The URL can be used to link to this page

Home My WebLink About285 MESA DR - Building Permits(714)754-5273 • Fax(714)754-4856 ` CITY OF COSTA MESA � svao�N� onr�s�oN DEVELOPMENT SERVICES DEPARTMENT PERMIT ELECTRICAL PERMIT JobAddress: 285 MESADR Suite No Vicinity: Parcel Nunmber: TPN99037 Appliwnt WEBB, ROBERTA , . . � , NUMBER I v 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 09/13/1999 Issued: 09/13/1999 Address. 9415 BELLEGRAVE AV .- �, CA , � � �'�� ' 'Phona: (909) 687-5871 �� - _ � RIVERSIDE,j.,��,�-;�.` Zip: 92509 � �,- � � i �,'' � ._ � ,/ . , �, � _ , ' ,.'' � _ _ _ , , � : Owner. j� MORGAN�DEVELOPMENT ".� -, � �., �� ; � Address i "480 OLD NEWPORT BLVD. �. � " � �`� � � �, � , , � � ��SUITEA\ � � �_�,-' Phone: 714-548-8048 �� -� � - ��. � � � � NEWPORT BEACH;.CA Zlp: 92663 � � � -� � � � '� � � i ;.: � � , � A /�� %� �� , ' � i� � - ` ' i„ � dontractor ELITE'ELECTRIC Address: . 9415 �BELLEGR4VE AV ,CA � . _ . Phon`e;` (909) 687-5811 � � - �RNERSIDE ' ` ��, !'Zip: 92509�__I "� � � - � ; � �license: 418242 � .� , i� ' �• i � � ' _ __ . _ i� �' . � � , ��.. . ` � ` -' � ��' �� SCOPE OF PERMIT � � ' ' � ELECTRICAL PERMIT FOR NEW 2195SF 2-STORY SINGLE FAMILY RESIDENCE & ATTACHED GARAGE. - � INSTALL 1FIXTURE, 20UTLETS, 1SWITCH, RE:B99-00685. , ,. ' . . � . _ .. - � _ . . FEESUMMARY - � • • Quantity ,;.. ��„- ' i� -� -- ; �� ` % / � . -.�ISSUEFEE �� $23.50 - - Temp service test � � $0.00 �' - Res. alc package � • 30.00 New'Res (1-2 units) , � $122.92 � 2195 New Res (3+units) $0.00 ' 0 Pool / Spa . - ,� $0.00 0 Lighting Fixts �. ' $1.10 1' Recept Outlets � ��`� - �$220 2 Switches� ' . "�$1.10 1 Non ResAppl., �-�$0.00 . 0 ResAppl ` � �\ . � $0:00 .; -0.�- Serviceto200a_' ,'. 50.00.,',' - 0 Service to 7000a : , - , $0.00 �- � � ' 0 Service over 1000a � -. '. � $0.00 � �' 0 Motors ta thp , .$0.00 � � 0 Motors to 10hp � $0.00 �� - � 0 Motors to 50hp � ; � $0.00 ' � 0 Motors to 100hp , $0.00 � 0 Motors over 100hp $0.00 � 0 Communication drops $0.00- -. 0 Sub panel to 200a $0.00 0 Pole Light Pkg $0.00 � 0 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 Intermed Pole $0.00 0 - Temp Dist System / Lightmg � -- -- Buswayl1008 � Standing.Section Misc Electricaf Equipment Trensfortne�s up-to 1 kva/kw .. -- . .........._....uPtolOkva/kw . . ', . � �� .................up to 50 kva/kw - : : �, "' .......::........up to 100 kva/kw ' ' � ' .:...........:..:Cover 100 kva/kw � Low Voltage Equipment, ' ' Low Volt Wiring System�bCkt - Misa Conduit . � . Misc?Conductor - � Cirws ( gen or ride) , � Cirws (mech ride or lights) ' � - Christmas Tree Stand � Fireworks Stand . . Other Electrical Fee QuanUty $0.00 0 $0.00 0 % $0.00 0 ' ,$0.00 0-'�� $0.00 0 � $0.00 -0 : $0.00 < 0' �- ao.00. .:, o $0.00 . -' 0 � $0.00 0 $0.00 0 $0.00 0 ao.00 , o $0.00 �, ' 0 - $0.00�� 0 '. � $0.00 0 . $0.00 0 $0.00,, , Investigation Fee. �$0.00 ��Plan Check Fee $0.00 Reinspection Fee " � $0.00 TOTAL CALCULATED FEES 5150.82 COMMENTS / SPECIAL CONDITIONS �, v NOTICE: The work authonzed by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inepectlons and flnal approvel must be obtained. Failure to obtain inspections and final approval will result in tha expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKEPS' COMVENSA710N DECLARA710N: I hereby aHirtn untler penalty oi pehury one of the following declarations: ❑ I heve antl will meintaih a certificate ot cronsent to setl-Insure for workers' compensetion, as provided for by section 3700 of the Labor Cotle, for the pertortnence of tha work for which I�is pBrmR is issuetl. [� I have antl wlll maintaln woficers' compensatlon insurance, as required by section 3700 0l ihe Lebor Cotle, for iha pertortnance ot the work for which this permit is issuetl. �\ My w�s' compensa�i�on %I �uranc carriar entl policy number are� �/ /,{ /c, Carrler. -��L o \f-- �r��s��• � policyNumber: `//'l. '�lX�� / /�- (Thls section need not b�the permit L4velued et one huntlretl dallers ($f 00) or less.) ❑ I certity Ihat in tha performance f-t o for which this permit is issued, I shall not employ eny person in eny manner so es to 6ecome subject to the workers' compensation lews FP,aI' omi ree t et if I should hecome su0ject to lhe