Lews.). ❑ I em exempt under sec. Business entl Professions Code for Ihis reeson: SlgnaWre: Date: Owner ID verified by tldvets Iicense. ❑ Ves ❑ No Ddvers License No. Verllication of Ownership by (rype o1 document, i.e. - property tex bill or deetl): Ecpires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICA710N: ❑ I hereby cenity Ihel no excavation iNe (5) or more leet in depth Inio whic� e person Is requlred to descend, wlll be made In wnnection with work euthorizetl by Ihis permit, antl thet no building structure, sceflalOing, talsework, or demolition or dismantling thereol, will be more ihan t�lrty-six (36) feet high. (Chep. 3.2, G�p 2, Art 2, Sec. 341, Title 8, Cellfomia Administrative Cotlej. ❑ As owner-bulider, I will nat employ enyone to tlo work which wou10 require e permil lrom the Divislon ol Industrial Selery, es notetl ebove, unless such person hes e pertnit to do such work from Ne tlMsion. Signature: Dato: Division oi Intlusirial Safary Pertnit Number: CERTIFlCATE OP COMPLIANCE AND AUTHORQ/1TON OF EHTRY: I cenity under penalry of perjury ihat I have reatl this application antl stete Ihat the intortnallon gNen is cortect. I egree to compty wit� ell siate laws enC clry oralnances reieting to builtling constructlon, end authodze representeWes of the Ciry of Costa Mesa to enter upon Ihe ebove-described properry lor inspection purposes. I egree not to oaupy or ellow occupanty of eny builtling authonzed by Ihis pertnit unGl finel inspection. COOE �. MSiEC710NTYVE i616 Fixetl Sysiem Final Fire Prevention 1268 Pool Spe Final 200 Finel RaRool 201 Finel BIocWRetalning Well 202 Flnal Factory Fire Place 203 Finel Sign 204 Finel Demolition �.171i�I:liHl.\S. GOOE� INSPECTIONTVPE 208 Final Mechanicel 208 Finel Plumbing 210 Finel Eletirical . 212 Finel Flre Prevention 220 Final Plennlnp Approvel 222 Finel Slte 250 FInalBullding/Occupency n � �