HomeMy WebLinkAbout2456 MONACO TERR - Building PermitsAugust 11, 2004
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR �RIVE • CALIFORNIA 92fi28-1200
DEVELOPMENTSERVICES DEPARTMENT
To:
Building Safety Division.
Code Enforcement
Communications
County Clerk
County Planning and Dev. Services
County Registrar of Voters
County Tax Assessor
Engineering Division 12)
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 (21
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, N116
COStaB411tlMg�iVisMrij7}�j 75a�7177���8'EMorcement (714) 754-5823 • Planning Division (714) 754-5245
FN((774)754-4856 • TDD(714)754-5244 • www.d.costa-mes2.w.us
.•
WEIDENKELlER, MARY JAA
From: SHIH, WENDY
Sent: Thursday, February 28, 2008 10:59 AM
To: WEIDENKELLER, MARY JANE,�„
Subject: RE: 604-01391 & B04-01392 /�2456'8 2458iMonaco Terrace�
Hi Mary Jane, I approved these a while ago. Maybe I just signed the cards... in any case, all 4 homes are finaled.
Thanks!
Wendy Shih
Associate �Planner
City of CosW Mesa
77 Fair Drive, Costa Mesa, CA 92626
Ph. (714) 754-5136 Fax (714) 754-4913
�shih(�ci costa-mesa ca us .
'i1.��
Costa Mesa
From: WEIDENKELLER, MARY JANE
Sent: Thursday, February 28, 2008 8:55 AM
To: SHIH, WENDY
Subject: B04-01391 & 804-01392 / 2456 & 2458 Monaco Terrece
Both of these permits have requirements for Final Planning Approval on the Inspection Screen. Has this been approved or
can this requirement be deleted?
Thanks,
MaryJane�Weidenkeller _
Office Specia�ist II �
c'00643ui(drr� 4)epa�Y.meret u��(+c Z'e:�f �
City of CosW Mesa
77 Fair Drive, Costa Mesa 92628
Ph (714)754-4871 Fax (714)754�4856 ,
mweidenkeller(o�ci.costa-mesa.ca. us
«pLE Object: Picture (Metafile)»
WEIDENKELLER, MARY JAI�`"�;
From: WEIDENKELLER, MARY JANE
Sent: Thursday, February 28, 2008 8:48 AM
To: SHIH, WENDY
Subject; 2457 8 2459 Irvine Av/604-01389 & B04-01390
Attachments: Picture (Metafile)
Both of these permits have requirements for Final Planning Approval on the Inspection Screen. Has this been approved or
can this requirement be deleted7
7hanks,
Mary Jane Weidenkeller
Office Specialist II
2C)OG Bui�d�rig 2JeparUnnn�t u f 4(ic `Y�ar
City of CosW Mesa
77 Fair Drive, Costa Mesa 92528
Pn (774)754-0H77 Fax (774)754-0856
mweidenkeller(a�ci.costa-mesa ca us
�✓�- .,�—�
Costa Mesa
(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa,G7.4SCTRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
tLt
Job Address: 2456 MONACO TR Status: ISSUED
Suite No A Applied: 10/17/2006
Vicinity: Issued: 11/21/2006
Parce� Nunmber: TPN006142
Applicant: KOESTER, FRED '
Address: 26981 VISTA TERRACE ISSUED BY:
UNIT B . Phone: 949-768-6333.
LAKE FOREST, CA � �: '' Zip - 92630 .
j /,,/ iii` '
Owner: WATERPOINT DEVELOPMENT
� ,..-. , ,
Address ' � � � � �
i ii�/�C� � � -Phone:, �949-723-1800 � �
jt'
� i/ j .� �� �/ �� . -ZiP. � - - - - � . - � . . . - , . ,
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Contractor �KOES,TER ECECTRIC
Address: 26981'VISTA?ERRACE � -
i .
' - . : /-. '�;��'• Phone:'-949-768-6333 � ,
� � � EL'TORO CA Zip: "� 92630 ` ,
, � _ j License:590573 .
�` " - -
, ,,,' � � ��!'' ;,: � � !� � _ SCOPE OF PERMIT. . � � �
��� � ',-�:INSTALLATION OF•A METER PEDESTAL FOR FUTURE IRRIGATION SYSTEM FOR SFD DEVELOPMENT. �
� � � WORK TO INCLUDE: PEDESTAL METER AND CIRCUIT FOR METER. ,
��
• . t . , _ - . -�Ftt SUMIVIAKY -
` i ' .. _ . . . . .
� - % �Quantity '�, % �;_ � �• .• _y_ ' _; , y_ .
�, ISSUE FEE � ' $23.50' `--"- - - - _ `=�� - � � -Terrip Dlst Syslem / Ligh�ting
, � Temp service test . $0.00 , - � - Busway /700 ft . -
� ; �Res. a/c package' ' $0.00 �` _ Standing Seclion � �
�New Res (1-2 units), �`, 50.00 , �A- -,� - � �Misc Eleclrical Equipment
��'�;: -•_,"_
New Res (3+units)� . $0.00 -- � �0� - - � �Traos(qrmers up to_1 kva/kw "
. ,
` " - -
�-- --'_
Pool=JSpa $0.00 �y,�0. � � " .............up.to70kva/kw-
�•.• �� �
-
Lighling Fixts� �� , .�, . $0.00 0 � � � .................up to 50 kva/kw
Recepl Oullets �� �. � $0.00 0 ............c :.up to 100 kva/kw
Switches , ��� �, �� � $0.00 ' 0 ...:..............overA00 kvalkw
Non Res Appl � ���� '� 50.00 '� 0 Low VoNage Equipment
Res Appl. �. �. �.'�z,; . 50.00 0 Low Volt Wiring System / Ckt
Service to 200a � � �, �. 530.50 � 1 . ; '-;: ���" `Miec. Conduit
Service to�7000a' °. ��•$0.00 '. 0 ,�,+��'- � Misa Conductor
Service over 1000a " �� � $0.00 � 0 � � � - Circus (�gen or�ride)
Motors to��1 hp � '� - �,$0.00 �. .: ; 0 `�" � � Circus (mech ride.or lights) � -
Motors to 10hp . $0.00� -. , 0" ` � . �� Christmas Tree Stand �
�,
Motors to 50hp _,;, ,�; ; -$0.00�'.'� � 0_ � - _ � " Fireworks Stand
�Motorsto100hp,�,`.. �� .$O.00��,ti��J�O'-,`�,� .:C� ��-OtherEleclrlcalFee .
Motors over t00hp ���� �� ,$0.00. � 0;� �- "• ' , '
Communicalion drops�'=A � `.50:�00'" 0-; �-�'� - `Investigation Fee .
Sub panel to 200a � V�� '90�.00��� � �� , 0 � � � - � �- �_ Plan Check Fee �
Pole Lighi Pkg � �� -$0.00 �, � � ! ;0 ` �-.� -Reinspection Fee -
Sign Circuits �� �`$0.00 �� � n 0_� � - `i - � �
Temp Pwr Pole ��$0.00\ v'0�. � � '�� � TOTACCALCULATED FEES
Intermed Pole $0:00� +\_ � 0�" � � ` � � . � �
'`�_ c . _ � , � �•
$0,00
50.00
50.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.60
$0.00
$0.00
$0.00
$78.60
�uantity. �
0
0
0
0-
0
0
0
0'
0
0
0
� 0
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia 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. ,
lMSPECTtONS: !n order for the work euthorized under this permit to be cronsidered legal, such work must comply w'ith all appliceble codes, arM all
required inspeetlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545826
eanaaa law/ + .
