HomeMy WebLinkAbout2454 MONACO TERR - Building PermitsAugust 11, 2004
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CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92828-1200
OEVELOPMENTSERVICESDEPARTMENT
To:
Building Safety Division.
Code Enforcement
Communications
County Clerk
County Planning and Dev. Services
County Registrar of Voters
County Tax Assessor
Engineering Division (2)
ESRI
Fire Admin. - Training Officer
Fire Admin. - Mark Brown (Station 6)
Fire Prevention
Irvine Ranch Water District
Mesa Consolidated Water District
OLD ADDRESS
2455 Irvine Avenue
Comcast Cable
Newport-Mesa Unified School. Dist.(2)
Pacific Bell
Police Dept. - Planning & Research
Sanitary District Engineer
Sanitation Division Office
So California Edison Company
Southern California Gas
State Board of Equalization
U. S. Post Office - AIS
U. S. Post Office, Adams
Thomas Brothers
File (2)
NEW ADDRESS
2455 Irvine Avenue
2457 Irvine Avenue
2459 Irvine Avenue
2456 Monaco Terrace
2458 Monaco Terrace
2454 Monaco Terrace �
Your cooperation in this matter is appreciated.
Sincerely,
Wendy ih
Associate Planner
c: Kimberly Brandt
Garett Calacci
567 San Nicholas #430
Newport Beach, California 92660
A. P. NO
439-151-20
Andrew Patterson
3100 Airway Avenue, #116
COStBBLiItlM��VisMrt�T1r7���SLTS���nfortemen�(71i)754-5623 • PlanningDivision(714)754-5245
FAl( (774) 754�858 • TDD (774) 754-5240 • www.ri.msW-meu.w.us
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��TRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
2454 MONACO TR
TPN00413
npp�icant: PATTERSON, ANDREW -
Address: 421 31ST ST
Phone: 949-294-9057 CELL ISSUED BY:
NEWPORT BEACH, CA Zip , 92663 _
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. ir
owner: HGC IRVINE;,LL'
Address 190 NEWPORT-CEP
SUITE220E �,�{';
NEWPORTBEACH
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Contractor�' PATTERSON, CI
Addressa� 421 31STSTs,s':,,'"'
, :'„�NEWPORTBEACH,
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£ ��
ISSUE�FEE �'�� �$
Temp seryice test �
Res a/c package � °�;�
New Res (1-2 units) '$1
New Res (3+units) �°
Pool / Spa �_ ��
Lighhng Fizls -
Recept Outlets "�.
Swi�ches ��'
Non Res Appl .•... " F'�
Res Appl �k� �'
Service to 200a
Serviceto1000a ��-"� �
Service over 1000a � � `� �
Motors to 1 hp ���
Motors to 10hp
Motors to 50hp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Status: ISSUED
Applied: 07/29/2005
Issued: 07/29/2005
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ITERDR� pe�.�u. "�.. �.,,. �,.',.
; Phone 949-644 8900 '� �
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CA � �� `' Zip r� � � 9266� �° ' • - .
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�NSTRUCTION CORPORATION ��.; ,,
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Phone 949-294-9057 CELL , � �
CA Zip '92663 '" `��
License:�802367 ���'� �
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�SCOPE OF�BERMIT ;>,• ;_
SFRi-1132 SQ. FT FIRST FLOOR;-999 SI
OOM, 562 SQ. FT GARAGE. DECK 1- 47
NS;�2 5 BATHS. TR 16526, LOT 6 "
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�uantity
23 50 :u :... �
$0.00 �
$0.00 "
51.82 '�. 2717 -
$0.00 0 rn �
$0 00 ;� 0 � ��,'
$4.40 -. . q ::�� �� -� �z
$4 40 ; � F 4 �. ��«�'�,"�.
$1.10 . .....1 . ._ �' ; .,
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
1 SWITCH, 1 MOTOR TO 1 HP
�,:
Temp Dist System / Lighting
Busway /100 fi',� <.
Standing Section
Misc,Electrical Equipment
Transtormers up l0 1 kva/kw
Plan Check Fee
Reinspection Fee
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$0 00 ' 0
$0.00 ��' � 0
$� �� 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$0.00
NO710E: The work authorized by this permit shall comply with all applicable handirap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) �
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626 .
244W6(fl�00)
WORKERS' COMPENSATION DECLAflAT10N:
I hereDy eXirm untler penalry of perjury ona at the tollowing declaretians:
❑ I heve end wlll melntein e certificete of wnsent to self-Insure tor workers' compensation, es provided for by section 3700 of the Lehor Code, lor the pertortnence af the
wOrk tOr whiCh �h19 pertnit is Issuetl.
❑ 1 �ave entl wIP melntain workers' compensation insurance, as requiretl by sectlon 3700 oi Ne Labor Catle, for the pertortnance of ihe work fw whkh NI5 partnit Is is,wetl.
My workars' wmpensation Insurence wrtier end policy number ere:
Cartier: Policy Number:
(!h sectlon neetl �a� be completed il the perm/t!s ve/ued et one hundretl tlollars ($f 00J or IessJ
I cenity that in ihe peAortnance of t �c or w'ch this partnit is issued, I shall not employ any person in any manner so as ro become suD�ect to ihe workers'
co pensetlon �ews of Califo , end egree ihat It should Decome sub�ect to ihe workers' compensatlon provisions ot Saqion 3700 0� ih Lebor Cotle, I shall forthwflh
compty with ihese provisi �
ApplicantSignetur9: Dete: �� � �! .� �
WARNINO:FAILURET CU KERS' TIONCOVERAGEISUNLAWFULANDSMALLSUBJECTANEMPLOYEFTOCRIMINALPENAL ESAN GVILFlNESUPTOONEHUNDRED
THOUSAND (E , ). ADDITION TO CQST OF CqAPEN5ATI0N, OAMAGES AS PROVIDED FOH IN SECfiON 3lOfi OF TME LABOR CODE, INTEREST, AND ATfORNEV'S FEES.
LICENSED CONTRACTORS DECLAR
I hereby aHirtn Ihat I em Ilcensetl untler
torce entl effect. LIG. M�r2Z
Contraaofs Signafure:•
9(commencing with Section 7000) ot Divlslon 3 of the euslness�tl Proiessions Gode, entl my license is in full
Clau k t]
� Date: 2 i �
c
CONSTRUCTION LENDING AGENCV: �
❑ I hereby affrm that ihere is a wnsirudion lending agency for Ihe peAortnance of the work tor whic� Ihis pertnit is issued. (Sec. 3097, Civil Goda).
LsnUers Name: Lender's Adtlress:
Signe�ure: _
OWNER-BUILDEq DECLAHATIONS:
Date:
I hereby ettirtn that under penalry ot perjury Ihat I am EXEMPT FROM THE CONTAACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or caunry which requires e pertnu to construd, alter, improve, demolish, or repair any strudure, prior to its issuance, elso requires the epplicant for such pertnil
to file a signed statament thet he or she Is Iicensed pursuant to the provisions of ihe Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of Divislon 3 of the
Business end Professions Coda) or that he or s�e is exempt thereirom and the basis for the elleged axemption. Any Nolation of Sectlon 7031.5 Dy eny applicent for a pertnit
sub�ects �he applicant to a civil penalry of not more than tive hundred dollars ($500).):
❑ I, es owner of Ihe properry, or my employees with wages es their sole compensation, WILL DO THE WORK, and the swcNra Is not intendad or oftered for sale (Sec.
