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Home My WebLink About283 MESA DR - Building Permits��ia> �sa-sz�s • Fax (��a� �sa-aess ` CITY OF COSTA MESA BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ELECTRICAL PERMIT JobAddress: 283 MESADR Suite No Vicinity: PERMIT NUMBER E99-00857 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/13/7999 Issued: 09/73/1999 Parcel Nunmber: TPN99034 ISSUED BY: Applicant: ROBERTA WEBB - - - Address /. / ' �- " - - . � _ �' _ -:-j'�.�.� - �� 'Phone: 909-681-5811 ��" � - '��'_- .�i -� Zip: � �,r, � �, � . � , . � � � / , . , t _ ,� / , Owner MORGAN �DEVELOPMENT "� " � _ ' �� . ti �. � � Add ess� .480 OL� NEWPORT BLVD �i � � � �� _'' � � �� .,1�`SUITEA� i'�""' � Phone: 714-548-8048 `�1=='��- �� i-�V�` /, i / - i :: �'- , , ` ,. i ' \ . .. �, i , j , NEWPORT BEACH,-CA� Zip: 92663 ��t�.�� ; � j �� `_A :� � �� < �i .�.� __�� ..'., � �%= � i% %�/�/� ��.. `4\ �6ontractor� ELITEELECTRIC ';� �, ,.�- ,� , Address:� 94,15�BELLEGRAVEAV :_ , �,�� , � ., .CA!� ... Phonei (909)681-5811 : . � - ' ,� � - '�� ' � . ,''RIVERSIDE - .' -� rs.� � �.�/Zip;�-- 92509 �' . � ' � ' � �\ . � � �' :� '� '�-�: "-Cicense: 418242 '.., � �!t ... � �-_ . .-- _ . , . .-� i , r � - �.'�� . �; , . ' � � �� SCOPE OF PERMIT � ' � ' � � ELECTRICAL FOR NEW 2103SF RESIDENCE, 1FIXTURE, 20UTLETS, iSWITOH IN GARAGE, .� � RE:B99-00684..-.. - - - . .' - ".. �,., � '� ' ,..�� ' ..' . .�..-- �,_. � .,�- � . ISSUE FEE .� , $23.50 �Temp service test . � $0.00 �Res. a/c package� • 50.00 New Res (1-2 units) ', ' $11777 New'�Res (3+units) � . $0.00 � Pool / $pa , �� ,,,�, , $0.00 Lighting�Fixts `� . � - $1.70 Recept Outlets ' . �$2.20 � Switches ' � � �, $t.10 Non Res Appl � - .�$0.00 ResAppl � �' � � �$0.00 Serviceto200a.��. , $0.00.'� Service to 7000a-_', , "� � �$0.00 � � Service over 1000a � � � $0.00 Motorstoihp - � $0.00�.' MotorstotOhp $0.00. Motors to SOhp � - ; $0.00 Motors to 100hp � $0.00 � Motors over 100hp $0.00 Communication drops $0.00 � Sub panel to 200a $0.00 Pole Liqht Pkg $0.00 Sign Circuits $0.00 Temp Pwr Pole $0.00 Intermed Pole $0.00 FEE SUMMARY - � ,;� , Quantity� . :;�.. , �--- _ �L��_t' t.,i� Quantity. 2103 0 0 1 2 i . 0 ' p . :��:�p.; : . �.0 ;��0._ ; p 0 0 0 . 0 0 0 0 0 0 0 - ._ Temp Dist System / Lighting � $0.00 0 - -- Busway7100�ft � ' � " $0.00 0 -' Standing Section $0.00 0-- Misc ElectricaYEquipment ' $0.00 0> - Transformeis up�to 1 kva/kw � $0.00 0� � - � --' � ................up to 10 kva/kw 1 $0.00 • p � , . ' ' '� __....._ _._up to 50 kva/kw � $0.00 . %�,0 ' .,: � .' . ......::.:.......up to 100 kva/kw 50.00„ -0 :: ` �c � ... ....... .......over 100 kva/kw ,.. $0.00- � 0 Low Voltage Equipment � 50.00 0 � - . .�LowVOltWiring�System/,Ckt..��$0.00 0 - Misc. Conduit � _ -. $0.00 �. 0 Misc�Conductor � � 50.00 � � 0 " - � , Circus ('gen or ride) - � $0.00 � � 0 - " Circus (mech ride or lights) -.$0.00 0 � - - ` Christmas Tree Stand � , $0.00 . �'0 Fireworks Stand -$0.00 � 0 . Other Electrical Fee $0.00, Investigation Fee - $0.00 Plan Check Fee $0.00 Reinspection Fee- " ' $0.00 TOTAL CAICULATED FEES E145.67 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or i( work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapectlone and flnal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � WORKERS'COMPENSAnON DECLARATON: I hereby attirtn untler penelry oi pe�ury one af the following tleclaretlons: ❑ I have end will maintain e ceRificate of mnsent to self-Insure for workers' compensetion, es provided tor by sectlon 3700 of the Lebor Code, for the pertortnence of the work tor which ihis parmit is issued. � I have and will maintaln workers' compensation insurance, es requitetl by section 3700 01 the Labor Code, for the peAortnance of the work for which this pertnit is issue M compensetion�'sure ce cerrier antl policy number er /' �7 /�� i Carrier:� /l�tari_ F- �.9 /I2./>�iJ2�g, ��Li POIIcyNumber. L�-?b /��L(_`7`7 �3/ � (This secnon need not be comp/eted i1 the pe /s velued et one huntlretl tlollars ($f 00J or less.) ❑ I certity that in the pertormance of the wo c for w�ich Ihis pertnit is issued, I shell not employ any pereon in eny menner so es to hecome sub�act to t�e workars' compensation la ef or��C'2Rd ea t t if I shoula become