WORKERS'COMPENSAnON DECLARAnON:
I herehy ettirtn under penelry oi perJury one ot Ihe following declarations: _
❑ I heve entl wlll meintein a certificate ot cansent to selt-Insure for workere' compensetion, es proNded for by sectlan 3700 oi the Le6or Code, for Ihe pertortnence of the
work for whlch this pertnit is issuetl.
��heve and wlll malntain woiicers' compensation Insurance, as required by section 3700 of the Labor Cotle, for ihe peAortnance of the work for w�ich ihis pertnit is issued.
�_My�rkers' corr�p�n�e�iewin^surenc�rrier end policy number are: t' ���� � O p U��
Carrier,_--� lJ� � V .Pdicy.Numtier..
'('11i�s section neetl not be completed i! (he permil is velued et one hundretl dollers ($100) or less.)
❑ I cerlify thet in the peAormance ot the work lor which this permil is issued, 1 shell not employ any person in any manner so as to becoma subject to the workers'
wmpensation laws of Califomia, and �ee thet ii I should become subject to the workers' compensetion provisions of Saction 3700 of the Lebor Cade, I shall Forthwith
compty with lhese provisions. /� -_ - / �j� /
�1PPlicentSlpriBNre_= i... . Da19:_. _ L I�^/ � i�
�W fAl'C�IRETOSEWREWORKERS'COMPENSATIONCOVERAGEISUNIAWFULANDSHALLSUBIECTANEMPLOVERTOCRIMINALPENALTIESANOGVILFWESUPTOONEHUNDRED
D DOLURE (5100,000). IN ADDfTION TO THE COST OF COMPENSATION, OAMAGE$ AS PHOVIOED FOR IN SECTION 3106 OF TME LABOR CODE, INTEREST, ANO ATTORNEV'S FEES.
LICENSE� CONTRACTORS DECLARATION:
Chapter 9(commencing with Section 7000) of Divislon
CONSTAUCTION LENDING AGENCY:
�
Cotle, and my license is in full
❑ I �ereby affirtn Ihet there is a cOnSirutti0n lentling egency tor the pertormante oi tha work for which Ihis pertnil is issued. (Sec. 3097, Civil Cotle).
Lentlefs Name: Lendefs Address:
Signature:
OWNER•BUILDER DECLARATONS:
Date:
I hereby ettirtn thet under penalry of perjury thet I em E%EMPT PROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which requires a permit to construct, alter, improve, tlemolish, or repair any siructure, prior to its issuance, also raquires Ihe appliwnt tor such pertnit
lo file a signetl stetement that he or she is licensad pursuent to the provisions at the Camracrore License Law (Chapter 9(cammencing with Section 7000) oi Division 3 of the
Business and Professions Gode) or that he or she Is exempt t�erefrom and the 6a515 tor the alleged exemption. Any violation oF Section 7031.5 by any applicant for e pertnit
subjects the eppliwnt to a civil penalry M not mare than five hundred dollars ($500).): �
❑ I, as owner ot the property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, end the structure is not Iniended or otteretl for sale (Sec.
7044, Business and Protessions Code: The Comractors License Law does not apP�Y �o an owner oi properry who builds or improves Iheraon, and who tloes such work
himsetl or herseN or through his or her own employees, provitled that such improvements are not intended or oHered for sale. It, however, the building or improvament is
sold within one year of wmpletion, the owner-builtler will have ihe Durden oi proving that he or she did not build or improve for purpose of sele.).
❑ 1, as owner ot Ihe property, am E%CWSIVELV CONTRACTNG WITH LICENSED CONTRACTORS lo constmct the project (Sac. 7044, Business entl Professions
Code: The contrectore License Law does not epply to en owner of propeny w�o builtls or Improves thereon, end who coniracis for such project with e contractor(s)
license pursuant to the Contractors License Lews.).
❑ I am exempt under sec. Business and Professions Cotle tor ihis reason:
Signature: Data:
Owner ID veritied by drivers Ilcensa. � Ye5 ❑ No DrivBfs LicenSe No. Expires:
Venfication ot Ownership by (type ot document, i.e. - property tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify thet no exwvation five (5) or more feet in depth into which a person is required to descend, wiil be mede in connection with work euthonzed by this
permit, and thet no building siructure, scettolding, lalsework, or demolition or tlismantling ihereof, will be more than ihirry-six (36) taet high. (C�ap. 3.2, Gry 2, Art 2, Sec.
341, Title 8, California Atlministrative Cotle).
❑ As owner-builder, I will not employ anyone to do work which would require a permit trom the Division of Indusinal Safery, as notetl above, unless such person hes e
permit to tlo such work from the division.
Signature: Date:
Division oi Industnel Selery Permit Num6er
CERTIFlCATE OF COMPLIANCE AND AUfHORVA710N OF ENfAY: I certity untler penalry of perjury ihat I have read ihis appliwtion and state Ihat ihe Intortnation given is
wrrect. I agree to comply with ell sWie laws and city ordinences relating to builCing wnstruction, and authonze represeniatives oi the Ciry ot Costa Mesa to enter upon the
ebove-dascnbetl proper�y lor inspection purywes. I agrea not to acupy or allow occupancy of any building authorized by this permit until fnel inspection.
LOOE 1, INSPECTIONTYiE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Finel
200 Finfll Re-ROoI
201 Final BIocWRetalning Wall .
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
PAIE INTRIALS
COUE I INSPECTION TYGE
206 Final Meclianical
208 Final Plumbing
270 Pinal ElecMcal
212 Finel Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Builtling�Occupancy
//��T`-a o6
(714) 754-5273 • Fax (714) 754-4856 • www.ci.cosla-mesa.C211SLDING PERMIT . T/ FAIR DRIVE, COSTA MESA, CA 92626
Clll
Job Address:
Suite:
Vicinity:
Primary Occ:
Parcel Number:
2456 MONACO TR
TR 16526 - LOT 4
R-3 Dwellings/ Cong Res <10
TPN00411
Type of Constructian: V-N
Zoning:
Status: ISSUED
Applied: OB/04/2004
Issued: 07/19/2005
npp�icant PATTERSON, ANDREW _ - � -- -
Address: � ' _ " ' - : . ISSUED BV:
- ,-� ," � . Phone: 949-294-9057 . �
' r
, .= % % --�j'" - ,, 1 , Zip: ` r _ ' - '
. /./ � ' ._. . ` `
. , � � � , � �� ,
Owner. H:G CIRVINE LLC �, � : �' ' " � �
i / �� ) J�i _ _ `' , " f ,� : \ `
Address /2455�IRVINE AV � l �- . �_ ` �� - � � l -,
�q'�� � � � � � Ph000 ��• � .V��'�.� � A. -"�� A
� V �� �///�,�.�..._ � ;� "-�.A�� � / ����`.��
!COSTAMESA..CA�r'�-; � Zip: 92627 � �.',ti.>. \_ : i ��.