7044, Busine&s end Protessions CoOe: The Contractors License Ww does not apply to en owner ot properry who builds or impmves thereon, antl who does such work
himself or helself ar Ihrough his or her own employees, provitletl ihat such improvements are not Intanded or oHered for sale. It, however, ihe builtling or improvement is
sold within one year of completian, the owner-builder will have the burden of proving ihat he or she did not builtl or improva for purpase of sale.). •
❑ I, as owner ol the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the D�olect (Sec. 7044, Business anC Protessions
Code: The co�twctore License Law does not eppty to an owner of properry who builds or Improves thareon, and who comrecis for suc� project wit� a contrector(s)
licensa pursuant to the Contrectors License Lews.).
❑ I am esempt untler sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID venfied by drivefs license. ❑ Ves ❑ No Drivers License No. Expires:
Veritication oi Ownarship by (rype of dwument, i.e. - properry tac bill or tleed):
DIVISION OF INDUSTRIAL SAFETY VERMR CERTFICA710N:
❑ 1 hereby certify that no excavalion tive (5) or more teet in tlepth into which e person Is require0 to descend, will be made In connection with work euthorizetl by this
pertnit, end tltet rw building structure, scattoltling, falsework, or demolition or dismantling Ihereof, will be more Ihan t�irry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, T1tle 8, Galifomla AtlmInl5lreilve Code).
❑ As owner-builder, I will not employ anyane to tlo work which would require e permil from ihe Division ol Industnel Sefery, as noted above, unless such person hes e
permit to tlo suc� work from the tlivision.
Signature: Dele:
Division of Industrial Safery Partnit Number:
CERi1FlCATE OF COMPLIANCE /WD AUiHORVATION OF EHTRY: I certify untler penalry of perjury ihat I have reatl ihis epplication end state that ihe infortnation given is
correcL I egree to Compry wit ws and ciry ordinances relating to builtling construalon, and aut�odze representatives of the Ciry of Costa Mesa to enter upon Ihe
ebove-described prope inspectian rpos�sfl-ag�e6rro�to occupy or allow acupancy ot any building authonzed by Ihis permit until final inspection.
COUE I. /y�p�II4�T�"PE
1616 Fixed System Final Fire Preventlon
1266 Pool Spe Finel
200 Finel Re-R�i
201 Final 81ocWRetaining Wall
202 Flnal FadOry Fire Place
203 Flnel Sign
204 Flnel Demolition
CSIE �Q)ALS SQBE.0 INSPECTONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupency
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(714) 754•5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us _ 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
Job Address: 2454 MONACO TR
Suite No
Viciniry:
Parcel Number: TPN00413
ISSUED BY:
npplicant: PATTERSON, ANDREW
Address: 421 37STST ��°'"� ��� "^^�
Owner:
Address:
V Adare`ss: �
iv�
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Status: ISSUED
Applied: 07/282005
Issued: 07/29/2005
°�.'�"• `Phone. 949-294-905TCELL�x-,
NEWPORTBEACH CA ✓� � Zip '>�92663 �.,?�"�* ��'q
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HGC IRVINE, LLC �°�?, � A" c� .
19�NEWPOF2T CENTER DR; r �:: „� ;: :: '�a� ; " '�; � :t-'� <.,
SUITE220 • - �PFiFone. 949-844-8900 w -,e��
�m �. ,..., :� . �„ ..
NEWPORTBEACHCA���.s•�' � Zip: 92660 ,�."� ,; ,,..
+� s. ' � �
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PATfERSO,N;CONSTRUCTION CORPORATION � � � � � �
421 31 ST ST ' „"."' ��, . .
� � � � Phone: ,.949-294-9057 CELL � °�. :::., � ;��,
NEWP�ORT BEACH, CA Zip: �`92663 �
4 BEDP
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' - . � - REF: B(
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FANS/S
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ISSUE FEE "" ✓k'. . �� '�}���`
Inst FAU'<100 k BTU "'�� � ._
InstFAU'>100kBTU '�••-
r' .@q •.
Repair/AIP.CoolingMeat k��
InsURep.�Reiess.WallHtr �#�;, ��.
Refng Sys <100 k BTU � p°
Refn Sys > 100 k BTU
� License' 802367 � �, � �
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CCl1DF f1F DFRMIT - �� � �=;;�" � �!-.
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562 SQ. FT
TR 16526, LOT 6
, W .._ :.:: � � • . --: .c.,- .: • ,� ..
BTU 1�FACTORY FIREPLACE 1 HOOD W/ME H EXHAUST 4 VENT� ��,'`j �
.,T,�t'CONIPRESSOR3=15HP/SOOK^BTU '-` - �"°�
a
r.F� . ;<��;FEE SUMMARY 1 �`,:���; .'
,
��� 3 r
Quantity:,.. ,.."'`�v :- �"A� - '"� r�+ .� :E
0;, Repair / Alt Absorbtion Unit �
0��' 7 Repair,/AltRetrigeration�Umt �,�'�
0 0 Ventillalion;System ,�
0 0 Evapora�iveCooler � : _��;�=
0 0 ,� Commerciallncinerator ' �"'•?
0 0 �Domes6c Incinerator i �
_ 0 0 � ��� ��Comoressors / Absomhon Svstems�.,, ��
Gas Piping - ,�i$0 00 0 `� � �, Up to 3 hp /:100 k BTU
Factory Fireplace � ` $10 65 ,. t��,� �� % ��_3 To 75 hp p500 k BTU =: v ,
Hood w/Mech Exhaust �`,, $10 65 1 3 , �s ��;15 To 30 hp L 1,000 k BTU �"
VAV Box '� � �$0 00 0 ��� E�- '`� "- 30 To 50 hp /:1 750 k BTW� �' �
Vent Fan / Single Duct �, � $29 00 4 ' ,� Over 50 hp / Over y1,750 BTUg �
Appliance '•�� �$0 00 0�,� _- � � Balers ,*�„ ` ,� ,�
Fire Dampers "^ �., -$0 00 0. s� ,Up to 3 hp - ;. r�
Smoke Dampers � �" " . $0 00, 0, '�� � �� `-� 3 To �15 hp ,_ ' ��`$?'
Inst or Relocate Appl Vent ';" $0 00 0� -,�q.� ��;1510 30 hp -,. -
Air Handlers < 10000cfin '�<,SO 00 0 '; ,� E� �30 to 50 hp `,�f
Air Handlers > 10000cfm $0 00'� 0 � - � ,, �; " Ove�50`,hp'� ` " `� �
Floor Fumace $0 00 � 0�'�:, ,,. =� - Other Mechamcal Fee ��-`�' N
FloororSuspentlHeater $000 0 . ������ a�,,,.,.,Inves6gationFee•���'�
'�� � s:Pian°Check'Fee
• --- ��'��.�.=Reinspection Fee
$0.00�" 0.,.
$000 0,-
$0.00 �0.:��
$0.00 � 0
$0 00 . 0
$0 00 0
$0 00 0
2J J5 1
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
..,r.i r.�rin.rv.,v�ce e„c-rc
NOTICE: The work authorized by this parmit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92)
FJCPIRATION: This pertnit 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 authoiized under this permit to be considered legal, such work must comply with all applicable codes, and all
required InBpections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 �
26a6a6 (H�oo�
WORKERS' COMPENSATION DECLARATION:
I hereby atfirtn under penalty ot perjury ane af ihe tollowing tleclarations:
❑ I heve end will melniain e ceNfiwte of consent to selt-Insure for workers' compensation, es provided fo� by section 3700 of Ihe Lebor Cotle, for the peAortnance of t�e
work tor which Ihis pertnit is issuetl.