subjeci to ihe workers' compensation provisions of Section 3700 oi the Labor Cotle, I shell fonhwith comply with visio . Applicant Sign ura: � Dete: � ( � �g � WARNINO: FAIL SECURE NORKE ' �� SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FWES UP TOONE HUNDRED THOUSANDDOLL4R J,INAOP�T�ONTOTN OSTOFCAMPENSATION,DAhNGESASPROVIDEDFORINSECTIPY3lO60FTHELABORCODE,IPfrEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECL�7AnON: I hereby aHirtn Ihai I am lice untler rovlsi� fOrCe end eftect Lic. k � ConlractoYs Signatur : Chapter 9(crommencinq with Sectlon 7000) of Division 3 of Ihe Busine and Professlons Code, antl my license is in full � ae:s a � _ !n Date: O / �. /o �J CONS7RUC710N LENDING AGENCY: ❑ I hereby aHirtn thet there is a constructlon lentling agency tor the pertortnance oi the work br which this permit is Issued. (Sec. 3097, Civil Code). Lenders Nama: Signature: _ OWNER-BUILDER DECLARA710N5: Lentler'S Adtlreu: Da�e: I hereby aflirm Ihai under penelry of perjury Ihat I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Professions Code: Any city or counry which reqU��es a permit to construct, alter, improva, demolish, or repair eny siructure, pnor to its issuance, also requires iha epplicant for such permit to file e signed stetement thet he or she is Iicensed pursuam to the provislons ot Ihe Gonirectors Licensa Lew (C�epter 9(commencing with Section 7000) of Division 3 of the Busineu and Protesslons Cotle) or ihat he or sha is exempt therefmm end ihe 6asis for ihe alleged exemptlon. Any vlolation oi Sectlon 7031.5 by eny epP��nt tor a permit subJects Ihe applicant to e civll pen2lry ot not more than five hundreA dollars (5500).): ❑ I, as owner of the propetly, ol my employees with wages as their sole compensation, WILL 00 THE WORK, and Ihe structure IS not Intendetl or oHered tor saie (SeC. 7044, Business end Professions Cotle: The Contractors License Lew does not apply to an owner of property who builds or improves �hereon, end who does such work himself or hersell or through his or her own employees, provitletl thet such improvements ere not intended or oflered for sale. If, however, the 6uilding or improvement is soltl within one year of complption, the owner�builtler will have the turtlen of proving thet he or she did not builtl or improve for purpose of sale.). ❑ I, as owner of the properry, 0m EXCWSIVELY CONTRACTNG WfTM LILENSED CONTqACTORS to construct Ihe pmject (Sec. 7044, Business antl Professians Code: The contrecmrs License Law does not eppty to an owner ol pmperry who builtls or improves ihereon, end who contracts tor such prolect with a contraaor(s) license pursuant to ihe Coniractors License Laws.). ❑ I am exempt untler sec. Signemre: Business end Professions Code for ihis reason: Ownar ID venfied by dnvers license. ❑ Ves ❑ No OriveYs License No. Verification of Ownership by (type o1 document, i.a. - propeny tax bili or deed): Date: Expires: DIVISION OF INDUSTRIAL SAFET�' PERMI7 CER7IFICA710N: ❑ I �ereby certiry t�et no exwvation tive (5) or more leet in depth into which a person is requiretl to descend, will be made in connection with work euthonzed by Ihis permit, antl ihat no builtling stNCNra, scaHolding, falsework, or demolition or dismantling thereot, will be more than thirty-six (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Title B, Calilarnia Atlmini8trative Code). ❑ As owner-builder, I will not emPloy anyone ro do work which woultl require a perml� lrom ihe Division of Industriel Safery, as noted ebove, unless such person has a permit ta do such work irom tM1e division. Signature: Date: Division of Industrial Safery Pertnii Num6er: CER7IFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity under penalry of perjury Ihat I heva read this application and s�ate Ihal the information given is correct. I agree to comply wiih all state laws end ciry ordinances relating to buildinq construction, and authodze representatives o� lhe City ot Cwta Mesa to enter upon the above-describetl property for Inspecti�oses. I egree not to occupy or allaw occupancy oi eny building aut�anzed by this pertnit until final inspection. CODE �, MSiECTONTYPE 1616 Fixad System Final Fire PrP�ention 1266 Pool Spa Finel 200 Final Re-Root 201 