, ,; � �� i,/: - �^� � .,
Contractor. � PA7TERSON CONSTRUCTION CORPORATION `-� ��� �� ''
� i � .n.:,: ��A�• , ,>A
��Address:' 421 31ST ST/ ��,AA'. �' � '�
f ��� - �. %��i� �\ ` � '
) i' :'`,Phone: 949-294-9057 CELL
/ �„
` :� tNEWPORTBEACH,CA ;
Zip 1 92663� ( �. License: 802367 ., �� - . ., �� `" �
I � � . �%<�l �� . _ _ _ ,. f _ �. . .. � , t
r,mm :
. ,Address:
t�, '
� � Zlp:
UMVIU L. MRIVGJVIY : „�-r,`�" '
5530 SAN ilUAN DR y �_' / � ' � ' � �" - - _.
' ", ;.�,'�,-Phone-� 714547-9148
ORANGE, CA,: �'��:, - -'
92869 ` ��,� � ��,� '�Cicense: C13354
��_ Eng: SHUCRI YAGHI
Address:.. 172 E CHAPMAN AV ,
SUITE #D � � ; �'
ORANGE,`��,''�
92866��� ��,
\
�
, � ,
Pfione: 714-997-9120 �.
r�.� .,
�, —,
�License': 43205
� ''-
, , � -- - �,,, ;, � �� � y �n,. SCOPE�OF BERMIT„- .,-:,�; `• � , . .�
.'�, CONSTRUCT NEW 2,616 S.F. SFRi 1132 SQ. FS. iST FLOORj 999 SQ: Ff, 2ND FLOOR, 685 SQ. FT. GARAGE, 485 SQf,Ff BASEMENT/80NUS
� ; ROOM, DECK 1-'47 SQ. FT., DECK 2 - 64 SQ. FT. - =-� - - - . - - .- �= - - - - =. � ' '� ' ' .
, t . :4 ,�' `. ,�� � i;.��� , . .. .
, �4 BEDROOMS,�2.S�BATHS. TR 16526,`LOT 4. � �� ��, �"� � : ;�; ,� - �
PA-03-49M-18526.
:�' - `
; , ;�..
�7: �,
�,Plan Check�, �.,��
�� ;�:�Permit: A $
SMIP Res:
SMIP�Com: �,
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., �._. ° _>�� tr:1
FEE SUMMARY l�j";` "� � �
.06 � � —� _ CalcValuation:-�j� ���,�822s,�o2.2z
�.95 ` Claim Valuation> �` , ' � So.00
..2.,�. _ . � .
i.. � •
% % �\
87 � yn .g ' ; �`-�" � I
)0� i� � 'C i. � ,
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)�\��`� y_�. .�"'� -r . �� � c� r'. �`?�7 ��/ 1��' �. ,
,� �a - o� c � �". - %% /. � /�✓/
�/� ��� �'�. �;--, ` ° ,� " �� � . ` . r'� � � /� ���
{.68 v, �`����-:� ' , ,� � , ` , �� ��% �• ,�./ ,
��rf%�\ � ��c�C�,. �-��-;=.,- � �i'� ���/ !i/
SETBACKS � � �
MAIN STRUCTURE Front 0�0
ACCESSORY Front 0- 0
C�_���I r�`` �'�PLANN�ING & ZONING ��� `.�, �;.'� �� � �
_ ��? „ ,-'��, � - -_� __ , _ . � `, ` „� �; /�
�_�; -�� �� _ '�' � r� /,%,
_ 1
� -~'�� �
-���� Rear�. �0�0 ��,,� Left �,0-0' -, - Right� �0=0
� ��Rear- ..0-0. r - - Left-- 0=.0. � - -`Right 0-0
- - , _ . _ _-��• � � �
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, 72-21-92)
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 pe�mit to be considered legal, such work must comply with all applicable codes, and ell
required inspectlona and finel approval must be obtained. Failure to obtain inspections and final approval will result in ihe ezpiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
2446�46 (&00)
WORKERS'COMPENSArON DECLARAnON: — —
I hereby aHirm under penalry ot perjury one ot t�e tollowing tleclarations:
❑ I heve end will malntein e certificate of consent to self-Insure for workere' compensation, es provided for by section 3700 oi the Lebor Cade, tor tha peAortnence of the
work for w�ich this permit is issued.
❑ I have antl will maintein workers' compensation insurance, as required by section 3700 of the Labor Code, tor the perfortnance oi Ne work tor which Nis pertnil is issued.
My workers' wmpensatlon Insurance cartler antl policy number are:
Cartier.
Policy Number:
(7h�s�section need not be complefed il fhe pertnit is velued et one hundred dollars ($100) or less.) �
/
Y] I cerlify Ihet in ihe peAormance of the work for whi his pertnit is issued, I shall not employ any person in any menner so as to become subject to ihe workers'
\compensatlon laws of Cel�' , en e ee Ih N sh uld become sub�ect to ihe workers' compensation provisians oi Section 3700 of the Lebor Catla, I shell Iorthwith
compty with ihese prc i�ons.
Applicent Signature: Date: �/ %/i�-
WAqNINp: FNLURE TO ERS' ENSATION COVEMO AND SHALL SU&IECT AN EMPLOVEP TO CRIMINAL PENAlTIES AND GVIL FlNES UP TO ONE HUNDRED
THOUSAND DOIIARE (5100,000), IN A�DRION TO TME CQST OF OOfdPENSATION, DAANGES AS PROVIDED FOR IN SECTIIXJ 3]O60F THE IABOR fqDE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLAPATION:
I hereby aHirtn Ihat I am licensed under provislo Chepter 9(commencin with Seclion 7000) of DiNsion 3 of the Business and Profeuions Code, end my license is In full
io�� a�a anaoi. uo. x �l 0 2 6 7 aau a
Contrectors Signature: �� Date: '? ,� o.r
e �v
CONSTRUCTION LENDING AGENCV:
❑ I hereDy eifirtn that there is a construction lentling aqency tor ihe Dertormance of ihe work for which this pertnit is issued. (Sec. 3097, Civil Goda).
Lenders Name: Lenders Address:
Signature:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby eflirtn �het under penalry of perjury Net I am EXEMPT FROM THE COHTRACTOHS LICENSE LAW for the following reason (Sec. 7031.5, Businass antl Professions
Cade: My dry or counry which requires a pertnit to consiruct, elter, improve, tlemolish, or repair any structure, prior to its issuence, also requires the applicant for such pertnit
to file e signed sfetement thet he or she Is licensed pursuant to the proWsions ot ihe Contrectors License Lew (Chapter 9(commencing with SecUon 7000) o} Division 3 of t�e
Business and Professions Code) or ihet �e or she is exempt theretrwn and the basis tor the allegetl exemption. Any vidation of Section 7031.5 by eny epplicant for e permit
sublects �he applicant to e civil penalry of not more ihan frve hundred dollars ($S00).):
❑ I, es ownar of ihe praperty, or my employaes with wages es their sole compensation, WILL DO THE WORK, end Iha structure Is not intended or aHeretl for sale (Sec.