❑ I heve antl wll� meintain workers' compensation insurance, as requlred by sedion 3700 of the Lebor Cotle, �or the peAormance of the work for which this pertnit Is Issued.
My workers' Wmpensatlon Insurance cerrier and policy number are:
Cartier.
(lhls secUon need �of t
� I cenify thet In ihe
comply with these
Applicant Signeture: �
WARNINO: FNLURE TASF
Policy Number:
e hundred dollars ($100) or less.)
�ermlTisie eq 1 shell not employ eny person In eny menner so as to become sub)ect ro the workers'
become sub ct to the workers' campensetion provislons o1 Section 3700 of Ihe Le6or Code I shell forthwlth
Dale: ?� � ( O �
WORKERS' NSATIONCOVERAGEI UNL4WFULANDSHALLSUBJECTANEMPLOVERTOCRIMINPLPENALTIESANDCIVILFINESUPTOONEHUNDRED
INADDI O ECOSTOFCqMPE TIIXJ,DAMAGESASPROVIDEDFORINSECTION3]O60FTHELABORCODE,IMEREST,ANDATTORNEVSFEES.
UCENSEU CONTHACTORS DECLARATION:
I hereby effirtn that I em licensed under pr v' Ic
torce entl etfect. LIC. M�
Cantractofs Signeturei
with Section 7000) of Division 3 of the Business and Pro,ij�sions Cotle, and my Ilcense is In full
�,� Class # I l �i � i
�� Date: / 7�
CONSTRUCTION LENDING AGENCY: `— `�
❑ I hereby a�rm �hat ihere is e construction lending egency for the pertortnance of the work for which this pertnit is Issued. (Sec. 3097, Civil Code).
Lenders Name: Lentler's Address:
Signeture:
OWNER-BUILDEH DECLARATIONS:
De�e:
I hereDy afflrtn Ihet under penelry of perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the fallowing reason (Sec. 7031,5, Business end Professlons
Cotle: Any ciry or counry which repuires a permi� to construct, alter, improve, demolish, or repeir any structure, pnor to its iuuence, elso requires the epplicant for such pertnit
to file e signetl statement thet he or she is Ilcensed pursuant to the provisions of the Contredors License Lew (Chapter 9(commencing wlih Section 7000J of DlWsion 3 oi Ihe
Business end Prof�ssbns Code) or that he or she is exempt theretrom antl Ihe besis for ihe elleged exemptlon. My violation of Sectlon 7031.5 by eny epplicent for a permlt
su6jects the applica�� �o a civil penelry of not more ihan five �untlred dollars ($500).):
❑ I, es owner of Ihe properry, or my employees with wages as ihelr sole compensation, WILL DO T}IE WORK, and Iha structure Is not Intendetl or oflered for sele (Sec.
7044, Business and Protesslons Code: The Contractors Licensa Lew does not epply to en owner of praperty who builds or improves ihereon, end who daes such work
himself or hefself or through his or her own emplayaes, provided thet such impravemenis are not intendetl or oflered for sale. If, however, ihe building or improvement Is
sold within one year of wmpletion, Ihe owner-builder will have iha burden of proving ihat he or sha did not build or improve for purpose ot sale.). '
❑ I, as owner ot Ihe property, em E7(CLUSIVELV CONTRAC7ING WRH LICENSED CONTRACTORS ro construct the projact (Sec. 7044, Business and Protessions
Code: The co�twdors License Law does not apply to en owner of property who builtls or Improves thareon, entl who contracts for such pro�ect wlih a conirector(s)
license pursuant to the Contrectors License Laws.).
❑ I am exempt ��der sec. Business antl Prolessions Cotle for this reeso�:
Signature: Date:
Owner ID venfied by tlrivefs license. ❑ Ves ❑ No Drivefs License No. Ezpires:
Vedficetlon of Ownarship by (rype of document, i.e. +property tac bill or tleed):
OIVISION OF INDUSTRIAL SAFETY VERMIT CERTIFICATON:
❑ I �ereby certiry t�at no ezcavatlon flve (5) or more teet in tlepih Into which a parson is requlred to descend, will be made in connectlon with work euthodzed by ihis
permit, and lhat no building struc[ure, scattolding, falsework, or tlemolition or Cismantling thereof, will be more then thlrty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttla 8, Gelifomia Atlminlsirative Code).
❑ As ownervDuiltler, I will not employ anyone to do work which woultl require a pertnit from Ihe Division of IndusMal Sefery, es noted abova, unless such pereon hes e
pertnit to do such work trom Ihe division.
Signature: Data:
Division of Indusirial Sefery Permit Number:
CERTIFlCATE OF COMPLIANCE AND A T10N OF EMRV: I certify under penalry of perjury �hat I have reaa Ihis application and state Ihet the intormation givan is
correct I agree to comply with ell aws end c orOlnances relating ro building construciion, and authorize represeNatives of the Ciry of Coste Mese lo enter upon Ihe
ebova-descnbed property for' ection purposes ree�mtTvoos�py or allow xcupancy of any 6uilding authorizetl by Ihis pertnit until tinal inspection.
CODE �. ItlSPEGIl4tl.�
7676 Fixed System Final Fire Prevention
1266 Pool Spa ilnel
200 Finel Ra-R��
2�1 FIna181acYJRetaininq Well
202 Final Fectory Fire Place
203 Final Sign
204 Final Damolition
PAIE
��/ Z5%�v C�'�
Date
7ypr� cooe� wsrecnoNrrve
206 Final Mechanical
208 Finel Plumbing
210 Final Elaclrical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626•
Job Address: 2454 MONACO TR
Suite:
Vicinity: TR 16526 - LOT 6
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: TPN00413 Zoning:
Status: ISSUED
Applied: 08/04/2004
Issued: 07/19/2005
Applicant: PATTERSON, ANDREW ISSUED BY: I
Address: >. �. � . - �
!,�: � - ,. Phone: . 949-294-9057 - -
� �
. �; ' ZiP: , . �.
� . �" , � - . i i
'��.�i' t� - � _ � ��_ f� � _
� �
Owner: H.G C�IRVINE�LLC � ` � - ` " _ - �_ - � � � � �' `
Address ,�2455�IRVINE AV � -'� -� � �; : - ' ,
/ ; �' � i� , Phone - � � , . .
. . ,COSTA MESA..CA'.. �'- ' Zip: 92627 _ _. - -� � � � • ' ��
. '% � � % � .�.;!-;�' � , _ �
Contractor. PATf"ERSON,CONSTRUCTION CORPORATION
, ,
�Address:� 421 37ST-ST- � ,
//�i
�� I �./��/ "Phone: 94&294-9057CELL �`,``\� i ',
1 �'� �� NEWPORT BEACH. CA ,. .� � ( �� �;�.
% J, � Zip'- 92663� � _License: .802367 � - . - �.� :.; -� � � .
1 �� / ���. 1.,''��✓— ' � ' '
� "-.4rch:: � DAVID�-L. ARNESON `<,�% � � ��. Eng; SHUCRI YAGHI � � � - - '
.ABdress:� 5530 SAN JUAN DR ' / '-�'� � �� �- `- �� � ' _. Address: :�112 E CHAPMAN AV ' - .