wockers' wmpensatioa provisions ot Section 3700 0l the labor Code, 1 shall FOM1hwith comply with � ovisi . �y Applicent Sig ure: Date: �� /4 �7 WAPNING: FAIL ECURE ORKERS ENSATION COVEFiAGE IS UNLAWFUL PND SHALL SU&IECT AN EMPLOVER TO CflIMINAL PENAL� ON GVIL FINES UP TOONE HIINDRED THOUSANDDOL E($100 ADDITIONTOTH OFfAMPENSATION,DAMAGESASPROVIDEDFOqMSECTiON3]O60FTHELABORCODE,INTEREST,ANDA7TOfiNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm ihat I em lic tl under pro 's' larce entl eHecL Lic.ukf=y�� ContractoYs Sianat / � i of Chapter 9(commencing wi�h Section 7000) of Division 3 0l Ihe Busin and Protesslons Code, and my license is in full � Cless M � —/ ti Date: _ Q / `�. 4 � CONSTRUC710N LENDING AGENCY: ❑ I hereby ettirm ihet iher� is a consiruction lentling egency for the peAormance of the work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Signawre: _ OWNER-BUILDER DECLAHA710NS: Lentlefs Address: Date: I hereby affirtn ihat under penelry of perjury ihet I am EXEMPT FROM THE CON7RACTORS LICENSE LAW lor the following reason (Sec. 7031.5, Business antl Professions Cotle: Any city or counry which requires a permit to construc�, alter, improve, tlemolish, or repeir eny sirucNre, prior �o its issuance, also requlres the applicent for such permit to file e signed stetement thei he or she is licensed pursuant to the provlsions ot ihe Contraciors License Lew (Chapter 9(commencing with Section 7000) of Dlvlslon 3 of �ha euslneu and Professions Cade) or ihat he or sha Is exempt therelrom enA the basis for the ellepetl e:emption. Any violation of Sectlon 7031.5 by eny apD�lcant for a permii sub�ects the applicant to e civil penalry ot not more then fva hundred dollere ($500).): ❑ I, as owner of the propehY. or my employaes with wages as their sole compensatlon, WILL DO THE WORK, entl the siructure is not intentletl or oNered for sale (Sec. 7044, Business end Pro�essions Code: The Contractors license Lew does not epply to an owner of property who �uiltls or improves thereon, and who tloes such work himself or herself or through his or her own employees, provided thet such improvements are not intentletl or oHered for sale. If, however, the building or improvement is sold within ona yeer oi completion, the owner-builder will have ihe burden of proving ihat he or she did not 6uild or improve for puryose ot sale.). ❑ I, as owner of the pmperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business antl Professions Code: The contrectors 4icense Law does not apply to an owner of propetly who builtls or improves ihe�aon, and who contracis for such project with a con�racbr(s) license pursuant to the Contractors License Lews.). ❑ I em exempt under sec. Signature: Owner ID venfietl Dy tlnvels li�anse. ❑ Yes ❑ No eusiness entl Professions Code tor ihis reason: Verificatian ot Owners�ip by (type of documen�, i.e. - propetly tex 6ill or tleed): OIVISION OF INDUSTRIAL SAFETV 7ERMIT CER7IFICA710N: Dnver's License No. Dale: Expires: ❑ I �ereby certity thet no excevation five (5) or more feet in dep�h Into which a person is reQuired to descend, will 6e matle in connection with work euthonzed by ihis permit, and that no builtling strucNre, sceftolding, falsework, or demolition or dismentling ihereoi, will be more t�en ihirty-six (36) leet hlgh. (Chap. 32, Grp 2, Art 2, Sec. 341, Tiile 8, Califomia Adminisirative Code). ❑ As ownar-builder, I will not employ anyone to do work which would require a permit Irom ihe Division of Intlustdal Safery, as notetl aDove, unless sucn peison has a permit to do such work from ihe division. SignaWre: Date: Division ot Industrial Safery Pe�it Number: CERTIFICATE OF COMPLIANCE AND AU7HORIZATION OF ENTRY: I certify under penelty of perjury that I have �eatl ihis applicatlon and state that tha information given is correct. I agree lo comply with all state laws and ciry ordinances relating to building consiruction, and euthonze representatives of the City of Costa Mesa to emer upon the aDove-tlescn6etl pmperty for inspection purposes. I agree not to occupy or ellow wcupancy of any builtling authonzed by this permit umil final inspecuon. CODE 1. INSGECTIONTYPE 7616 Fixed System Finel Fi�e Prevention 1266 Pool