7044, Business and Professlons Gode: The Coniractors License Law tloes not apply to an owner of properry who builds or improves �hereon, and who does such work
himself or hersetl or through his ar her own emplayees, provided ihat such improvements are not IntenCed or oflered for sela. If, however, the building or Improvemant Is
soltl within one year oi completion, the owner-builder will have the burden of proving ihet he or she did not build or improve for purpose oi sele.). '
❑ I, es owner of the properry, am E%CLUSIVELV CONTAACTiNG WRH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, 8usine55 antl Protessions
Code: The contractors License Law tloes not epply to an owner ot propeny who bulltls or Improves thereon, and who contracts lor such project wit� a contractor(s)
license pursuant to the Coniractars License Laws.).
� I am ezempt untler sec. Business and Protessions Code for this reason:
SignaWre: Date:
Owner ID veritied by drivers license. ❑ Ves ❑ No DriveYs License No.
Vetlticetlon o1 Ownership by (type of document, i.e. - properry tau bill or tleetl):
Expires:
DIVISION OF INDUSTiiIAL SAFE7Y PERMR CERTFICATION:
❑ I hereby ceNfy that no excavation fiva (5) or more feet In depih into which e person is required to descend, will be made in connection with work euthonzed by Ihis
pertnit, antl ihat no huilding strucNre, scattolding, falsework, or demolition or tlismantling ihereoi, will be more than thirry-six (36) teet �igh. (Chap. 32, Grp 2, Art 2, Sec.
341, Title e, California Administrative Code).
❑ As owner-builder, I will not employ enyone to tlo work which woultl raquire e permit from �he Oivision of Industnel Setery, es notetl ebove, unless such person hes e
pertnit to do such work from the division.
Signature: Date:
Di�nsion of Indusirial Safery Permit Number:
CEHTIFlCATE OF C MP CE AND AUiH9AV.#iIOM'9 ENTRY: I certify untler penelry of perjury that I have reatl Ihis epplication antl stete that ihe infortnelion given Is
correct. I egree comply wit ell ste�ec� entl ciry ordin�ces releting �0 6uiltling consiruction, and authorize representetives of Ihe Clry of Costa Mesa to enter upon the
ebove-descri pm e for sp t on purposes. I egree 6� �o occupy or allow occupancy of any buildinq authorized by this pertn' until fnel inspection.
ignatu Oi Legal Owner(s) � D te
�//y� �
Authonzed Applicant Date
COQE I, �nsrecnoNnve
1618 Fixetl System Final Fire Preventlon
1268 Pad Spe Final
200 Final Re-Root
201 Final BIocWRetaining Well
202 Finel Factory Fire Place
203 Flnel Sign
204 Flnal Demollllon
Q� �$ f�QQF�( INSPELTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Flre Prevenlion
220 Flnal Planning Approvel
222 Flnel Slte
250 Flnel BulltlinplOccupancy
PAg. II�L9
'��r.
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
CERTFICATE OF COMPLIANCE OF DEVELOPMENT FEES
PURSUANT TO AB 1600 AND A8 187
To: �Cily of Costa Mesa
( ) City of Newport Beach
( ) Counry of Ora�ge
Applicant:
Address:
Telephone Number. �-�7SL '�J�� �XS� � �(�7cTt�
Tract/Parcel and
Location of Proje�
N°
, .-
560d
District Receipt No.
Plan Check No. '��q'
Number of Square Feet ot:
Residential Space
Commercial and
Industrial Space
CommerciaNndustrial Project is: (Check One)
_ Warehause
_ R&D
_ Movie Theater
_ Mini-storage
_ Heavy IndusVial
_ Regional Shops
_, Light Industrial
This project is exempt because
_ oz�' a, .aa
�c����
x S .30
_ Motel
Bank
_ Neighborhood Shops
_ RacqueVHealth
_ Hotel
Medical Office
O(fice Park
Total
I�
������,
._ .
`. .
_ Preschool
_ Auto Repair
_ Hospital
_ Large O(fice
_ O(fice Bldg.
_ Restaurant
_ Fast Food
This certifies that the above�named Devetoper/Applicant has paid school faci,dty fees in comp6ance wiM Government Code sections
53080 and 65995. The Building Permi� for this square footage in this proposed development may now be issued Ay your jurisdic8on.
Checks are to be made payable to Newport-Mesa Unified School District. �
By:
Authorfzad RapreseMaMa
The aboveJ epresentation as to square footage is We. Appkcant agrees that if k is later detemrned that such representatio�s are not
r.�e, tney(mis certlficate shall automa0cally terminate and the appropriate City/County shall be noti6ed.
Date
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��TRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2456 MONACOTR Status: ISSUED
Suite No Applied: 07/292005
Vicinity: Issued: 07/29/2005
Parcel Nunmber.
TPN00411
Applicant: PATTERSON, ANDREW
Address: 421 31 ST ST
Phone: 949-294-9057 CELI �SSUED BY:
NEWPORTBEACH,CA ,Zip ;92663
i ��*`
�::� �.. .. �� ..
,.°�
A� Y
Owner: HGC IRVINE; LLC� ' � e� =`�^�=-,
,;:
Address 190 NEWPORTrCENTER DR `� ' � �,``'' � �;, .- ,�i �;- �
SUITE 220 � " � '��^`�' -Phone
NEWPORT BEACH CA � t; 'Zip 92660, ,A,,,`� -�� ce�3 -= �'',�,
� + �.
& z, . ; y m> �," t� . ..
�' r , z i .- ., , a ��. _.
. . . � a:.. q '��'��' :
contractor PATTERSON CONSTRUCTION CORPORATION y ''
�'`'� ;.
Address 421 31STST � . ,
- �` r ,'%..��� � Phone 949-294-9067 CELL �'� �u , ..���
� NEWPORT BEACH, CA Zip: "92663 r,, �''
. License. 802367 -
x � <
�, � >'-�r �' � - �'a�
s �-� _ `"�� . .- , . .� - - i=i �k,s
�.3TM -..�� ` �
- CONSI
.FT:GA
, � 4 BEDF
+ � REF: B
tNEW
,'GARA(
�;
F� �
Temp service test
Res.� a/c package
New Res (1-2 umts)
New Res (3lumts)
Pool / Spa ,� � '�
Lighting FoRar��' �"
Recept Outlets`
SwifCheS
Non Res Appl ��`
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Molors to 1hp
Motoro to 10hp
Motors to 50hp
Molors to 100hp
Motors over 100hp
Communiwtion drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
NEW,�2,616'SiF; SFR�7132 SQ. FT. 7ST FLOOR7999
485 S�."FT BASEMENT/BONUS ROOM, DECK 1- 47
TR 16526, LOT 4.
,. w. . .x__.,:�• ,.
(TURES 40UTLETS J SWITCH 1 MOTOR;TO 1 HP,�,,,.
_ ,.,, , �� FEE SUMMARY „
$146.50--` .: 2616
$000 0
'$000'.�- 0
'r $4 40 �:-. 4 x :'
$4 a0;; ; a �% :
$1'1O ` � , i e r��. <4� � Rwv^
- $D.00;ii 0�' '' �'a�� : =.i
-�$000 t 0 ��. �t =_ �:i
$0.00 ,. 0 .,, ����' �"i
a..�. $G.00 � p ."
� $4 75:a ,� 1 �: �;, ..
..�.%'$OAO .0;°>:,� t ,� ...