Final BIxWRetaining Wall 202 Final Fectory Fire Place 203 204 244Ea8 Final Sign Final Demolition �piE ItRiilALS /i� �'�� Da� W�E♦ �Nsvernoxnve 206 Finel Machanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinelBuilding/Occupancy QRj� �MlflAlS � ��ia) �sa-sz�s • F� (�ia) �sa-aess JobAddress: 283 MESADR Suite No Vicinity: Parcel Number: TPN99036 CITY OF COSTA MESA , BIIILDIN6 DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT MECHANICAL PERMIT Applicant: RENZ, RUSS � -,:� , �- : Address: 1458 N. HUNDLEY ST.. ! � ,/"� �. " �- CA � � ! � �- � Phone: ANAHEIM �.; -�� - �� , Zip: , „ � � Owner. MORGAN DEVELOPMENT ' �,��i. r Address:�, 480 OLD NEWPORT BLVD; : �--" -'" �� i ' � ��n' SUITEA� '-� � - �- Phone: NEWPORT BEACH-CA � Zip: �/ `%'� � \� ��i%ii / :onGactoc SENTRYiMECHANICAL.INC. ST PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 09/10/1999 Issued: 09I10/1999 (714) 6323080 - _ 92806 . j� ` . - -'�__, �� V � �.- � � ; � ` � \ 714-548 8048 =� � � - � � �• � � szsss � ;� �,:� , �� ,� < ,' i V� � ��`�\�'= � A�\ .NVVIC55. IYJ�IY-IIVI\41LC1 \`\\\/ /` \\ � , � �, % �� `>v � �'�� .'1 �� *� � CA��r� Phane:'; (714) 6323080 , �_ � �,�, i ��/ ,' ANAHEIM Zip[.; 92806 � : , , � �� :) ;i ,,-i �; . . i � . � , i � '�.� �,��, .:' � ' License: _ 631049 ' �' - � � ' _ . �� . i � � � Arch I Eng t , , � -. ' ` �� ' - � r �� .Address �� , ' ,/' � �l' '' . . __ . ;\ _ . , � ,�, 1 \�, ; _ _ � ' [ �: . _ /, �� ,�', , � ,,,�r. . � Phone: � _ `� � �:, .� � � � ' \ �� Ns: ��- �� Z�P� � \,� ' _ . � - . �� V A � : � '" �� \ i �` License: A , . � - ; ' v-� � � � � � � ' ; �..� . SCOPE OF PERMIT , `. , ' ,� �� ' INSTALL NEW FAU 8 A/C CONDENSOR�FOR NEW SINGLE�FAMICY RESIDENCE. . ` � . V � � 1 � � . REF: . � � . ' , �, - . B99-00684 ,., i � ' :.,..._ — . � i'_, � ¢�/'. , ' . � � ' i . � . � �� ` - � � � " � FEE SUMMARY f _� � , ��. '� �% � � „ �� ,, -Quantity = \ � � - , - Quantity ISSUE.FEE �-� � $23.50 Repair I Alt Absorbtion Unil i%� ,50.00 - 0 � � Inst FAU-<100 k BTU '� ,�,�.. $14.80 1 '� � � Repair / Alt Refrigeration Unit ,� - 50.00 � 0�.�� InstFAU>700kBTU� `�`-� $0.00. 0' ' - � -VentillationSystem � �� ,50.00� 0� � Repair /�Alf, Cooling/Heat �� , $0.00 - 0 � � Evaporative Cooler , " � � $0.00 j 0 � Inst / Rep Recess Wall Htr � : � •- $0 00 0 � � � � _ Cominercial Incinerator. . �G %� . $0 00 i ' 0.� Refrig Sys� 100 k BTU � � �� SO 00 0 _ �` ; Domestic,lncinerator _- ��i � .- SO 00'"0 Refrig Sys >100�k BTU% ' ��$0 00 0, � :; ' ! � � �� Compressors I Absorption Systems �� ' �i �� Gas Piping ��\ % , �$0 00 " 0 "` , �'' � � � ; Up to 3.hp / 100 k B_TU ',� � . - $0.00% 0 Factory Fireplace�>\ �� , $0 00 ti0�_ � � ,� � , 3 To t6 hp /.500 k BTU ;; � ��j�� j$0.00 0 Hood w/Mech Exhaueh� � �, $0 00 0 `1- � .- , ; �15 To 30 hp / 1,000 k BTU �, �✓ � � '$0.00 0 VAV Box �� A � i/ $0 00 0 - �,�;- �V�, � � = 30 To 50 hp / 7-,750 k BTU � �� %$0.00 0 Vent Fan / Single Duct�� $0 00 � 0, _ � _ � ' ' ' �Over 50 hp hOver 1,750 BTU � � � � � ��. � $0.00 0 Appliance � $0.00 �0 � _ Boilers � Fire Dampers � -. $OAO � ; 0 � , ` � Up to 3 hp � � , � '-+� �� $0.00 0 Smoke Dampers - 50.00 �0 , , � , � 3 To 15 hp - � � .'i, -j' $27.75 1 Idst or Relocate Appl Vent ', $0.00 - 0 �'� � � 15 to 30 hp. �" $0.00 0 Air Handlers < 10000cfm $0.00 0;. - � �-��' •- 30 to 50 hp g0.00 0 Air Handlers > 10000cfm $0.00 -0 -" . Over 50 hp-, '� ;�- 30.00 0 Floor Furnace $0.00 0 - � ' '" a � �- � Other�Meohanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee 50.00 Reinspection Fee $0.00 TOTAI CALCULATED FEES E65.45 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Celifomia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall eutomatically expira and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period ot 180 deys. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required Inepeetlona and final approval must be oblained. Failure to obtaln Inspeclions and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnONDECLARAnON: � ' I hereby aHirm under penalty of perjury one of ihe following declaratlona: , -� ❑ I have antl will malntein a certificate of consent ro self-Insure br workers' compensation, es D�ovidetl tor by sectlon 3700 of Ihe Labor Cotle, tor Ihe pertormance ot the work for which ihis pertnit is issued. fa�l have end wlll meintein workere' compensation insurance, as required by sectlon 3700 of ihe Labor Cotle, for the peAortnence of the work for which Ihis pertnit is issued. My workers' compensation Insuranca cerner and policy number are: Carrier: ��_�� cc((/L -��(.L �tj`S �i� , PollcyNumber. }.