� ` �"-Phone� �-714-547-9146 • .. - - SUITE�#D � � Phone: 714-997-9120
� ORAN6E� CA,. �j. �, - � ORANGE, `-;�"" -, �„ . � . � �
- Zip: 92869 •, t�' Cicense: C13354 92866� ��� ��License_ 43205
' �1 � � ' /' � - � _ .
� ��i� �l ! '`� �/�);.,r,-.! ��';. SCOPE-OFRERMIT- .,i-;;'a';� � . i��,
,' CONSTRUCT NEW 2,711 S.F. SFR.�1132 S�. FT FIRST, FLOOR, 999 S�i�F�T: 2ND fLOOR 580 SQ: FT. BASEMENT/BONUS ROOM, 562 SQ. FT
' ', GARAGE. DECK�-1- 47 SQ. FT., DECK 2 - 64 S�. FT: - - . - -' - - - � : , " ,
i
�4 BEDROOMS, 2.5 BATHS. TR 16526, LOT 6 �,- _� �:.
�.PA-03-49M-16526; , ' - �� . ---- ' . �- .' __ _ .
� ,� � FEE SUMMARY. �_ � ; ,' � � -
,Plan Check �, \',$276.14 � =- _ Calc Valuation ,��� $zzs,s��.sz
i, i
� A�', Permif: A $1•,699.35 Claim, Valuation:'� ��' �-_ $o.00
SMIP Res; ' $22:59 � �`;,�2r5"- ,;;%,r . _ \ `
SMIP,Com: . $0;00�, �' '' �+��. - "�� � .
„ � ,
��Other. � :� $000 ��� �,� y t.� ��' `� �; ; r,..« . j�'�� �� � ��`
Inspection: $0 00 �� � � f � � . '' �iij - , .
` i` \ �� _ �.. �'%c "i i.- /,, �
ti�;V <� !/` �`� �= _ , ���� i`�/ �,.
TotaL �.�-�$1;998.08;�� � -�`. ' ° , � � < � � . , .. �
�
��� ;. �_�; � v � �• ��<�. �, �->- ` -' � �����;'�/ �i�
� . .� _ _ � , �
`� "� �,�`�i � PLANNING&ZONING � ��.;/1 �i%;.
`'`�� (
��� , i � _ ���
SETBACKS 1i ,, ;/'� ,�-_ ,��: i/�:
\.� �
MAINSTRUCTURE Front 0�0_ -�� , Rear� �0;0. �-�Left 0-0 -�� RigMC'r,0=0
__/ A 5 '
� . / i �
ACCESSORV Front 0- 0 � Rear �- 0- 0- Leff -- -0; 0. =- -_-�Right 0- 0
- , - .. .-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, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
iNSPECTIONS: In order tor Ihe work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 750.5626
�
2d66-66 (6/00) � e�
WORKERS'COMPENSAPON DECLARArON: -�
I hereby ettirtn under penalry of perjury one of ihe following declarations:
❑ I have entl will maintain a certiticate of consent to setl-Insure for workers' compensatlon, es provided tor by sectlon 3700 of the labor Code, tor the peAormenca oi the
woAc for w�ich Ihis permit is issuetl.
❑ 1 have entl will maintain workers' compensation Insurance, as required by section 3700 of tha Lebor Cotle, for ��e pertormance of the work for which ihis pertnit Is issued.
My workers' compensation Insurance carrier end poliry number are:
Certier: Policy Number:
(7his sectlon neetl not be compleretl i/ the permit is valued et one huntlred tlollers ($100) or IessJ
� I cerlify that in the peAormancgpRtho-ne� for whic iapa it is issued, I shall not employ any person in any manner so as lo hewme subject to tha workers'
pensation laws of Cali affila, e egree ha should ba ome subject to Ihe warkers' compansetion provisions ot Section 3700 of Ihe Lebor Code, I shall fonhwith
compy with these Dro 1 �
Appliwnt Signature: � Date: % ��l' ��
WARNIN(3: FAILURE TO ORKER ' �MPEI ATION ERAOE IS UNLAWFUL AND SNALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CM� FlNES UP TOONE HUNDRED
TFKKISAND OOLLARE (S . TO THE COMPENSATION, DAMAGES AS PROVIDED FOH IN SECTION �W OF THE LABOR CODE, IMEREST, AND ATTORNEI"S FEES.
LICENSED COHTAACTORS DECLARATION:
I hereby aHirm Ihat I am licensed under provisions of Chapter 9 mencing ' ecuon ) oi Division 3 of ihe Business an,S�Professions Code, antl my Ilcense is In tull
torce and ettect. uc. a Q2-�� 2. � 6% � Class a S
Contraaofs Signature: T� c_ Date: ,� / n�—
CONS7RUCTON LENDING AGENCY:
❑ I hereby affirm that ihere is a conswction lentling agency for Ihe pedormance of the work tor which �his permit is issuetl. (Sec. 3097, Civil Code).
Lendefs Name: Lender's Adtlress:
Signeture:
Da�e:
OWNER•BUILDER DECLARAT10N5:
I hereby aHirtn that under penelry ot perjury thet I em E%EMPT FROM THE CONTfiACTORS LICENSE LAW for iha tollawing reason (Sec. 7031.5, Busineu entl Pratesslons
Code: My dry or counry which requires a permit to consiruct, alter, improve, demolish, or repair eny strucWre, prior lo its issuance, elso requires Ihe applicant tor such partnit
to file e signed atatement that �e ar she is licensetl pursuant to the provisions of ihe Coniractors License Lew (Chap�er 9(commendng with Sectian 70W) of Divisian 3 ot ihe
Busineu entl Professions Code) or ihat �e or she is axempt therefrom end Iha basis for t�e alleged exemption. Any violation ot Sectlon 7031.5 by any applicent tor e permfl
sub�ec[s Ne applicent lo a civil penalry af not more ihen tive hundred dollers ($500).):
❑ I, es ownar ot the properry, or my employees wit� weqes es t�elr sole compensation, WILL DO 7ME WORK, and the structure Is not Intentled or otteretl tor sele (Sac.
7044, Business and Professions Coda: The Contractors License Law tloes not apDly to en owner ot property who builds or improves thereon, entl who does such work
himselt or herself or through his or her own employees, provided Ihat such improvemanis are not Intended or otteretl lor sele. Ii, however, ihe builtling or improvement is
sold within one year ot completion, ihe owner-builder will have ihe burden oi proving that he or she did not build or improve for purpose of sale.). �
❑ I, as awner of the properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTHACTORS to construct ihe project (Sec. 7044, Business and Profeulons
Code: Tha contwctors License Law does not apply to an owner of properry who bullds or improves Ihereon, antl who contrects for such pmject with e comractor(s)
license Dursuant m t�e Contractors License Laws.).
❑ I em exempt untler sec. Business antl Professions Code for this reason:
Signature: Date:
Owner ID verifietl by tlrivefs licensa. ❑ Ves ❑ No Drivels License No.
Verification of Ownership by (rype of tlocument, i.e. - pmperty tax bill or tleed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION:
❑ I hereby certity tha� no e:cavation tive (5) or more feet in depih into which e person is requiretl to descend, will be mede in wnnection with work authonzed by Ihis
permit, antl that no building siructure, scattolding, lelsawork, or damolition or tlismantling ihereof, will 6e more then t�irty-six (36) feet high. (Chap. 32, Grp 2, A� 2, Sec.
341, Ttle e, Calitomia Adminisiretive Cotle).
❑ As owner-builder, I will not employ enyone to do work which would require e permit from t�e Division of Indusinal Satety, es notetl aDova, unless such person has a
permit to do suU work irom the division.