$0.00�� 0.'" `�.<,.
$000": 0 �"' • �
$0.00 - .,�0�,.. .
$0.00 � �0 ,.
$0.00 0 �...���. _.r..,�.:,,i_
$0.00 0
$0.00 0
$0.00 0
Temp Dist System / Lighting
Busway /100 ft �
Standing Section..
Misc Electrical-Equipment
Transformers up to 1 kva/kw
......up to 10 kva/kw
; ,up to 50 kva/kw
"� : :'.�up��o:t00kvalkw
�, "a
<
r.
Y ��.A� '�� :
t!
�Ity a � Y
�
a0> 'e�
0:: F
O �..
0 '�
.:.,.
0 . s ;,.
0 s ;N'
�0
0
0
0 �r,.
,.., � y , ..�,,�..�i ...� ..
Circus (mech'riile or lights) �, °- �$0.00 �; .10
Christmas Tree Stand tig `�� $0 00 �-` 0
Fireworks Stantl. -6 : $0.00•''- 0
Othe� Electrica� Fee r - �-$0:00
r��� .._ � � -...�g.;.
Invesliga6on Fee:��" $0.00
Plan`Check Fee:�:'� ` 50.00
Reinspechon�Fee $0.00
TOTAL CALCULATED FEES $164.65
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali(ornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or If work is suspended or abandoned
for a period of 180 days.
INSPEC710NS: In order tor fhe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlona and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 !�"j
f /
244&481fl�00) �
WORKERS'COMPENSATION DECLARATON:
I �ereby afflrm untler penalry oi perJury one of the followinq declaretions:
❑ I heve and w��l mainteln e certificete ot consent to selFinsure for workers' compensation, as provitled for by section 3700 of Ihe lebor Coda, tor Ihe perfortnance oi the
work tor wnlc� t�is permlt Is Issuetl. �
❑ I have antl W��� ���� workers' oompensetbn Insurance, as required 6y sectlon 3700 of the Lebor Gode, for the peAortnance of Ihe work for w�ich ihis pertnit Is issued.
My workers' �mpensation Insurance carner end policy number ere:
Cerrier: Policy Number.
(This sectlon need not be comp/eted!/ the permit Is va/uetl et one hunOred dollars ($100) or less.)
� I tertify thet �� t�e DBAortne9oe�6RFe�oiprk for which t�is pertnit is issued, 1 shall not employ eny person in eny manner so es to become subject to the workers'
wmpensatbn lews of C�li(o le, ena ep4ee th�t+ ould become suD�ect to Ihe workers' compensatlon proNsians of Section 3700 of tha Lebor Code, I ahall forthwlth
comply witM ihese pr �si �j/� �/ �a
ApDllcantSlqnatUre: ���_,�' / \ Date: �a'J'J /�- 7��
WARNINO:FAILURk KERS' OMPENSAIONWVE B6�?WFULANDSHFLLSUBJECTANEMPLOVERTOCPIMINaLPEflALTIESANDGVILFlNESUPTOIXJEHUNDRED
T110USAND OOLLRRE (E100,000), IN AODRI T OF COMPENSATION, OAAMGES AS PROVIDED FOR IN SECTION 3)Ofi OF THE UBOR WDE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTNACTORS DECLARATION:
I hereby ettirtn thd� I am licensed under provlslons oi
ro�ce e�a ene�. uc. a�Z 3 E
Comrectofs Slgneture:
7000) oi �ivision 3 af t�e Business e�rafessions Code, end my Iicense is in full
� cie� s /<
Data: � 7 ��� or
COj{STRUCTION LENDING AGENCY: �� '
❑ I hereby atti� ihat there�is e construction lending egency Por the pertormance of ihe work For which this permit is issued. (Sec. 3097, Civil Code).
Lenders Neme: Lantlefs Address:
Signeture:
Date:
OWNER-BUILDEA DECLARA710N5:
I hereby ettirtn thei under penalry ot perjury thet I am El(EMP7 FROM THE CON7RACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Professions
Cotle: Any city or counry which requires e pertnit to construct, elter, improve, demolish, or repair any structure, pnor to its issuance, also requires tha epplicant for such partnit
to flle a signetl stetement ihat he or she Is Ilcensed pursuant to the proWsions ot the Contrectors License Law (Chepter 9(commendng with Section 7000) of Dlvislon 3 of the
Business enG PrO�esslons Cade) or thet he or she is exempt therefram end t�e besis for the allegetl exemption. Any violetlon of Sectlon 7031.5 by eny epplicant for e pertnit
subJects ihe appli�en� to e clvll penalry of not more than five hundretl dollars ($500).):
❑ I, as owner of the property, or my employees with weges es iheir sole compensation, WILL DO TME WORK, antl the structure is not intentled or offeretl tor sele (Sec.
7044, Business and Professions Code: The Contrectors Licanse Lew does not apply to en owner of Droperry who builds or improves thereon, and who does such work
himself ar herselt or ihrough his or her own employees, provided ihat such improvements are not intentletl or oHeretl For sale. It, however, Ihe building or Improvement is
soltl within one year o1 completion, the owner-6uilder will have the burtlen of proving that he or sha did not build or improve for purpose of sele.). '
❑ I, as owner of the D�operty, em E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRAC70RS to consiruct the projecl(Sec. 7044, Business entl Professions
Cade: The contrectors License Lew tloes not epply to en awner of properry who bulltls or Impmves thereon, entl who conirects for such pro�ect with e contracror(s)
license pur5uant to the Coniractors License Lews.).
❑ I am exempt untler sec. Business antl Professions Coda tor this reason:
Sipnature: Date:
Owner ID verified by drivels license. ❑ Ves ❑ No Dnvers License No. Expires:
VeAfication o1 OWnership by (type ol document, I.e. - property tax bill ar tleetl):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
❑ I hereby ceRity that no excavation five (5) or more feet in depth into which e pereon is required to descenG, will be matla in connection with work euthorized by thls
permit, an0 that no builtling structure, scettolding, falsework, or demolition or dismantling ihereof, will be more ihan thirry-six (36) teet high. (Chap. 32, Grp 2. Ah 2, Sec.
341, Title 8, Calitomla Atlminlsiretive Code).
❑ As owner-builtler, I wlll not employ enyone to tlo work which would require e permit irom the Divislon of Indusirial Setery, es noted above, unless such person hes e
permit to dtl suc� work from Ihe tlivision.
Signature: Date: -
Division of Industrial Satery Pertnit Number.