��h��%J %-%, • �(7 (This section need nat 6e iomp/eted!! the permif Is velued et one hundretl tlollers ($100J or /ess.J � • ❑ I canify that in ihe pertortnance of Ihe work for which this permit is issued, I shell not employ any person In any menner so es to become sublect to the workers' compensetion le of Califomie, ap a ree that it I should become subject to ihe workers' compensation pmvisions ot Section 3700 of the Labor Code, I shall forthwith Complywithth e r isions. r\ 1 �{ /�/� Applicanl5igneWre: '� l �X— 9/�-� Oeta 7'��0'�l—I WARNING: FAILURE TO SECURE WOFKERS' COMPENSA710N COVERAGE IS lUWFUL FNO SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TOONE HUNORED THOUSAND DOLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMFGES AS PROVIDED FOF IN SECTIqJ 370fi OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS OECLARATION: I hereby attirm that I em force and eHect. Lic. M_ ContractoYs SlgnaWre: 9(commencing wlth Section 7000) oi Division 3 0l the Business and Pmfessions Code, antl my license is in tull r_ Clessu� Q T T_ Da�e: � CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn thet Ihere is a consWc�ion landing agency for Ihe peAormance ot the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lentlers Name: Lender's Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eXirtn that under penalty oF perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reeson (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a pertnit �o consiruct, alter, improve, tlemolish, or repair eny siructure, prior to Its Issuence, also requires the applicant for such permit to fila a slgned statement [het he or she is licer.sed pursuant to ihe provislons of Ihe Contractors License Ww (Chaptar 9(commenGng with Section 7000) of DiNslon 3 0l Iha Business and Professlons Cotle) or Ihat he or she Is eaempt theretrom antl the basis lor Ihe allegatl ezemptlon. Any vlolation ot Section 7031.5 by any epplicant for a permit subjects the eppliwnt to e civll penalry of not more than flve �undred dollars (5500)J: ❑ I, as owner of t�e property, or my employees with weges es their sole compansation, WILL DO THE WORK, entl the structure I5 not intentled or otteretl tor sale (Sec. 7044, Business and Professions Cotle: The Contrectors License Law tloes not apply to an owner ot propeny who huilds or improves thereon, and who does such work himselt or herself or ihrough his or her own employees, provitled ihat such improvements are not intended or oHered for sale. If, however, the building or improvement is sold wi�hin one year of completion, ihe owner-builder will heve �he burden ol proving that he or she did not build or improve tor purpose of sale.). ❑ I, es owner of ihe property, am EXCLUSIVELV CONTHACTING WITH LICENSED CONTRACTORS �o Cons�ruct �he project (Sec. 7044, Business entl Professlons Code: The contractors License Law does not apply to en owner of property who builds or improves thereon, and who conirects for such pmject with a contrector(s) license pursuent to the ConVactars License Lews.). ❑ I am exempt under sac. Business end Professions Code for this reason: Signe�ure: Date: Owner ID venlietl by tlrivefs license. ❑ Ves ❑ No Drivels License No. Expires: Venfication of Ownership by (type ot tlocument, i.e. - property tax bill or dee0): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N: ❑ I hereby certity Ihat no excavation five (5) or more leet in tlepih Into which a person is required to descentl, wlll he matle in connection with work authorizetl by this pertni6 end that no builtling structure, scattoMing, talsework, or tlemolition or dismantling thereot, will be more Ihan thlrty-slx (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, CalAornia Atlministrative Cotle). ❑ As owner-builtler, I will not employ anyone to tlo work which would require a permit Irom ihe Division of Intlustrial Sefery, es noted above, unless such person �as a permit to do such work