Spa Finel 200 Final Re-Roof 201 Final BIocWRateining Wall 202 Final Fectory Fire PleCe 203 Final Sign 204 Final Demolition 2aa6 a8 L�9IE Irmn�LS CODE� INSPECPONTYYE 206 Final Mecha�ical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 222 250 Final Plenning Approval Finel Site Final Bulltling/Occupan�y }1� INTffIRLS (714) 754-5273 • Fax (714) 754-A856 JobAddress: 285 MESADR Suite No Vicinity: Parcel Nunmber: TPN99037 � CITY OF COSTA MESA ' BUILD/NG DIV/S/ON DEVELOPMENT SERVICES DEPARTMENT PERMIT Applicant: F J HOOVER PLUMBING . Address: 680 N COTA ST DBA:PIPELINE PLUMBING CORONA,CA " �' �" ' - � Owner. -' ;AAORGAN DEVELOPMENT Address- ; 480 OLD�NEWPORT BLVD. i / ,�� ' SUITE A �. - , \'NEVJPORT BEACH, CA Contractor: . F J�HOOVER PLUMBING . Address:� 680 N COTA ST � � DBA:PIPELINE PLUMBING - � CORONA,CA � , � e ' � � >. � Arch I Eng : � � � ; Address:, . � � ' 77 FAIR DFiIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Status: ISSUED Applied: 07/22/7999 Issued: 0722/1999 ISSUED BY: ci- 0� J 'Phone: (909)2803967 Zip: 91720 - , . � Phone: 714-548-8048 Zip: 92663 , --Phone: (909)280-3967 - � Zip: 91720 License: 507278 Phone: �. � � Zip: License: ` SCOPE OF PERMIT � �� . � 2 BATHTUBS, 1 DISHWSHR, 6 GAS OUTLETS, 1-GAS SERV;,i WSHR, 1 PRESS REG, t SWER � � - ' CONNECT, 1 SHOWER, 1 KIT SINK, 5 WASH BSAINS, 1 WiR HTR. � �. ��; . ' ,'REF:89&00885 _. � , � � ISSUE FEE�� ' Backflow irrigation ' Backflow Preventer Bathtub , -� Clarifier System� �_ Connect Qce,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, Oil) Interceptors (Sand Auto ) AMT $22.00 $0.00 $0.00 $17:50 $0.00 $0.00 $0.00 $8.75 $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 ' FEE SUMMARY AMT Laundry�Tub / Washer $875 Landscape Irrigation $0.00 P-Trep . . $0.00 , . Pressure Regulator $8J5 Process Piping (per 10 k) - $0.00 � Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo _ $0.00 Sewer Connect $22.00 Sewer Private line $0.00 Shower $8.75 Sink, bar $0.00 Sink, commercial � . $0.00 Sink, Floor $0.00 Sink, kitchen . .$8J5 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 1 0 0 1 0 0 0 0 1 0 1 0 0 0 1 0 0 0 COMMENTS I SPECIAL CONDITIONS SumpPump Swimming Pool . Trep Primer Urinal Vacuum Brkr BkFlow(1-4) . Vacuum Brkr Bkflow(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 Soflener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $43.75 $0.00 $0.00 $2625 $11.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALCALCULATEDFEES: $202.50 QTY 0 0 0 0 0 0 5 0 0 3 1 0 0 0 0 0 NOTICE: The work authorized 6y 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 ezpire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of /80 days. . INSPECTIONS: In order for the work aWhorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectlena and tinal approval must be obtained. Failure lo obtain inspections and final apprwal vrill resuil in ihe expiration of ihis permi[. FOR INSPECTIONS CALL: (714) 754-5626 � WORKERS' COMPENSAnON DECLARATION: I hereby eHirtn untler pe�elry ot parjury one oi tha tollowing tleclaretions: ❑ I heve antl wlll malntain e certifiwte of consent to sBlhlnsure tor workers' rqmpensation, es provitled tor by section 3700 of the Labor Code, lor Ihe pertortnence of the work for which thi9 �ertnit is issued. � I have entl wlll maintein workers' compensation insurance, es requiretl by section 3700 ot Ihe Labor Cotle, tor Ihe pedortnance of Ihe work tor which t�is pertnit is issued. My warkers' compensation Insurence carrier entl policy number ere: Carrier: Policy Number: (Thls secNon need not be comp/eted il fhe peimitls velued et one hundretl dollars ($100) or less.) ❑ 1 certify that In th� periormance of the work for which this permit is issuetl, I shall not employ eny person In eny manner so as to become subject to the workers' compensation lewb of Cel', rnia, entl agree Ihet if I hould become subjed to Ihe workers' compensetion provislons of Section 370 of ihe La6or Cotle, I shall forihwith comply with these P�ovi � s. \ Applicant Slgneture: Dete: 7I� G. � WARNING: FNLURE TO SEC E WORKERS' fAMPENSATION COVERAGE IS UNLAWFIIL AND SHAIl SU&IECT AN EMPLOYEF TO CFIMINAL PENALitES AND CIVIL FWES UP TOONE HUNDRED THOUSANO DOLLqRE (51 ). IN ADOITION TO THE COST OF GOMPENSATION, pqMqGES A5 PROVIDED FOR IN SECTION 3]W OF THE IABOR CODE, IMEREST, AND ATTOFNEYS FEES. LICENSED CONTRACYORS DECLARATION: I hereby aHirm �hat I am licensed u r r.