CEH71FlCA1E OF COMPIJANCE NiD A1fTHORIZATON OF EHiAY: I certity under penaNy ot perjury thai 1 have read t�is apqication antl stete ihat Itie iniortnation given Is
correct. I agree t0 �mply with ell state laws entl clry ordinances releting m builtling consiruc�ion, and authonze representatives of Ihe Gity of Casta Mesa to enter upon Ihe
ebove-descnbed property for inspection puryoses. I egrae not to occupy or ellow occupancy of any building authonzed by ihis permit U�til final inspection.
cooe �. I�SPEGIl4�3Y�E GAg INTRIALg
I616 Fixed Systam Fioal Fire Prevention �
1288 Pool Sp9 Finel
200 Final RB�R��
201 Final Block�Retaining Well
202 Final Fadory Fire Place
203 FinelSiq�
204 Finel Demdition
��?�38 6�
�"T-5ate
COOE I INSPECTION TYiE
2�6 Final Mechanical
20B Final Plumbing
210 Final Electricel
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuiltling/Occupency
�.1 JIII. '
(3{ � •
(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT�
Job Address: 2458 MONACO TR
Suite No
Viciniry:
ParcelNumber: TPN00411
npplicant: PATTERSON, ANDREW
�Status: ISSUED
Applied: 07/28/2005
Issued: 07/29/2005
ISSUED BY:
Address: 421 31STST ;�s �� '�"^
7 �.. :t
a PMone 949-294 9057 CELL �
NEWPORTBEACH,`CA _, �. ,,, _- 2ip � �92663 a��` r �
y>, >
x
Owner: HGC IRVINE, LLC ;i � �t€
Address: 190 NEWPORPCENTER DR- •. x�, : su ",
SUITE 220 - �..:., �r � • � ,Phone. � �- � �� ��,
s5 x �
NEWPORTBE,ACH CA Zip: 92660 � �,�YS .�=y e ,
.: ..s .. - ,�, .. -� .
�:� � s.
;ontracmr�� PATTERSON CONSTRUCTION CORPORATION '�'; � �� �-.
Address:v .421 31�STST �- �� "•- `..���,
;� ,
, Phone: � 949-294-9057 CELL � -� !� �.> �-
�;, �NEWBORT BEACH, CA Zip. ,"-�92663 ' �'
- -- �" `License 802367 ���- ��yp{�
. Y y� . .� . ...i.9�: . .. u . .. . 1 x 4? �� � . .�.$t".4 . ..
r. l i.<
� CONSTI
685 SQ`
= 64 SQ
4 6EDR
C : �, a = ,
'REF:BO
r��
1 1NST F
- �;FANS7S'�
..� �_'�� .,. , _
2 5 BATHS. TR 16526, LOT 4. �� �
� _^ ��
{ z�+ � r,��.
, .rsra,-: ._.,. ... _ .. .�-a-^
v ;xa", .:t a ..,... ; , R
)OK BTU,-T;FACTORY�.FIREPLACE, 1�.HOOD WlMECH EXHAUST, 4 V'�.
IUCT;'1`COMPRESSOR 3-15HP/500K BTU ' �-�� �` � .. �:`
,. H v
` n'`� � b ', z�,�,:
�' <
ISSUE FEE '
"�` �: ,, � � $23 50
Inst FAU <100�k BTU .514.80
Inst FAU >100 k BTU . �' ��� � -$$Oi00
Repair/AIt�Cooling/Heat ��°`"� ��^$Oi�00
Inst/Rep. Recess WaII:Htr ; p� ' :$0�00
Refrig Sys 2�00 k BTU� - �;'';. �-�$0.00
RefrigSys>100k,BTU ,���., �$0.00
Gas Piping --` ��' < �;,`:$0.00
FacloryFireplace �'� - --$1065
Hood w/Mech Exhaust-. � • $1065
VAV BOx -. '`'� - $0 00
VentFan/SingleDuct �a �:_, '�'�F$2900
Appliance "' �` ;--$000
Fire Dampers �' `�?' � -:. $0.00
Smoke Dampers �� � $0.00
Inst or Relocate Appl Vent �F>`3'$0,00
AirHandlers< t0000c(m ';$0.00
Air Handlers > 10000cfm $0.00
Floor Furnace $0.00
Floor or Suspend Heater $0.00
,,,�,: ;FEE-:
' Quantity ::� �
1
0
0
0
0
0 �,:;,
0 ."t� �'." ..
+ „u
w1 *� ,
�+1 � �k€;.
�� r,.�>"":J
� ..,
.,4 ; .. +F �,.. .�.
.0 a..�'i . . _�
[�7
JMMARY a ��
y� � ���t
�Repair/AICAbsorbtion Unit
Repair/AltRefrigeration Uml�� �
Ventillation.System
Evapbrative Cooler
.*� Commercial Incinerator ^��
r,.t��Domesticlncineretor F'.�- ^
� "^,� ., :�e
Y��,
. .. :Az -<;� :
���y i,uuv n o i �;,
i`%`>1 750 k BTU�'
/�Over 1;750 BTU� �
�,<
v'..k�e
> :�
3„
tion Fee
r.,..� �.� ���� .r�.. «��
��
� 4�� �:
�, � �
, . .3;. - .,.�.i '..
f=
�:: �
`
=''-
rx;.;, :� �,,.
a ,• v � k
:�` . :.Quam.
' :r,$0.00-- 0
�$O:W ?0
��;,, $0.00:=� 0
$27.15 1
'50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 �
$O.Q� �
$0.00 0
$0.00 0
So.00
$o.00
$0.00
.,, � +�
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 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
tor a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectiona and finel approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this pertnit.
POR INSPECTIONS CALL: (714) 7545626
2418-6fi(6�J0)
WORKERS'COMPENSATON DECLARAnON:
I hereby affirtn under penalty ot perjury one o1 tha tollowing declarations: �
❑ I heve entl will melnteln e certiticate ot wnsent to self-Insure for workers' compensatlon, es provitletl for by section 3700 af the Lebor Cotle, for the peAortnance of the
work for which �his permit is issued.
❑ I have entl w��l malnWin workers' compensaGon Inwrance, es required 6y sectlon 3700 oi ihe Lebor Gode, for the peAortnance of the work for which this pertnit is Issued.
My workera �ompensatlon Insurence carner end policy number ere:
Certier.
Policy Number:
(Thls sectlon neea not ne compiered o me peimrt is vamea et one nundred doners (S7o0) or /ess.J
I certify that in the pedorrnan the work for hich Ihis pertnit is issued, I shall not employ eny person In any menner so as to become subject to the workere'
pensation levis ot Cay m enA egree Ih if I shoultl Decome sub�ac[ to Ihe workers' compensatlon DroNsions ot Se� 370QCf th�r Code, I s�ell forthwit�
compy witlr these pm '�ons.
Applicant Signatu�e: Dete: /Z�y a �—
WARNIN(3: FNLURk Ta ORKE ' PEN' ION COVEMGE IS UNIA D SHALL SUBJECT AN EMPLOVER TO CRIMINAL PEfULTI S AND GVIL FINES UP TO ONE HUNDRED
TIKKISAND DOI.LARE (E100.000�. ION TO THE COST OF COlAPENSATIIXJ, DAAUGES AS PROVIDED FOR IN SECTION 3]OB OF THE IABOR CODE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CON'�ACTORS DECLARATION:
I hereby atfirm tha� I em licensed
torce ene eHect. 4�c. N
Contrectors Slgneture: _
Sectlon 7000) oi �ivision 3 at t�e Business anS �Pratessions Cade antl my Iicanse Is In full
Clau a / ( � /
�_. Dete: 2 1 �� r�
CONSTRUCTION LENDING AGENCY: v V '
❑ I hereby ettirm ihat Ihere is e construction lending agency for the peAortnance oi I�e work tor whicn this pertnit is issued. (Sec. 3097, Civil Cotle).