SignaNre: Date:
DiNsion ot Industnal Safery Permit Num6er:
CERTIFlCATE OF C iCE IB7lVIf1B IZATON OF ENTRV: I certify under penalry of peryury thet I have read Ihis epplication and state thet the infortnation given is
correct. I egre comply � I state laws en ciry ordinances relating lo building constructlon, entl authorize representatives of t�e Ciry of Costa Mesa to enter upon the
flbove-tles ed inspection purpos . I agree not to occupy or allow occupancy of eny building authonzetl by this permityGl fineljnspadion.
��//a�
Signat e Of Lega ner s _ �// � pate
LCl�
AnNOr Authorized ApDlicant Date
CODE �. INSPELTIONiYPE QATE IIiIID�LS
1616 Fixed System Final Fire Prevention
1268 Pool Spa Final
200 Final R�Roof
201 FInaI B1ocWRetaining Wall
202 Final Fectory Fire Place
203 Finel Slgn
204 Finei Demolltlon
COUEI INSYELTONTVPE
206 Finel Mechanical
208 Finel Plumbing
210 Final Eledrical
212 Final Fire Preventian
220 Final Planning Approval
222 Final Site
250 Flnel Bulldlnp/Uccupency
P�g 1N��L8
ff'�i � / ....�
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
CERTiFICATE OF COMPLIANCE OF DEVELOPMENT FEES
PURSUANT TO AB 1600 AND AB 181
To: � Cily of Costa Mesa
� ( ) Cily of Newport Beach
( ) County of Orange
Applicaht
Address:
Telephone Number:���
TracUParcel and lo
Location of Project:
Number of Square Feet of:
Residential Space
Commercial and
Industria� Space
p . . a
N° 5603
District Receipt No.
Plan Check No`�-��
-+��_
�r \ x 31.84
�2�3� � - � �2��5�
CommerciaUlndustrial Project is: (Check One)
Warehouse
R8D
Movie Theater
Mini-storage
Heavy Industrial
Regional Shops
Light Industrial
This project is exempt because
z $ .30
_ Motel
Bank
_ Neighbofiood Shops
_ RacqueVHeaRh
_ Hotel
Medical Office
Oifice Park
ioa��
Total ^�
a�O1. �-( �(
Total
Preschool
Auto Repair
Hospital
Large Ofice
O�ice Bidg.
Restaurant
Fest Food
This certifies that the above-named Developer/Applicant has paid school faci6ty fees in compqance with Govemment Code sections
53080 and 65995. The Building Permi� for this square footage in Mis proposed development may now be issued by your jurisdicGon.
Checks are to be made payable to Newport-Mesa Unified School Disirict.
AWwrizad RapreaeMative
The above representation as to square footage is We. AppBcant agrees Mat i�it is later determined that such rep�esentabons are not
true, then,m is cerueca[e sha11 automatically terminate and ihe appropriate Cify/County shall be notified.
Date:/ \ �/
i
(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.��cCTRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92676
JobAddress: 2454 MONACOTR
Suite No
Vicinity:
Parcel Nunmber:
Applicant: PATTERSON, ANDREW
Address: 421 31ST ST
Communication drops
Sub panel to 200a
Pole Light Pkg
NEWPORT BEACH, CA
HGC IRVINE, LLC
190 NEWPORT CENTER DR
SUITE 220
NEWPORT BEACH, CA
Phone: 949-294-9057 CELL ISSUED BV:
Zip 92663
Phone: 949-644-8900
Zip: 92660
PATTERSON CONSTRUCTION CORPORATION
421 31ST ST
NEWPORT BEACH, CA
CONSTRUCT NEW 2,7
SQ. FT. BASEMENT/B(
FT. ,y„G'
$0.00
$0.00
$475
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
0
1
0
0
0
0
0
0
0
Trans(Omiers up to 1 kva/kw
................uP to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misa Conduit
Misc Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
$0.00
$0.00
y0.00
SWtus: FINALED
Apptied: 07/29/2005
Issued: 07/29/2005
NOTICE: The work authorized by this permit shall comply wi�h all applicable handicap access requiremenls untler Calilornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire antl become void il work is not commencetl within 1B0 days, o� ii work Is suspendeC or abantloned
for a period of 1B0 tlays.
INSPECTIONS: In oroer ror rne work authorized untler this permit to be considered legal, such work must comply wilh all applicable codes, and all
�equlred Inepeetlons and flnal epproval must be obtained. Failure to obtain inspeclions antl �inal apP�oval will result in the expire�ion of �his permit.
FOR INSPECTIONS CALL: (714) 7545626
�4,o a �a�,�
WORKERS'COMPENSATIONDECLARATION: � �
I nere0y aHum untler penalry ot perlury one ol i�e lollowing declarations:
❑ I �eve entl will mainlain a canit¢ate nt consant Io sell-Insure tor workers' tompensation, es pmvitletl tor by seclion 3700 al the Lebor C We, for Ihe periwmance ol Rie
wo�k tor wnicn t�is permi� is issuetl_
❑ I nave an0 will meintdin workers' compen5aiion insu�anca. as required by section 3700 0l lhe LaGor Cotle, tor the perlormance of ihe work lor wMch t�is permit is issueQ
My worFers' compensation Insurance carner antl pobcy number are:
Carrier Policy Numbac
ITNs secuon nexd not Oe complefed J ��e permif is valued a� one hundied dollars (8100J or /ess.)
❑ I[ertify Ihel m Ihe petlOrmance ol lhe work lor which lhi5 permi� i5 i55uaQ I Shall no� empl0y any pelSOn in any mann¢r so as lo become 5ubjeCl to Ihe workers'
compensa�ion laws ot Caliromia, antl agree Ihat it I s�ou10 bacome sub�ect to the workers' compensation provismns o� Ser.Iion 3700 oi �he Labor Cotle, I shall lotlhwith
comply witn Inese provisions.
Applicam Signalwe: Daio:
W�RrviNG� F�IIURE TO SECURE WOHKERS' COMPENSATIpJ CAVERnGE i5 UNLAW FUL AND SMALL SU6IECT AN EMPLOVER TO CRiMWAL PENnLTIES AND CIViL FMES UP IOONF MUNDRED
TFqUSAND DCiLARE �510�,C00�. IN ADDI il(NJ TO THE C(�T OF COMPENSATION, DnM4GE5 AS PROVIDED FOR W SECTION J)[b OF iryE LABOR GpDE, IMEREST, AND �TiOHNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I heroby aHirm ihat I am licansetl untler pmvisions of C�apler 9(commencing wnh Seclion 7000) ol Division 3 o/ Ihe Business
Iorte antl eHeCL LiC. •
Conlraciors Signawre:
CONSTRUCTION LENDING AG_NCV:
❑ I nereby aM1iim mal Inere is a constmtnon lentling agency for t�e pertormance ol t�e work lor
Lt�naer's Name: Lentler's Atltlress:
Sianawr�: -�
OWNER-Bl'1LDER DECL4RAilONS:
I�neruoy aflirm Inat untler penaliy o� perlury Ihat I am E%EMPT FROM THE
Cotlx: nny city or county whic� requires a Oarmii to consvuct, atler, impmvi
lo I�le a slgnetl 5�91tlment I�al h0 of slle is Iicense0 pur5u8nt lo IhB prOViSip
Business antl Prolessions Cotle) or Ihal he or s0a is eaem0� �herelrwn�en�
suo�ecis Ine appLWn� to a civil panally of not more Ihan liva huntlredCdler6
ia,...r._ �y
❑ I. as owner of Ine propeny, or my employees wi1� wa9es af'Qlelcf019
7U44. Bu5ind55 2nd PIOIESSiOf15 COtlB: Th2 COi
bimsolt or hersnit ar Ihmugh his o� her own em{
sold wiihin one year ot complelion, �he owner-�
❑ I, as owner nf Ihe O�oOerty. am EXCLUSIVELV
Code: Tne convanors License Law.00es noi a{
license CWSuani 10II1B COnVeGlOfEaLKM52 Ld�
❑ I am e.ampt untle� sec.