irom ihe tlivision. SlgnaWre: Date: Division of Industnal Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AIfTHORIZAiION OF EHTRY: I certity under penalry of perjury that I have reatl this epplication antl state that the informatlon given is correct. I agrea to comply with all state laws and ciry ortlinances relating to building consiruction, end authonze represemetives of the Ciry of Casta Mesa to enter upon ihe ebove�descdbed properry tor inspection purpwes. I egrae not to occupy or allow acupancy oi eny 6uilding authonzetl �y this parmit until final inspection. � ign LegelOwner(s) Date � ,�.,�. _ � 9-lo-�i5 �'AnNOr Authonzed plicant Date COOE 1' INSPECTIONTYPE � 1618 Flaetl System Final Fire Preventian 1266 Pool Spa Finel 200 Finel Re-Rool 201 Finel BIak/Retaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition 244G46 '� jlsjf, ' INT?IALS QQQ� INSVECTIONTYPE 206 Finel Mechenicel 20B Finel Plumbing 210 Finel Eleadcal 212 Final Fire Prevenllon 220 Finel Planning Approval 222 Final Site 250 Final Builtling/Occupancy � y��' r •�� ; ; � ` (�ia) �sa-s2�s • Fax (714) 754-A856 �ob Address: 283 MESA DR Suite No Vicinity: Parcel Nunmber: TPN99036 ' � CITY OF COSTA MESA BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Applicant F J HOOVER PLUMBING Address: 680 N COTA ST ,' DBA:PIPELINE PLUMBING CORONA,CA � -. � ,,. �� i ; r%�i' ,-. . . , owner. i"NIORGA�S DEVELOP-MENT Address�� 4800LD�NEWPORTBLVD. � ��,�� . SUITEA� �"�'- ��NEWPORT BEACH, CA . ,�, contrector. FJ HOOVER PLUMBING Address: 680 N COTA ST � � DBA:PIPELINEPLUMBING �� CORONA,CA � , � % � ' ArchlEng:'' � , ' � Address,. � ,� � i� " PLUMBING PERMIT Phone: (909)2803967 , Zip: 91720 Phone: 714-548-8048 Zip: 92663 l��Plione: (909)280-3967 - Zip: 91720 License: 507278 Phone: Zip: License: PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 0712 2/1 9 9 9 Issued: 07/22/1999 ISSUED BY: �-� SCOPE OF PERMIT �' . � 3 BTHTU6S, 1 DSHWSHR, 6 GAS OUTLETS,_t-GAS SERV, 1,WASHER, 1 PRESS REG, 1 SEWER �, , CONNCT, 1 SHOWER, 4 WASH BASINS,3 WTR CLOSETS, 1 WTR HTR. . REF:899-00684 ' ISSUE FEE ' BackFlow irrigation . Backflow Preventer � Bathtub Clarifer System Connect (Ice,Soda,etc) Dental Units � Dishwasher � Drain, Floor � Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oiq Interceplors (Sand Auto ) AMT $22.00 $0.00 $0.00 $26.25 �$0.00 50.00 $0.00 $875 $0.00 $0:00 $0.00 $0.00 $0.00 $0.00 $5.50 $2.00 $0.00 $8.75 $0.00 $0.00 QTY 0 0 3 0 0 0 1 0 0 0 0 0 0 1 2 0 1 0 0 FEE SUMMARY AMT Laundry Tub / Washer 58.75 Landscape Irrigation $0.00 P-Trap 50.00 Pressure Regulator 58.75 Process Piping (per 10 ft) , $0.00 Receptors 50.00 SepticTank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $22.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial � $0.00 Sink, Floor $0.00 Sink, kitchen $8.75 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 1 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool Trap Pnmer Urinal Vacuum Brkr Bktlow(1=4) Vacuum BrkrBkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water SoRener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 $0.00 $0.00 $2625 $71.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: $'193.75 on 0 0 0 0 0 0 4 0 0 3 1 0 0 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. 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 fo� a period of 180 days. . INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requfred Inapae[iona and flnel epprovel must be obtained. Failure to obtain inspectlons and iinal approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 9545626 � WORKERS' COMPENSA710N DECLARATION: � I hereby afllrm untler penelry of perJury one ot Ihe following declarations: ❑ I heve antl wlll meimain a centlicate ot consent to salf-Insure for workers' compensation, as provided for by sectlon 3700 of ihe Lebor Code, for �he pertormance of ihe work for which this permit is issued. �' I have entl will maintein workers' crompensetion insurance, as required by section 3700 of Ihe Labor Code, for the peAormance of the wodc lor which this parmit is iswetl. My worker5' Compensation Insurance carner and policy number ere: Cerrier. � Policy Number: (This section need not be camp/eted i/ the peimi!!s ve/ued at one huntlred dollers ($100J or less.) ❑ I cetlity Ihat In the pertortnance of the work tor which this permlt is issuetl, I shall not employ eny persan in eny manner so es to became subject to ihe workers' compen5atlon laws of 9lifoml , and agrae �hat' I should become sublect to the workers' compensetion provisions of Saction 3700 o the LeDor Coda, I shall forthwith comply W��h these pro ions. (� ApplicantSlgna�ure: Date: �/Z-Z � 7 WARNINO: FAIWRE TO S RE WORKERS' CAMPENSATION COVERAGE I$ UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND �OL�RE �$1 ,000), IN FDDITION TOTHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060F THE IABOR fAOE, IMEREST, ANO ATfORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aMirtn that I am torte and eflect Lia x_ Coniractofs Signature: 9(commencing wlih Section 7000) ot Division 3 of Ihe Business and Professions Code, and my license is in full Class k Data: � L 9�'f CONS7RUC71�N LEN6ING AGENCY: ❑ I he�eby attirtn that ihere is e construction lending agency br the pertormance of the work for which this permit is issuetl. (Sec. 3097, Civll Code). Lentler's Neme: Lender's Atldress: Signeture: OWNER-BUILDER DECLARA710N5: Date: I hereby aflirtn Ihat untler penalry of perjury t�et I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7037.5, Business and Professions Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair any strucWre, pnor to its issuance, elso requires the applicant for such permit to lile e signed stetement that he or s�e Is licensetl pursuant to Ihe provislons of the Coniraclors License Law (Chepter 9(wmmencing wlth Sectlon 7000) of Division 3 of the Business end Profeuions Cotle) or that he or she is exempt iheretrom antl ihe basis for the alleged exempUon. Any violation ot Section 7031.5 by eny applicant for a pertnit sub�ecis the applicant to a civll penaly oi not more then five hundwd dollars ($500)J: ❑ I, es owner of the property, or my employees with wages es their sole compensatlon, WILL DO THE WORK, and tha structure is not intentletl or oHered for sale (Sec. 7044, Bu4iness antl Protessions Gode: The Contrectors Licensa Lew does not epply to an owner ol properry who builtls or impmves thereon, and who does such work himself or herself or ihrough his or her own employees, provided ihat such improvemenis ere not intendetl or oHered tor sale. If, however, Ihe builtling or improvement is soltl within one year of completion, ihe owner-builder will have Ihe burden of proving that he or she did not builtl or improve for purpose o� sele.). ❑ 1, es owner of Ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projeci (Sec. 7044, 8usiness antl Professions Coda: The comractore License Lew does not epply to an owner of property who builds or improves thereon, end who contrects for suc� project with a contracmr(s) license pUrsueM to ihe Camractor5 Liconse Lews.). ❑ I am exemp� under sec. Busineu and Professions Code tor this reeson: Signature: Date: Owner ID veriti0tl by drivefs license. ❑ Ves ❑ No Dnver's License No. Expires: Vanfication of O�'�nership by (rype ol daument, i.e. - properry tax bill or Ceetl): DIVISION OF INDUS7RIAL SAFETV PERMI7 CERTIFICATION: ❑ I hereby Genify ihat no excavetlon flve (5) or more fee� In tlepth Into which a person is requiretl to descend, will be made in connection with work authorizetl by Ihis permli, antl ihat no building structure, scaHolding, falsework, or tlamolitlon or dismantling t�ereof, wllt 6e more ihan Ihirty-six (36) feet hlgh. (C�ap. 3.2, Grp 2, Art 2, Sec. 341, Title B, Celitomia Atlmini5ir0iive Code). ❑ As owner-builder, I will not employ anyone to do work which woultl requlre a permit from �he Division of Industrial Safery, as noted ebova, unless such person hes a pertnit m da such work from Ihe divisian. Signeture: Date: Ditision ot Indusirial Safery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AIITHORIZATON OF ENTAV: I certity untler penelry ot perjury tha� I have read this appiication antl state thal the information given is correct. I egrae b comply with all stete laws end city ordinances releting to builtling consiruc�ion, and authorize representatives of ihe City of Costa Mesa to ente� uDon ihe ebove-descnbed p�operry for inspection purpases. I egree not to occupy or ellow acupancy