Lendefs Neme: Lentler's Addreu:
Signature:
Data
OWNER-BUILDEA DECLARATONS:
I hereby eflirm tha� untler penalry oi perjury ihat I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a permit to consiruct, alter, improve, demolish, or repair any structure, prior to its iuuence, elso raquires the epplicant for such permit
to flle a signed stetement thet he or she is licensed pursuent b Ihe provisions ot ihe Conirectors License Lew (Chapter 9(commencing with Secllon 7000) of DiNsion 3 of the
Business end Proiessions Cotle) or that he or she Is exempt therefrom and ihe basis tor the elleged exemption. Any vloletion oi Sectlon 7031.5 by eny applicent for a pertnit
subjecis the eppli�ent to a ciWl penely af nat more ihen five hundred dallere ($500).):
❑ I, es owner ot the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structura is not Intentled or oHered for sale (Sec.
7044, Busineu and Professions Code: The Coniractors License Law does not apply to an owner ot proparty who builds or improves Ihereon, and who does such work
himsetl or herseN or through his ar her awn employees, providetl that such Improvements are not intended or offered far sale. If, however, ihe 6uiltling or improvement is
sold within ona yeer of completian, the ownar-builder will have Ihe burden of Droving that he or she did not build or improve for purpose of sale.). •
� I, es owner ot the D�oPerty, em E%CLUSIVELV CON7RACTING WITH LICENSED CONTRACTORS to consiruct Ihe project (Sec. 70M14, Business end Profeuions
Cade: The Gomrectors License Law tloes not epply to en awner o1 properry who bulltls or Impmves thereon, antl who contraas lor such project wlih a contractor(s)
license pursuant to the Cantraclors License Laws.).
❑ I em exempt under sec. Business and Professions Code for ihis reason:
SlgnaNre: Dete:
Owner ID verifietl by tlrivefs license. ❑ Yes ❑ No Dnvers License No. Expires:
Verlfiwtion ot Ow�ershlp by (type of document, i.e. - properry lax blll or deetl):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTFICA710N:
❑ I hereby ceRNy that no excavetlon five (5) or more feet in tlepth into which a person Is required to tlescend, will be mada in connection wifh work euthorized by ihis
pertnit, end that no building structure, scaHolding, falsework, or tlemolition or dismantling thereof, will be more than Ihirry-six (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec.
341, Title B, Califamia Adminisiretive Code).
❑ As owner-builder, I will not employ anyone Io ao work which wau1C require e pertnit from Ihe Division oi Intlusirial Satety, as notetl ebove, unless such persan has e
permit to tlo such work from the tlivision.
Signeture: Date:
Division o1 Indust�al5aiery Permil Number:
CEiiTSFlCATE OF COMPIIATiCE AND AlJIF10Al7A710N OF ENiS3Y: I ceM1ity under penaNy ot pe�ury that I have read ihis application snd state thet tha iMortnation given is
correct I agrea t0 �omply wit� flll stata lews end ciry ordinances releting to bull0ing construciion, and authonze representatives of Ihe Ciry oi Coste Mesa to enter upon �he
ebove-describeC p�operry for inspection purpases. I agree not to occupy or ellow occupancy ot any building euthorized by this pertnit until finel inspection.
COUE t. �y$p�QtiIIPE
1616 Fizetl System Pinal Fire Prevention
1286 Pool Spe Finel
200 Final Re•Roof
201 Final Blo�k�Retaining Well
202 Final Factory Fire PlaCe
203 FInelSig�
204 Final Demolition
Owner(s)
BAI€ Itff7194S
� Date
' at6 e "
COpE 1 INSPECTION TYPE �g
20fi FInalMechanicat ���0'�
208 Final Plumbing
210 Final Eleclncel
212 Finel Fire Preventlon
220 Flnel Planning Approval
222 Final Site
250 Finel Building/Occupancy.
�nq) 75a-527s • Fan p14) 754-4856 • www.ci.cos�a-mesa��MBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job AddrOss: 245G MONACO TR
Suite No
Vicinity: NSFD
Parcel Nunmber: TPN00411
Applicant: PATTERSON, ANDREW
Address: 421 31ST ST
_ , � �' � - Status: ISSUED
Applied: 07l28/2005
Issued: 07/29Y2005
ISSUED BY:
Phone�,�.949-294 9057 CELL
NEWPORTBEACH,CA „,..,���' � ,-:Zip Y,92663�'s�'•
Owner: HC�C
Address 190 NE
SUITE
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Contractor%' PATT
Addre�ss ��,'421 31
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ISSUE FEE �-:
Backflow irrigation
BaCkflow Preventer .� A,r`
Bathtub '�r '
ClanfierSystem � -
Connect pce,Soda,etc) ,
Dental Units
Dishwasher ��
Drain, Floor �,,;�;,,
Drain, Rainwater •��r�
Drain, Roof
Drinking Fountain
Expansion Tank
Gas EaAhquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oiq
Interceptors (Sand Auto )
s,.� . .. .:5�;.:'�-
%�v
a, !, .�.�.'..
a �,
i, LLC ""` - �'',
"` � ��,�
CENTER�DR`� • �_ �`��� `�
�,
ac PFlone . :':- x'R` .
4
�CH CA �'"Zip.'� 92660"� � '' ro � : � - ' �" �
�� y �� ,.� � ����,:.
;5 �
J'CONSTRUCTION CORPORATION �'`� �`.�_ � = � �� '
Phone� 949-294-9057 CELL ��� ` � ���
�CH, CA Zip . _92663 � `
License 802387 . . - � ��
9
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. ,�=-�n .c . -_ �- � . _��_'.. ��, .,. ,
;UCLNEW:2,616�S.F. SPR. 1132 SQ. FT. 1ST FLOOR, 999 SQ. FT. 2P
AGE;,485 SQ. F,T BASEMENT/BONUS ROOM, DECK 1- 47 SQ. FT., D
)OMS, 2 5 BATHS. TR 18526,, LOT 4
, . . x .... � ...
�
i-01391, 1:- ;� �, , y ::: � C � .: i•. �'s'.
- , . _;a• . . _ .. r„c
UBS, 7;DISHWASHER, 3 ROOF DRAINS, 1 GAS OUTLET �(1-0), 1 SE`
: L'INE-,:4 SHOWERS, 1,KITCHEN SINK, 6 WASH BASINS,s�EWASH B�
JTSYSTEM 4 WATER CLOSETS 1 WATER NEATERNENT „t.WATE
. . �: F . ... � .._ .. .�:�; ,�� '. .�
Laundry Tub / Washer
Landscape Irrigation
P-Trap , , ._,
$0.00 � ;�8 0 e.��Sew`ei Conned
�$OOOy=�`0. ��=�-SewerPnvate�L
i2940 ;"'3 ��, ':`�Shower ��;:
$000 `�0 +y - <,Smk, bar
$0.00�',r. 0` '- �=��.Smk,�commerci;
$000�; �0,� �•��.Sink Floor- :"
$6 15 � «��,:,, . 'Sink, kitchen ,-K
$0.00 0- `' ..Sink,ser4ice/m�
$0.00 0 `'`''"' :,Spa (private)
$9.80 1 Spa (publit);m'°;;"
$0.00 0 "�•� � -
$0.00 0
`AMT- �
$D.00�' ,0
$0.00 0
$0.00 0
$0.00 0
$0.00'.;.. 0
$0 00 s�, :0 ^
� -- $0 00,.� +:0 �
�. "$000' `0 .