Signature:
�
Ownor I D, venfietl oy tliiver's I
✓_';
VerP�cat�on uf Ownersni0 GY.(
'm
bill o!
DIVISION OF INDUSTq1AL SAiETY PERMIT CERTIFICATION:
{u'.��.�y.i • �•ri!'.:rr"..s'.l
� I horaby cenily I�ieYno ezcavation five (5) o� more leet 4i tlepth into
peimii, ano Ihal no builtling stmcwre, scafloltling�fYleewor�k, or der
3at,lnleB,CaiAania�AaminisvabveCode�. (',�`pF�•;
Class �
D'a�a:
:TORS LICENSE IAW.tw tM lollowing rea[o
i, or repeir�ar'ry'slmcwre,.prioLto ns issuance;
'.onlrActors Uclnse Le�v (C�apter 9 (mmmeni
for Ilia aileped exemptian:�Any violaiion ol Se
6:i¢n��it�;� �`•c::,,�„�f t
Iion, WILC DO.TME�.WORK; eno Ihe s�mclure�
�ply to en;own�;of�piopeFty�who euilas or imp�
vements ete'.iwl Ntentletlbr oHereO fur sale. 1��
rinq t�el ti6 oLdhe tlid�nd�build or improvo tor'
iD CONTHACTOR910 construct Ihe u�alncl Q
�uilds Or ci�p'iovBs.itieieon, and who cnntracls
���':: . r' , . �
I 5 FI W[ �.rt9 � j
bns Codo for t�is �easorc.
i r ;�y's's[ �
I F�wei-.3. Oa19:
my license is in lull
)31.5. Business and Professions
res Ine applicani br sucn permtl
laclion 7000) at Drvision 3 ot the
1.5 �y any applicant lor a permit
itletl or oHeratl tor sale (Sec.
ion, antl who tltws such work
Ihe buAtliny ar improvemen� is
sale.).
Business antl Protessions
ro�ect wilh a coniractoqs)
Eepves:
tlescend, will ba matle in conneciion wil� work e W horize0 by I�is
will be more than inuty-siz (36) leet high. (C�ap. 32, Grp 2, An 2, Sac,
❑ As ownar-Duildef�liwill`no� employ anyone to tlo work wlnch woulE reduire a pnrmii Irom the Division of Intlusvial ;afety, as noletl above, unless sur.h person has e
permit to tlo suc�work hom Ihe tlrvision '� ���'i���P�ty� f:v x�
��oi�a�ure' f � �r� rH,s-� � � �'�'i��i�.��i.�1:
Date: _
ii_. �:..� �J' .r.f 1.�oY'�_, �sz��uF
Division M Intluslrial.5alery�Permit Number': t� °{y[� #- v�.�
r � p:.,,
MAZARDOUS MATERIALS AND EMISSIONS CEPTIFICATION:
r r.. .
i W i0 the appliwnt or D�esenl o�hitura CuilOing occu0ant neetl to Iile entl cenity a Business Plan br emergency response Io releTse or INealanetl release of a hezertlnus
. _ ..� t�.'-... .-. .
ISection 25505 a
busine55 whi<� Y
rn 2oU cuoic teei
Coae raquires, wnh some exceptions, that a Businass Plan �e filnd wilh the Cosla Mesa Fire Department by evury
�tl year a quantity of hazar0ous matenals oqual �o or greater Ihan a weig�t ol S00 pountls, or a volume of 55 gailons,
iperaWre and pressure�. 1
......_...... ............ ......... . .. ........ ......... .. . .. .. ... ....... ............
9 Dces or ill �Fe dpWICOn or.presenYor tulure Cmlding occupant neetl lo lile e regislration lorm lor acutely haxartlous matenals7 ❑ Ves ❑ NO "
�+ +,r a
ISecbon 255:i3 m ma'Cehtomia�Heatlh antl Safety Cotle, wnh some ezceplions, repuires registration wuh tne Cosia Mesa Pire Depanment by each �usinnss whicn el xny
unu iin�e nes on nan`dia.q�ianhry oi aculely hazaidous matenals aqual to or greater Uian e weighi ol Sn0 pountls, or a wlume ol 55 gallons, or 20U cubic luel of
compressetl gas al slantlam IempereWre antl pressure�.
.............. .............. .. ................ ................ .. .......... .................. . . ... . ..... .. . ...... . ... . ....... ........_ ... ........ . . .. ...._.... . ......._
3 Does or will ihe aOPlicam or presenl o� fulure builtling occupan� need to prepare an RMPP (Risk Management antl Pre�ention Pr�ram br acu�oly �azartlous malerialsJ?
❑ Y'es ❑ Idu
iSnction 255;ri ol Ihe Caldomia Heallh antl Satery Gotle O�o��des t�at ihe Costa Mesa Fre DepartmeN may reQuire Ihe preparatioq certilicalion and tiling with Ihe frte
Llepanment ol an HMPP vy busmesses wnich aia reqmretl to register acutely �azartlous matarials willl ihe Fre �epaNnen�.
.......... ........_ ...... ........._..... ................ .................. .. ........_...... _ _................ .......... . ..._ _............ _.. _........ . . ............ ... . _........... ........_.
4 I� an H�dPP ls �resently requiretl, nas Seciion 25534 0l Ine Calibmia Heallh antl Satety Cotle been fulty romphed wi1n7 ❑ Ves ❑ No
......... _ . . . ................ _..._............. . . _....._ �. ..... ......... ..,.....,. ..............._. ..... ..__....... ...... ....._..... . .. _............ . . . ........ . ._ . . ....... ...........
5 uoes o� wiV me uppncant or presenl or luwre �udtling occupanl iequiie �oi ��e work whicb is Ihe Subleci of Ihis a plicalion a permil tor such cunslmc�iun or motlihcalion
IrOm Ihp SOu�li Coasl Au Uualiry Managemanl Uishicl or Irom any o�he� air pollulion mNml tli5tnC1 0� d JeOCy? � Ve� LJ No
ISeclion 65PS02 nl me Galrtomia Govemmenl Code require5 I�a� Ihe reqUestetl m�ormaiion be Wmishetl on apphCations br non-resitleNiel builtlinq permn5).
....._..... .. _ ......... ............... ..__........_.. ....._.._.... ............ .......__.... ._... ... ....._......... ......._........._. . ........ .... _.
. ......... .._........
G W ill uny pan ot ine lactliry to �e consimctatl under ��is permrt �e wtlhin 1000 feet irom Ihe ouier bountlanes of a school � ❑ Ves ❑ No
III'yes", tne ta�alily must meel 1he iequuemenl of Saqions 25534 antl 42303 0l Ihe Calitomia Healtn and Salely Cotle).
. ...._.... _..... _.. ........ .... _ ........ _ . _....._.... . ._...._ .._..... . ............ ................ . .......... ...........