�/� ions ol C ter 9(commencing with Section 7000) ot Division 3 of the Business and Profe�sFions Code, and my license is in tull brce antl eflect Lic. k / Z� Class a (: —� C. CoNreciofs Signature: Date: '% CONSTHUC710N LEN NG AGENCV: ❑ I hereby ettirm that there is a constmction lentling egency lor the peAormence of the work tor which this permit Is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lendels Adtlress: Signatura: OWNER-BUILDER DECLARATIONS: De�e: I hereby ettirm that under penalry of perjury ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7037.5, Business and Professions Code: Any city or counry which requires a permit to construct, elter, improve, demolish, or repair eny siructure, pnor to its issuance, also requires the epplicaN for such pertnit to file a signetl stetemen� that he or s�e is litensed pursuant to �he provisians of Ihe Contractars Licanse Law (Chapter 9(commencing wlth Section 7000) ol Division 3 oi the Business antl Professions Code) or [het he or she Is exempl lherefrom end 1he basis tor ihe atlagetl exemptlon. Any vlolailon of Section 7031.5 by any epplicant tor e permit sub�ects the applicant to e civil penalry of not more than live hundretl tlollars (5500)J: ❑ I, es owner of the p�operry, or my employees with wegas es Iheir sole compensation, WILL DO THE WORK, antl ihe strucwre is not intentletl or oXered for sale (Sec. 7044, Business end Professions Code: The Conirectors License Lew does not apply to an axner ol property who builds or improves thereon, end who tloes such work himself or herself o<<��ough his or her own employees, D�aNtled Ihat such improvemenis are not intended or oNered tor sale. Ii, however, the bulitling or improvement is sold within one year oi completion, the owneo-builder will �eve the burden of proving Ihat he or she tlitl not Duild or improve for purpase of sale.). ❑ I, as owner ot Ihe properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to rnnstruct t�e prolect (Sec. 7044, Business and Professlons Cotle: The contwc�ors License Law does not epply to en owner oi property who builtls or improves thereon, end who con�racts for such prolect with a coniractor(s) license pursuant to �he Contractors License Laws.). ❑ I am exempt under sec. Business and Protessions Code for ihis reeson: Signeture: Date: Owner ID verified by dnvels license. ❑ Ves ❑ No Driver's License No. Expires: Verification of Ownarship by Nype ot document, i.e. - property tax bill or dead): DIVISION OF INDUSTRI� SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihe� no excavetion five (5) or more teet in depih into which a person is reduiretl to tlescend, will be made in connection with work authorizetl by Ihis permit, end thel no builtling s[ructure, scaHolding, felsework, or demolition or dismantling Ihereof, will be more fhen thlrty-six (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Title 8, Celifomia Administrative Code). ❑ As owneo-6uilder, I will not employ anyone to do work which would require e pertnit fmm the Division of Intlustrial Safery, as notetl above, unless such person nas a permit to tlo such work from iha division. Signature: Data: Divislon oi Indusirial Sef�ry Pertnit Number: CERTFICATE OF COMP�IANCE AND AUTHOFiIZATION OF EN7AV: I carti(y under penalry of perjury that I have reatl this flpplication and state that ihe intormation given is correct. I agree to comply with all state laws and city orAinances relating to builtling consiruction, end euthoriza representatives ot the Ciry of Coste Mesa ta enter upon ihe above-descnbed propeny tor inspection purpases. I egree not to occupy or allow occupancy of eny builtling authonzed Dy this pertnit until ilnal inspection. �Plj ]�7 � 1266 Fixed System Final Fire Preventian Pool Spa Final 200 • Finel Re-Root 201 Final BIacWReta��ng Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2648-08 P9IE INTRIALS ^ � Dete �� Dete COOEN INSPECTIONTYPE 206 Final Mechanicel 20B Final Plumbing 210 Finel Electrical 212 Finel Fire Prevention 220 Final Plenning Approvel 222 Final Site 250 FinalBuilding/Occupancy U7.ii�I:11Y1f.IFy �-yr ��' -y,�. i .:.