�'1�'�3 $9 80 �.,-., 9, �"
� � $0.00 `� �" 0
z
o�mP� z
�� ,
ung Pool ,
rimer g
>E
Vacuurti Brkr Bkflow(5+):`T ;`- $0.00
--:-WashBasin � my•%-��$58.80
= Wash.Ba"sin Set .;. ��� $9.80
� � Waste and Vent System $9.80
� Water;Closet (Toiletj��� $39.20
-�r Wster�Heater/veut $72.30
, - ;°Water Piping,pnst or Rep.) 50.00
Y,�.,': WatecRe-pipe $0.00
� WatelSeivice $9.80
: eWater Softener $0.00
..;y'OTHER $0.00
'�� VIOLA710N $0.00
PLAN CHECK $0.00
REINSPECTION $0.00
TOTAL CALCULATED FEES: E346.05
�N
0
0
0
0
0
0
6
t
1
4
7
0
0
1
0
0
NOTICE: The work authorizatl by this permit shall comply with all applicable handicap access requiremenis under California statutes antl related
reguiations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit�shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspentled 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 Inepeetiona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545826, ,,.
zaas�e �eroo�
WORKERS' COMPENSATION DECLARATION:
I �ereby effirm untler penelry of perJury one oi ihe following declerations: �
❑ I heve and wlll malntein e certificate of consent to self-Insure for workers' compensatlan, es provided tor.by sectlon 3700 of the Lebar Code, for the pertortnance of Ihe
work for which this permit Is issued.
❑ I heve erW will maintain workers' campensation insu2nce, as required by section 3700 af the Labw Cotle, for Ne pertormanca oi tha work tor which Nis pertnit is issued.
My workers' comPensetlon Insurence caMer end policy number ere:
ir. Policy Num�ec
secfion need no� be comp�eted il the permit is veiuetl et one hundred doilars (5100) or less.)
❑ certity ihat in Ine OeAormence ot the w c for which this pertnit is issuetl, I shall not amploy eny person in any manner so es to become subjed to the workers'
co nsatlon laws o1 Celtlomla, egre Iha �LFah Id become sub�ad m t�e workers' compensatlon provisions of Sedion 37 0 of the or Cotle, I shall forihwlth
compty with theee provisions.
�+aancenc sianem�e: - oa�a:� '7 —'�� 6�
WAqNINO: FAILURE TO SEC ORKERS' F NSATId ODVERAGE IS UNLAWFUL AND SHALL SUBJEGT PN EMPLOVER TO CRIMINAL PENALTIES�AND GVIL FlNES UP TOONE HUNDRED
TIqUSANO DdJARE (S� . )� �D TO TI CQ6T COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 31080F THE LABOR COOE, INTEREST, AND ATTORNEI"S FEES.
LICENSED CONTPACTORS DECLARATION:
1 hereby eflirm that I am licensetl under Dr 5 ot Cha tel 9(commenci ii� Sectio 000) of Divislon 3 01 the Business and Professions Coda, and my license is in tull
farce antl eifecl. Lla M Z- b Class N
Contrectors Signature: Date: !7 ?-ri v j
CONS7RUC710N LENDING AGENCY: �
❑ I here6y affrtn tnet there is e construction lending agency for the pertortnance of Ihe work for which Ihis pertnit is issuetl. (Sec. 3097, Civil CoOe).
Lentlere Neme: Lentlels Address:
Signeture:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn lhat under penalry ot pe�ury that 1 am ExEMPT FRaM THE CONTRACT�RS LICENSE LAW tor the tollowi�g reason (Sec. 7031.5, Business and Professlons
Cotle: My city or wunty which requires e pertnit to consWct, fllter, improva, demolish, or repair eny structure, prior to its issuence, elso requires the eppl(cant for suc� permit
to file e signed stetement Ihet he or she Is licensed pursuent to the proWsions of the Contrectors License Lew (Chapter 9(commenUng with Section 7000) oi DlWsion 3 of Ihe
Business end Professlons CoOe) or that he or she is exempt tharetrom and ihe basls for the elleged exemption. Any vlolation of Sectlon 7031.5 by any aDPlicent for e permit
suh�ects the applicent to e civil penelry oi not more then tive hundred tlollars ($500).):
❑ I, es owner oi ihe proparry, or my employees with weges as iheir sole compensation, WILL DO THE WORK, entl ihe siruciure Is not Intentletl or oHeretl for sale (Sec.
7044, Business and Protesslons CoUe: The Contractors Licensa Lew does not apply to an owner of property who builds or improves thereon, and who does such work
hlmself or herseli or Ihrough his or her own employees, provided thet such ImOravements ere not Intended or oHered for sele. If, howaver, ihe building or Improvement is
sald within one year of completian, the owner-builder wlll heve tha burden oi proving ihet ha or she did not builC or imD�a�a tor purposa oi ule.). '
❑ I, as owner ot ihe property, em EXCLUSIVELV CON7RACTING WITH LICENSED CONTRAC70RS to construct the projed (Sec. 7044, Business antl Professions
COCe: The contrectors LJcense Lew does not apPly to en owner ot property who bulltls or Improves ihereon, and who conirec�s tor such projea wlth e contrector(s)
license pureuan� to the Contradors License Laws.).
❑ I em ezempt unAer sac. Business anA Profeuions Code for Ihis reason:
Signature: Date:
Owner ID verifietl by d�er's license. ❑ Yes ❑ No Drivers License No. Expires:
Vedfication of Ownership by (rype ot document, i.e. - properry tax blll or deed):
�IVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N:
❑ I hereby certity thet no eacavatlon five (5) or more teet In Oepth into which a person is requiretl to tlescend, will ba made in connection with work euthonzed by ihis
permi�, antl t�at no building struclure, scaflolding, telsework, or demoliiion or tlismantling ihereW, will be more than �hirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title e, Califomia Atlminisiretive Cotle).
❑ As owner-builde�, � will not employ enyone to do work which would require e permit from the Division of Industrial Sefery, as notetl above, unless such person hes e
pertnit to do such work from tha division.
Slpnalure: Date:
Division of Industrial Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTRV: I certify under penelry of perjury Ihat I have reatl Ihis application and state ihat the information given is
cortect. I agree to comply with all state laws and city ordinances relating to building construction, and authonze reprasentatives of the Ciry of Cos�a Mesa to enter upon the
above-described propertyfor inspection purpa5es__I egree not to occupy or ellow occupancy of any building authorized by this Dermit unCA flnel inspactlon.
CQOE I. INSPECTONTYVE
1616
1266
200
Fixetl System Final Fire Prevention
Pool Spe Final
Finel RaRoof
�201 Finel BIocWRetaining Wall
202 Finel Fectory Fire Place
203 Finel Sign
,204 Finel DamoliNon
�i g INTRIRLS
CODE� INSPECTIONTYPE
206 Finel Mechanical
208 Finel Plumbing
210 Final Eledrical
212 Finel Flre Prevention
220 Final Planning Approval
222 Final Site
250 . Final Builtling/OccupanCy
�1\I I'i111 �
. �(�i"/ • �j:_�j