of eny builtling euthorized by Ihis pertnit until Ilnel Inspection. Legal Owner(s) idzetl Applicant cdbe+, iw�o��oNrvve 1616 Finetl System Final Fire Preventlon 1266 Pool Spa Final 200 Flnel Ra-Raaf 207 FIneI BI�k�Retaining Well 202 Finel F9ctory Fire Plece 203 Final Sign 204 Final Demolition 2416d6 D� It�eL9 `7-ZZ -� Date CppE I INSPECTION TYPE Q�¢ 206 Final Mechanical 20B Final Plumbing o2 �` �� 210 Finel Elecincel 212 Final Fire Prevenlion 220 Finel Plenning Approval 222 Final Sita 250 Finel BuiltlingiOccupency m INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building at 283 MESA DRIVE COSTA MESA, CA CEILINGS: TYPE: Fiberglass BATTS MANUFACTURER: Owens/Corning THICKNESS: R-30 9 1/2" BLOW WALLS: TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS:R-13 3 1l2" GENER TRACT MORGAN DEVELOPMENT LICENSE: Owner Builder BY: TITLE: President x Morga I SCHMID INSULAT ON CO RACTORS, INC. LICENSE #221517 C-2 � BY: TITLE: PRODUCTION MANAGER DATE: 2/11/00 Project Address: Lol 1'umber: _ Permit liumber: 9 0 FI\AL GRA�I;�G CERTIFICATIO�' 283 Mesa Drive TR 15855 � $y Ci��il En;ineer. I cenify to the sztisfzctory completion of gradin� in 2ccordance w•ith the.2ppro�'ed plans, specifications, loczl and s[�te codes. All dnina�e de��ices required by the gradin� permit, Erdine pizn znd gading ordinance ha�•e been instzlled. Adequate provisions ha�:e been mzde for draina�e of surface'uater from each'buildin�"site. " Th: inini;nums are: � 2`; .Fa1? fro� s:rucr..�res w•ithin 5 fezt from exterior �;��itc. 1� Fzll for zsph_h surfzces 2nd ]zndsczped 2rezc. 0.� � Fzll for co�cre:z surfzces to zj.•r:o�ed disposzl zrezs. _ , �._, _ _ _ .. . . All fi�a) erading ele�•a- tions are uithin = 1%]0 0; thz des' ned ele�•2tio�s. � ��•, 31720 Seper�•isine Ci�i1 En�ineer '�^' Re�. No. . . � . (Si��z:crc) � , ' D�i� ' 1/24/00 V �Q�Q�\N $ ��U,` 4: . c� �� 'n . � P 2/ 1/200p � . .* � CIVII �Q- � 9r� �F CAt1F�� / ... . - _ S'u-:�� a�d SI�1. .% (714)754-5273 • Fax(714)754-4856 JobAddress: 283 MESADR Suite: Vicinity: ParcelNunmber: TPN99036 CITY OF COSTA MESA � BUILDIN6 DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT App�icant MORGAN , MAX Address: 480 OLD NEWPORT BLVD. SUITE A NEWPORT BEACH, CA Owner: MORGAN DEVELOPMENT Address 480 OLD NEWPORT BLVD. SUITE A - NEWPORT BEACH, CA Confrectoc Address: BUILDING PERMIT Zoning: Phone: 714-548-8048 Zip: 92663 Phone: 714-548-8048 Zip: 92663 Phone: NUMBER 77 FAIR DFIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: OS/17/1999 Issued: 07/07/1999 ISSUED BY: � �m� Zip: License: Arch : DAVID L. ARNESON Eng: ' Address: 5530 SAN JUAN DR ' - Address: Phone: 714-547-9146 "AM" Phone: � ORANGE,CA Zip 92869 License: C13354 Zip: SCOPE OF PERMIT 2103SF 2 STORY SFD WITH 4255F ATTACHED GARAGE AND 90SF PORCH. , Plan Check: Permit: SMIP Res: SMIP Com: Other: I nspection: Total: $843.21 $1, 297.25 $18.20 $0.00 $0.00 $0.00 $2,158.66 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existina: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Righl 0- 0 License: $181,982.80 $o.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all requlred Inspeetlone and flnal epproval must be obtained. Failure to obtain inspections and final approval vrill result in ihe expiration of this permit. FOR INSPECTIONS CALL:. (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: I herehy attirm under penalry oi perjury one of the following tleclarations: � ❑ I hava end will maintain a certificate of consent to self-Insure for workere' compensation, as provided for by saction 3700 of the Labor Code, for the perlormance of the work for which ihis pe�mit is issued. ❑ I have and will maintain workere' compensation insurance, as requiretl by sec�ion 3700 of the Labor Coda, for the peAortnance of Ihe work for which this permit is issuetl. My workers' compensation Insurence carrier antl policy number are: Carner. „ Policy Number. (This section need not be campleted i/ the permit is valued et ane hundred dollars ($100) or less J ❑ I certiy that in the pertormance of Ihe work for which ihis permit is issued, I shall not employ any person in any manner so es to become subject to the workers' compensation laws of Celifomia, and egrea ihat it I should become subject to Ihe