, ......... .............
7 il a pemi I ��om �hb Sou�h Coasl Au Oualily Management Disvict or o�her aii pollution contml disVict or egency is requiretl (or Ihe work which is Ri� subjer.t ol ihis
apul calioi , beve all ol 1l�e d�sGusures prescribe0 by Calitomia H6allh antl Sa�ely CWe Section a2303 been matle? [] Vxs ❑ No
.......... .. _.._.......... .._..... . ...__..__. ... .......... __. _. . ................. .. ...
.. ....... .... . ........... . ............ . .. ...._....... .._..........
P (11 yes aitacn cen�Lcale ot coinpbance hom �nn app�oP��ale en pollution conirol oNicerJ.
CFiiTIFICA7F_ OF COMPLIANCE: I cetliy Inat uwer penalty of perlury Rie inbrmalion given above is corract. I aqreo lo comply wi�h all s�a1e laws and cily orainancos
�egeming Hazartlous Mamnals and Emisswns
Siynawrat Gato:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cenity untler penaliy ol parjury Ihat I have read Inis eDP�icalion antl slale tnai Ilie mlormaiinn givei� is
correcL I agrae to ComOly wtln all slale laws end uty ordinances relaling lo builtling conslruciion, and aulnorize reDresentutwes ot t�e Ci1y ol Cosla Mesa Io anier upon Ihe
above�dESCnbetl propeny br �nsDecbon purposes. I egree nol lo occupy or allow occupanty ol any 6uildmg aul�orized Dy Ibis permi� until Imal inspec�ion.
LODE �. IHSPECTIOMiVG_E
1616 FiYeA SntemJ
fire
203
zoa
Signalure Of Lngal Ownei�s)
Antl/Or Autnor¢etl Appliwnt
W all
p� � Ii 1t
4Qp� INSVECTION iYPE
Datn
♦� nl'TRIALS
A/P/D Information
Activity: EO
Const Type: V-I
Owner: HC
Applicant PP
Contractor: PP
DeScriplion: C(
Req
Requested Inspect Date: Thursday, March 22, 2007
Site Address: 2454 MONACO TR CM
Type: ELEC2
Occupancy:
Requestedlnspection(sl
Item: 210 FINAL ELECTRICAL
Requestor:
Assigned To: """"""
Action: Time Exp:
Comment: �IISA�TfEST.
GFI NOT WORKING AT DECK.
Comment: GFI AT DECK NOT WORKING.
Comment
InspeCtion History
Item: 150 MISC
Item: 34 TEMP
Item: 36 UFER
Iter�: 39 ELEC
Item: 40 ELEC
Item: 42 ROUG
Item: 44 ROUG
01
Can
Item: 46 ROUG
Item: 48 ELEC.
Item: 50 ELEC.
07
Con
Item: 100 ELEC
Item: 106 ELEC
Item: 118 POOI
Item: 210 FINA
'" Approved `*
•� .
Sub Type: Status: ISSUED
Use: Insp Area:
Phone: 949-644-8900
Phone: 949-294-9057 CELL
Phane: 949-294-9057 CELL
�IRST FLOOR, 999 SQ. FT. 2ND FLOOR 580 SQ. FT.
DECK 1- 47 SQ. FT. DECK 2- 64 SQ. �T. 4
; HP4-01393 1 NEW RES ELEC GARAGE: 4 LIGHT
Requested Time: 08:00 AM
Phone:
Entered By: WEIDE_MJ K
ING " Approved "
M Action: AP APPROVED
IT
�R RELEAS "Approved "
M Action: AP APPROVED
AT DECK.
Action: CO Correclion(s) Required
08/25l06 Inspecto�: HM Action: CO Correction(s) Required
Comment
08/29/06 Ins ector: HM Action: CO Correction(s) Required
Comment: GF�AT DECK NOT WORKING.
�- � Y� a �'� %1 C� �Q ,,�' ,/v� < `T�_
�12z ��
REPT131 ` Run Id: 4799
Job Address: 2454 MONACO TR
Suite No
Vicinity: NSFD
Parcel Nunmber: TPN004'13
npplicant: PATTERSON, ANDREW
Address: 421 31 ST ST
ISSUED BY:
Status: ISSUED
Applied: 07128/2005
Issued: 0729/2005
Phone:. �949-294-9057 CELL �
NEWPORTBEACH,CA �:�,�Zip. 92663 �� : `; ,, _
., ... � ` .. ,.� .,,
r
���a. . . �F" „
Owner: HGC IRVINE", LLCiz�r; ' ,� �,,, �_��.
Address 190 NEWPORT CENTER DR �!�� °-
$ ; `- �,
F�Ki: .
� 'A
Contraclor: PATfEI
Address: �421 3151
�. �rNEWPOF
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�e�' �
:..i __ . � :y"N
N
'CONSTRI
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� i�, FT:yeYz '`"
��� --48EDR0
A �d -� n�c� �� �•
w
, ;a, � �: .� AMT
ISSUE FEE �:: � �$23.50
BackOow irngehon '., $0:00
BackBow Preventer ; �,s`�` $0.00
Balhtub $29.40
Clarifier System '` ,:, $0.00
Conned (Ice,Soda,etc) � %i�"�$0.00
Dental Units ,, - $0.00
Dishwasher � ��. $9.80
Drain, Floor $0;00
Drain, Rainwater �-"�$0.00
Drain, Roof � -��•$29.40
Drinking Fountain ��50.00
Expansion Tank $0:00
Gas Earthquake Valve $0.00
Gas (1-4 outlets) $6.15
Gas (Over 4 outlets) $0.00
Gas Repipe $0.00
Gas Service $9.80
Interceptors (Grease, Oip $0.00
Interceptors (Sand Auto ) $0.00
a.. � ,, e. , ... �, �,:•.
x�, .,� ,�. Phone p 949-644 8900 �' " �„' _
� a �
BEACH CA . d';Zipx 92660" ,^ � �� � � _;,�,_
'{� A
�'. �" : d"'$
i.�' � i". �: - .. �. �� � .
iON GONSTRUCTION CORPORATION � � ,
7 "
Phone: a949-294-9057CELl '_� ''.�;.,
BEACH,CA Zip �92663 �� '�.
:: �.:- . License �802367 .# - _ '� � � �� .�
, z �"�., ��' � - 3Y • ° •-
" . � �. .; 1� '; ,, i: � � ,� .
v
.. s.. .. -_ .., �� ... 1 � r9'�' . _ , .,..
��`���=SCOPEOFPERMIT--'-_' � `_
2 711 S.F SFR. 1132 S�. FT FIRST FLOOR 999 SQ FT �2N[
'/BONUS ROOM, 562 SQ. FT GARAGE. DECK 1- 47 SQ FT., I
3ATHS..TR 16526, LOT 6 ��
.
F T�.
r ��
�.� '�.c. ��k .
, -sa�.�i .�'�;
HWASHER, 3 ROOF�DRAINS, 1 GAS OUTLET (1-0) 1 SEWE
10WERS, 1 KITCHEN SINK, 6 WASH BASINS, 7_WASH BASI
3 "'
0 "
� �:,Y r;
0
1
0
0
Laundry Tub / Washer
Landscape Irrigation.,,
P-TraP .. . ..
' ,� ' �
a��
IARY ` ��`
AMT.` �
$000� � 0
$0.00 0
$0.00 0
�����:$0.00 0
's :� $0, 00 z.,..0
�� `. $0.00 ;'. 0. �
�,r $0 00 ��-0 ,�
_'v $0 00 ;,�0
tt
�
�
y f.