�::: I �. (714) 754-5273 • Fa�c (714) 754-4856 JobAddress: 285 MESADR Suite No Vicinity: Parcel Number: TPN99037 Applicant: Address: Owner: CITY OF COSTA MESA BUILDIN6 DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT MECHANICAL PERMIT RENZ, RUSS ,- , _,. �-,r r� � � — 77 FA1R DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 09/10/1999 Issued: 09/10/1999 7458 N. HUNDLEY SL , � %�'� � r, - , - � - CA - r l �� - � -' Phone: (714)632-3080 ' ' . ANAHEIM' ,�� Zip: 92806 ., , =�- -��,i: , ( . , . . � ��:A , MORGAN DEVELOPMENT ; �' r • � �� ' ;��;�\ �t�48� LD NEWPORT BLVD,'-� � � ' " , �" ` � _ ., � SUITE A� ` j Phone: 714-548-8048 �� . - . � : � A�� /NEWPORTBEACH�CA�'�� Zip: 92663 �\� � 'i � j��-� \ ` �� SENT Y/ME H NICAL, INC. ��'`\ �� \C Address:� 1458 N:�HUNDLEY ST /' � 'i( t i� �/ i . , Ir i � CA,�'/� Phone: ;(714) 632-3080 .,, c _ % ��' .;� ANAHEIM Zip:.. 92806 � ' : � , '. ' ' � , ' ' License:.. 631049 • i: , , ,:��-' " .� , � �Arch I Eng _ '_ ri . � �. � r . � �� -�-� . -i � '� � � � � � ' ,Address:.:�%' ( , �� . . _ _ _ .. - . .. �-- �, t' . � � � � _. Phone: �"r ,� „ � J d>_ � � _ Zip: ��A ! „ / �> License: f .. �� j�� . ��: ; ��' �\ '� ' � �� ' � \ i � �, ' . .v �.� , . � '• . _ . - --- %�' ' �� r � �, ' � � , �' \ � . � ; " � " : '- �. .� - SGOPE OF PERMIT = � �� ; -" INSTALL NEW FAU &'A/C�CONDENSOR�FOR NEN/ SINGLE FAMItY RESIDENCE. � . REF: � . . „899-00685 . ^��.� .-- `;`y,� W!.�- .. - _t�, � , _ - ` , � _ .. - - - -' - ' _ - -' �� . ISSUE�FEE � � Inst FAU <100 k BTU . � � Inst FAU�>,100 k BTU ` ��=� RepairYAlt�Cooling/Heat � �, Insl / Rep; Recess Wall Htr `�^, Refng Sys <100 k BTU �' �V�� Refrig Sys >.100 k BTU� � � GasPiping �'.'�` n F ct F' la '� �� ; ' �� f . � , , �{ ,' �� ' � � , �/ � � . ,; �., r -Quantity - � f;! �� Quaritity $23.50 $14.60 1 $0.00_. 0-' $0.00 0 $0.00 0 \$0.00 _ 0 �$O.00r�.Oa \ . Repair /AltAbsorbtion Unit , ,/,�� $0.00 �- 0 ' �� '" " - Repair/AltRefrigeretionUnit �$0.00. 0'��.� ` - Ventillation System � �'_ ! ' � �_$0:00� ,0„ � .: ; � . Eyaporative Cooler /� =�% $0 00 - 0 / 1 �`, ; Comiriercial Incineretor ,�� _ ��j , � $0 00/�%0% � � L� Domestic Incinerator � . . �� / � % $0 00�,`� 0 �� f ' � Compressors�/ Absomtion Svstems � �- -' � � , %'' %. Up to.3 hp,/ 100 k, BTU �'� -�� "� $0.00� 0 a ory irep ce � � � . -- .. � �� ` '� , 3 To 15 hp /_500 k BTU: .'� � � ��i , /$0.00 0 Hood w/Mech Exha st �� /� $0 00 0� •, �^ ;� ,, �, 75 To 30 hp / 1 000 k�BTU „� �� $0�00 0 VAV Box �-�� /, j$0 00 0`, �� 30 To 50 hp / 1�,750 k BTU� -�' C� $0.00 0 Vent Fan / Single Duct�� $0 00 , 0_ -- `' �Over 50 hp�l Over 1,750,BTU � �" � �� $0.00 0 Appliance �' $0.00, �i 0. . - Boilers � � _ "- / Fire Dampers -. $0.00 � /0- � � ` � � - Up to 3 hp . � % i �� $0.00 0 Smoke Dampers < $0.00 ��0 , � � � � 3 To 15 hp - � , � � � � i%'. � $27.15 1 Irist or Relocate Appl Vent �--$0.00' 0 ' � ' 15 to 30 hp- � i�', -� � $0.00 0 \\ . . Air Handlers < 10000cfm $0.00 " 0« 30 to 50 hp , -��/� � $0.00 0 AirHandlers> 10000cfm $0.00 ��0��, '- . . Over.50hp>'�' -- $0.00 0 Floor Furnace $0.00 0 . �, ' • ' `OtKer Mechanical Fee Floor or Suspentl Heater $0.00 0 - � Investigation Fee $0.00 Plan Check Fee � $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES E65.45 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inepeetlona and finel epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 WORKERS' COMPENSATION DECLAAATION: I hereby affirm untler penalry ot perjury ona oi Ihe following tleclarations: . ' . ❑ I have and will maintain a certifiGate of consent to self-Insure tor workers' compensation, as provided for by sectlon 3700 of Ihe Lebor Code, for the peAormanca of Ihe work tor which this permit is issued. � I have and will malntein workers' compensation insurence, as requiretl by section 3700 ot the Wbor Cotle, for the pedortnance oi the work for which this permit Is issuetl. My workers' compensetion Insurance cerrier and policy number are: Carner 1� � �T� � �%AC(/i/�i,�i I1� . (� . Policy Number: I.IVIII� % SC�o�LZ • Ob (fhis secfion need not be comp/eted i the permi( is valued et one huntlred dollars ($100) or less.) � ❑ I certify that In ihe pertortnanca of the work for which this permit is issued, I shall not employ any person in any mannar so es to become subject to the workers' compensation I of Califomia,�Qqg�eqiha � ould hecome subject to the workers' compensation provisions oi Section 3700 of Ihe Lebor Cotle, I sha0 forthwith camplywiththe e wsions. �;� � � � ^/G ^� � Applicant Signature: // �- Date: WARNING FAILURE TO SECURE WORKERS' CAMPE TION CAVERAGE i NLAWFUL AND SHALL SUBJECT AN EMPIOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDFED THOUSAND DOLLARE ($100,000), IN ADDITIUN TO THE COST OF COMPENSATION, DAMAGES A$ PROVI�ED FOR IN SEGTION 3]060F THE LABOR CODE, IMEFEST, AND ATiORNEV'S FEES. LICENSED CONTRACTORS DECLAqAnON: I hereby affirm ihat I am force and eRect Lic. k � Contractor's Signature: Chapter 9(commencing with Section 7000) of Divislon 3 of the eusiness a�Pr� ions Code, antl my license is in full �_ Class # oa�e: —IG CONS7RUC710N LENDING AGENCY: ❑ I hereby aHirtn ihat there is a consWction lentling aqency for the pedormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Address: Signature: OWNER-BUILDEF DECLARATIONS: Date: I hereby aflirm ihat under penalty of pefjury ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requireS a permit to wnstruct, alter, improve, demolish, or repeir any structure, prior to its issuance, elso requires ihe applicant for such permit to file a signed statement that he ar shB is licersed pursuant to the pmvisions of Ne ConVactors License Law (Chaptar 9(commenGog with Section 7000) of Division 3 ot the Business and Professions Gode) or iha� he or she is exempt iherefrom and ihe basis for ihe alleged ezemptlon. Any violation oi Section 7031.5 by any applicant for a permit sub�ects the applicent to a civil penalry of not more than five huntlred tlollars ($500)J: ❑ I, as owner of the property, or my employees with weges es their sole compensation, WILL DO 7HE WORK, and the structure is not intendad or oHered for sale (Sec. 7044, Business antl Professions Code: The Contractors Litense Lew does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his o� her own employees, provitled ihat such improvements are not intended or oHeretl for sale. If, however, ihe building or improvement is soltl within one year of completion, the owner-builder will heva the burtlen oi proving that he or she tlitl not build or improve for purpose of sale.). ❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct ihe projec� (Sec. 1044, Business and Professions Code: The contrectors License Law does not apply to en owner of propeny who builtls or improves theraon. and who comrects for such prolect with a contractor(s) license pursuent to the Contractofs License Laws.). ❑ I am exempt under sec. Business antl Protessions Code tor this reason: Signatura: Dare: Owner ID verifietl by tlriver's licensa. ❑ Yes ❑ No Dnver's License No. Expires: Ventication of Ownership by (typa ol document, i.e. - properry tax bill or deed): � DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby canity �hat no ezcavation tive (5) or more feet in tlepth in�o which a person is requiretl to tlescend, will be made in connection with work authonzed by this permit, and that no building sWcture, scaHolding, falsework, or tlemolition or dismantling thereof, will be more than thirty-siz (38) teet high. (Chap. 32, Grp 2, Art 2, Sec. 347, TiNe e, Calitomia Atlministrative Code). ❑ As owner�builtler, I will not employ enyone to do work which woultl require a permit from ihe Division of Indusinal Safety, as notetl ahove, unless such person has a permit to do such work trom Ihe division. Signature: Date: Division oi Intlustrial Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AU7HORVATION OF ENTRY: I certify under penalty of perjury that I have reatl this application and state ihat tha information givan is correct. I agree to comply wi�h all state laws antl ciry ordinances relating to buiiding constmction, and authorize representatives of ihe City of Costa Mesa to entar upon the above-descnbed property for inspection purposes. I agree not �o occupy or allow occupancy of any building authorizetl by �his permit until final inspection. COOE N. INSPECTIONflPE ' 7616 Fixed System Final Fire PrevePtian 1266 Poal Spa Finel 200 .. Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Slgn 204 Final Demolition 2A46d6 ' ' DRT ' INTRIALS � _/�'n �ate 7 a[e CODEY INSPECTIONTYPE 206 Finel Mechanical � � 208 Final Plumbinq 210 Final Elecincal 212 Final Fire Prevention 220 Final Plenning Approvel P22 Final Slle 250 Final BuiltlincyOccupancy 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 285 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 1/2" GENERAL RACTO ORGAN DEVELOPMENT LICENSE: Owner Builder BY: TITLE: President Max Morga SCHMID INSULATIO CON RACTORS, INC. LICENSE #221517 C-2 BY: s� TITLE: PRODUCTION MANAGER DATE: 2/11/00 0 Project Address: Lof lumber: _ Permil 7�umber: FI�AL GRA�I�G CERTIFICATIO\ 285 plesa Drive ' ' S TR 15855 By Ci��il Eneineer: I cenify to the sztisfaaory completion of grading in accordance u•ith the.approred plans, specifiations, loca) and staie codes. AU dr2ina�e devices required by the gradin� permit, aradin� plan znd gradin� ordinznce ha��e been inst�lled. Adequate pro��isions hz�•e bee� made for Zrainzge ef curtace Nater from each building site. ' "rhe ininimuns 2re: • ' 2� .FzJ! fro� sn�ct,ues w•ithin 5 feet fro;� exterior ��•zllc. 1�r F��l for zsph�?t surfzces znd 12ndsczped zrezc. O.�S Fall for c��cre;e surt2ces to z�•p;o��ed.disposzl artzs. _ . �._, . � _ _ _ . All fi�al gradina e1e�•a- tio:s �re wi�hin = l%JO o; the de '�ned elei•2?io��s. Super�'ising Ci�il En�in�er /` Reg. T�o. 31720 . . � . (Si[aa:crc) � . ' . b�i: ' 1/24/00 9 N e , .. , _ S'u.'-� a�d SI�1. (714) 754-5273 • Fau (714) 754-4856 JobAddress: 285 MESADR Suite: Viciniry: Parcel Nunmber: TPN99037 CITY OF COSTA MESA BUILDING DIY/SION DEVELOPMENT SERVICES DEPARTMENT, PERMIT Applicant 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 Contractor. Address: Zip: Arcn : DAVID L. ARNESON Address: 5530 SAN JUAN DR � BUILDING PERMIT Zoning: Phone: 714-548-8048 Zip: 92663 Phone: 714-548-8048 Zip: 92663 Phone: License: Eng: Address: Phone: 714-547-9146"AM" ORANGE,CA Zip 92869 License: C13354 Zip: SCOPE OF PERMIT 2195SF 2 STORY SFD WITH 427SF ATTACHED GAR4G AND 90 SF PORCH. Plan Check: Permit: SMIP Res: SMIP Com: Other. Inspection: Total $869.21 $1, 337.25 $18.95 $0.00 $0.00 $0.00 $2,225.41 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORV Front 0-0 PARKING ezistinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & 20NING Left 0- 0 Left 0- 0 Proposed: 0 � NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Staius: ISSUED Applied: OS117/1999 Issued: 07/07/1999 ISSUED BY: �� a Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 Phone: License: $189,523.80 so.00 NOTICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 7247-92) EXPIRA710N: 7his permit shall automatically expire and become void if work is rrot commenced within 180 days, or if work is suspended or abandoned for a period of 180 dayg. INSPECTIONS: In orqer for the work authorized under this pertnit to be considered legal, such work must comply with ell applicable codes, and all required Inapectlona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CqLC: (714) 754-5626 �� WORKERS'COMPENSAnON �ECLARAnON: I hereby aflirm untler penalry of perjury one of the following tleclarations: � ❑ I hava end will maintain a �ertlticete oi consent to selt-Insure for workers' compensetion, as provitletl for by sactlo� 3700 ot the Wbor Cotle, for Iha peAortnanca of the work for which Ihis parmit Is issued. � ❑ I hava an0 will maintain wo�kers' compensation insurance, as requiretl by seMion 3700 0l �he Lebor Code, for the peAortnance of the work for which Nis pertnit is issuetl. My workars' compensation Insurence carrier and policy number are: Cerder. Policy Number. (Tri/s secfion neetl no( be cromp/e(ed ll (he permit is va/uetl et one huntlretl dollers (3100) or /ess.) ❑ I cetlity ihat in the pertormance of tha work for which this permit is issued, I shell nol employ any person In eny manner so es to become subject to Ihe workers' compensation lews ot Cali�ornie, and agree thet If I should become subject to ihe workers' compensation provisions of Section 3700 of the La6or Code, I shall Fotlhwith comply