workers' compensation provisions of Section 3700 of Ihe Labor Cotle, I shell forihwith comply with these provisions. Applicant Signawre: Date: WARNING FAILUFE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED THOUSAND DOLLARE ($100,000�, IN ADDITION TO THE COST OF fAMPENSATION, DAhNGES AS PROVIDED FOR IN SECTION 3'l06 OF THE LABOP fAOE, IMEREST, FND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that 1 am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Cotle, and my license is in fWl torce antl ettect Lic. N Class p ContractoYs Signature: Date: CONSTRUCTION LENOING AGENCY: � ❑ I hereby atlirm ihat there is a construction lending agency for ihe peAormance oi the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lendels Atltlress: Signa�ure: Date: OWNER-BUILDER DECLARATIONS: I hereby attirm ihat under penalry of perjury ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for �he tollowing reason (Sec. 7031.5, Business antl Professions Code: Any city a county which requires a pertnit �o construct, elter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires ihe applicant for such permit to file e signed s�atement that he or she is licensed pursuan� to ihe provisions ot tha Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the Business antl Professions Code) or Ihet he or she Is exempt therefrom and t�e basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subJecis ihe epplicant to e civil penalry of not more than five hundred dollars ($500).): ❑ I, es owner of the property, or my employees with weges as iheir sole compensation, WILL DO 7NE WOFiK, and the stmcture is not intended or oHared for sale (Sec. 7044, Business and Protessions Code: The Coniractors License Law does not eppiy �o an owner of property who builds or improves thereon, and who does such work himself or herself or ihrough his or her own employeas, provitled that such improvemenis are not intended or oHered for sale. If, however, the building or improvement is sold within one year of completion, ihe owner-builder will have ihe burtlen of proving Ihat he or she tlitl not build or improve tor purpose of sale.). ❑ I, as owner of ihe property, am EXCLUSNELV CONTRACTING WITM LICENSED CONTRACTORS to conswct the pmject (Sec. 7044, Business antl Professlons Code: The contr cmrs License Law does not apply m an owner of property who builds or improves ihereoq end who contracis for such prolect with a contractor(s) license pu�ar�to the Contrac�rs License Laws.). ❑ lam Owner IVverifi�(1 Dy tlriver'S Verification of Ownership by Business and Professions Code for this reason: ❑ Ye5 ❑ NO Driver's License No. nent, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavation tive (5) or more teet in depth Into whlch a pe�son Is required to descend, will be made in connection with work authorized by this permit, and t�at no builtling structure, scaHolding, talsework, or tlemolition or tlismantling thereot, will be more than thirry-six (36) feet high. (Chap. 3.2, Gry 2, An 2, Sec. 347, Title e, Califomia Administretive Code). ❑ As ownar-builder, I will not employ anyone to do work which would require a permit from the Division oi Indusinal Safery, as noted above, unless such parson �as a permilto tlo such workfrom the division. Signa�ure: Date: Division of Indusinal Safety Permit Number: CERTIFICATE OF COMPLIAN E AND AUTHORIZATION OF ENTRV: I certify under penalry oi perjury ihat I have read Ihis application and state Ihat the information 9iven is correct I aqree to comp wi ail state law�ntl city ordinances relating to building consiruction, end eNhorize representatives of ihe Ciry oi Costa Mesa to enter upon lhe ebove-described prop inspection �I ses. I agree not to occupy or allow occupancy oi any builtling authorizetl by ihis permit until tinal inspection. 7-�-99 Si a ure L wner(s) te �� And/Or Authon d Applicant Date COOE 1, INSPECTIONTYPE 7616 Fixed System Finel Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Finel BIocWReteining Well 202 Final Fectary Fire Place 203 Final Sign 204 Final Demolition p9IE T�N rtia�s COpE� INSGECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Finel Elecirical 272 Final Fire Prevention 220 Final Planning Approvel 222 FinalSi�e 250 Final Building/Occupancy B9I€