(✓ ti
� �j�,
ICE `, ��':-
a ,
��" AMT
SumpkPu`mp '� `� � $0.00
Swimming Pool � � - �$0.00
TrapPnmery f, ;r$0.00
Unnal "' °� ,���;$0.00
Vacuum���.8rkr Bkflow(1-4)=�� "� $0.00
� Vacuurii Brkr BkBow(5+)� :.' $0.00
� �' Wash Basin '� $58.80
' ,��Wash-8asinSet $9.80
y .�, ���' Waste and.Vent Syslem $9.80
� . Water Qloset (Toilet) - $39.20
;�^Water.Heater,lvent $12.30
'' `�' Waler Piping (Inst or Rep.), $0.00
I ���� $O.00��.�,O.r� . .Water.Re'-pipe $0.00
+' , ; $0 00° �. ��0 T Water;Seivice $9.80
� :; $980 "�1 �• Water-Softener $0.00
p . ��.v,., $0.00���0 �?� ��, OTHER $0.00
$O.OQ.�:O `�� VIOLATION $0.00
-,
�'� �� ` $000`:�°;0 �' � PLAN CHECK $0.00
.. ._d?`... "L,. ' REINSPECTION $0.00
�
TOTAL CALCULATED FEES: 5346.05
orv
0
0
0
0
0
0
6
1
1
4
1
0
0
1
0
NOTICE: The work authorizad by this permR shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 7, 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 Inspections entl flnal epproval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this permit. �
FOR INSPECTIONS CALL: (714) 7545626
24WC8 (8�W)
WORKERS'COMPEN9ArON DECLARAnON: -
I hereby aHirtn under penaly of per�ury one of the tollowing dedarations: .
❑ I heve entl wlll melntaln e certiTcate of consent to self-Insure tor workers' compensation, es provitlad for by sectlon 3700 0l the Lebor Code, for the peAormence of ihe
work tor which thi3 pertnit is issuetl.
❑ I have and will meintain workers' compensatlon insurence, as requiretl by sectlon 3700 of the Lebor Code, for the perlortnance of Ihe work for which Ihis pertnit Is Issued.
My workers' compenselion Insurence carrier end policy number ere:
Cartier:
sec f be completed it the permif
� ceNiy Ihet In ihe PertOrmen ih6WoTr c
compensetlon laws a� Ca' ia, end agree
plry,�wJth Ihe9e P�o ' ons.
' M�Stgneture:
WARNINO: FFILU S URE WORKERS' EN
TMOUSrW D E(St ,000)� �N TO E�
LICENSED CONTRACTORS DECLARATION:
I hereby eRrtn that I em licensed under pro n:
roroe entl eHec�
Comrea� o�5tgnature:r
CONSTRUCTION LEND�NG AGENCV:
❑ I hereby atFirtn that there is a construc on li
Lenders Name:
SlgnaNre:
af one
or/ess.J
Policy Number:
:h this permit i5 i5sued, I shall not employ eny per5on in eny manner ao as to become 5ubjed t Ihe workers'
ecome subJect to ihe warkers' compensation pmvisions of Saction 3700 of the LeDor ode, I shall fonhwith
� U�
COVEFiAGE IS UN BSHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALII S AND CIVIL FlNES UP TOONE HUNDRED
= WMPENSATION, DAMAGES AS PHOVIDED FOR IN SECTION 31080F THE IABOR WDE, ItJrEREST, AND FTTORNEV'S FEES.
7000) oi Division 3 ot.tde.Qusineu and Pr ejslans � e, end my Ilcense is in full
C ars S .
egency tor ihe pertortnance oi Ihe work for which this permil is issued. (Sec. 3097, Civil Code).
Lentler's Address:
Data:
OWNER-BUILDER DEC�7AT10NS:
I hereby eHlrtn ihat und0� penalty ot per�ury that I am EXEMPT FROM THE CONTFiAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions
Cotle: Any ciry or counry which requires e permit to consWd, alter, improve, demolish, or repair eny structure, prior to its issuance, elso requires the eDDlicent for such permit
to flle a slgneA statement ihet he or she Is Iicensed pursuant to the provislons of ihe Contractors Ucense Law (Chapter 9(commenGng wtth Sactlon 7W0) W Divlsbn 3 oi lhe
Business end Professions Cade) or thet he ar she is exempt thereirom antl ihe basis for the alleged exemption. Any Nolation ol5ection 7031.5 by eny applicent for a pertnit
sub�ecis the epplicant ttl a clvil penalry o1 not more than flve hundred dollers ($500).):
❑ I, es owner ot ihe properry, or my employees with wages es Iheir sola compensatlon, WILL DO THE WORK, antl �he structure Is not Intentletl or oflaretl for sale (Sec.
7044, Business end Professions Code: Tha Contractors License Lew does not apply to en owner of property who 6uilds or improves theraon, and who tloes such work
himself or herself or Ihrough his or her own employees, D�oWded ihat such imprwements ere not Intended or ottered tor sele. Ii, however, the buliding or impravement Is
sold within one year of completion, ihe owner-builder will �eve Ihe burden of proving ihat he or she did not build or improve tor purpose of sale.). '
❑ I, es owner of the P�aPeM. em E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTAACTORS to construd the pro�ect (Sec. 7044, Business antl Professions
Cotle: The comraGtors License Lew does not apply to en owner of property who builtls or improves thereon, end who contrects lor such pro�ect with e comracmr(s)
license pursuant to the Contractors License Lews.).
❑ I em exempt under sec. Business end Professions Code tor this reason:
Signature: Data:
Owner ID veniied by drivar's license. ❑ Ves ❑ No Driver's License No. Expires:
VedNcation of Ownership by (rype of documem, i.e. - property tex bill or tleed):
DIVISION OF INDUSTFiIAL SAFETY VERMIT CERTIFICA710N:
❑ 1 hereby certify ihet no excavation frve (5) or more feat in tlepth into which e person is required to tlescand, will be meda in wnnection wi�h work auihodzed by t�is
permit, antl thet no building strudure, scallolding, talsework, or tlemolition or dismantling ihereof, will be more then ihirry-six (36) feet high. (C�ep. 32, Gry 2, Art 2, Sec.
341, Title 8, Califomia Adminisirative Cotle).
❑ A5 owner-Duilder, I wlll not employ anyone to do work w�ich would require a permit from fhe Division of Industnel Sefety, es noted above, unless such person has e
partnii to do such work fmm Ihe division.
Signature: Date:
DMsion of Intlustrial Sa}ety Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORRATON OF ENTRV: I certity untler penalry ot perjury that I have reatl this epplication end stete Ihat the intormation given is
correct I agree to wmply with all state la iry ordinances relating to building construction, antl auihonza representatives ot the Ciry ot Casta Mesa ro enter upon tne
ebove-described property for ins purposes. I ree not to occupy or allow occupancy ot any building authorized by this permit until final inspectlon.
COpE I. IHSFECTION TYVE
1616 Fixetl System Final Fire Prevention
1288 Pool Spe Final
200 Finel RB-Root
201 Finel BIocWReteining Wall
202 Final Factory Fire Place
203 Finel Sign
204 _ Final DemolitiaP .
COpEt INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electdcal
212 Final Fire Prevention
220 Final Planning Approval
222 FinalSite
250 Final BuildinglOccupancy
QAIE II�IDlLfl
� •