with Ihese pmvisions. Appllcam Slgnature: Date: WARNING: FAILURE TO SECURE WORKERS' COAIPENSATION ODVERAGE IS UNIAWFUL AND SHALL SUBJECi AN EMPLOYER TO CRIMINAL PENALTIES AND pVIL FlNES UP TOONE HIINORED TMOUSAND DOLLARE (5100,000). IN ADDITION TO THE W,ST OF COMPEN$AT�pry, DAA4IGES AS PROVIDED FOR IN SEGTIqJ 3]O60F THE LABOR CO�E, IMEREST, AND ATfORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: ' I hereby ettirm ihat I am IicenseG untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of t�e Business antl Professions Cotle, and my license is In full force end ettect Lic. q Cless a Contrectofs Signature: Date: CONS7RUC710N LENDING A6ENCY: ❑ I hereby aflirtn the� Ihere is a construction lending egency for Ihe peAormanca ol the work lor which this permit Is issued. (Sec. 3097, Civil Code). Lenders Name: Lendefs Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of per�ury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciiy or county which raquires e permit to constmct, elter, improve, demolish, or repair any stmcWre, prior to Its issuance, also requires the epplicant for suGh permit to file a signetl stalemem thal he or she Is licensed pursuenl to the pmvisions of the Contrectore LJcense Law (Chepter 9(commencing with Sec�lon 7000) of DlNsion 3 of the Business antl Protessions Cotle) or Ihet he or she is exempt iherefrom end t�e basls for Iha allegetl exemption. Any vloletion of Section 7031.5 by eny epplicent for a pertnit sub�ects the applicant to e civil penelry of not more than live �untlred dollars ($500).): ❑ I, as owner ot the property, or my employees with wages es their sole compensation, WILL DO 7HE WORK, entl �he sWCWre is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Conirectors License Law does not appty to an owner of property who builtls or improves theraon, end who tloes such work himself or herself or ihrough his or her own employees, provitletl that such improvements are not inrended or oNered lor sale. If, however, the building or improvement is sold wit�in one year of completion, t�e owneabuilder will have the burtlen of proving thet he or she did not builtl or improve tor puryose of sale.). ❑ I, as owner oF Ihe propetly, am EXCLUSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS to constmct lhe project (Sec. 7044, Business and Protessions Code: The contrectors Licbnse Lew tloes not epply to an owner of properry who bulltls ar Improves Ihereon, entl who contracts for such praject with a coniracbr(s) license pursuant to the Conir ors License Lews.). ❑ I am ex under sec. Business and Protessions Code lor Ihis reason: Signeture- Dale� � Ownar ID enfied by nver's li �se. ❑ Yes ❑ No orivers �icense No. � Expi es: Venficetion of Ownership by (iype ot COcumen�, i.e. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: ❑ I hereby cenity ihet no excavatlon five (5) or more feet in tlepth into whlch a person Is required to descend, wlll be mada in conneciion wlih work euihonzed by ihis permit, and Ihat no builtling simcture, scattWding, falsework, or demolition or dismantling ihereol, will be more then thlrry-six (36) faet high. (Chep. 3.2, Gry 2, Ad 2, Sec. 341, Title 8, Celitomie Administrelive Code). ❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Division of Indusiriel Safery, as noted ebove, unless such person has a permil to do such work trom Ihe division. Signature: Date: Division oi Intlustrial Safery Pertni� Number. CERTIFICATE OF COMPUANCE �D AUTHORIZATON OF ENTRV: I certify under penalty of perjury that I hava raed Ihis application and steta that Ihe intortnation given is correct. I agree to comply w' h ell state lews an iry ordinences relating to huiltling constructlon, antl authorize representatives of ihe City of Costa Mesa to enter upon the flbove-tlflscrihed propgplyf�Inspeclion purg/� . I agree nOt to occupy or ellOw occupency ol any building authodzetl hy this permit until finel inspeclioo. CODE �. INSiECTONTYPE PA¢. Vi�GLS 1676 Fixetl System Finel Fire P�evention 12fi6 200 201 202 203 Pool Spa Final Final Re-Roof Finel BIocWReteining Wall Final Factory Fire Place FInalSign 204 Final �em0lition 24d6d6 COUE I INSPECTION TYPE 206 Final Mechanicel 208 Final Plumbing 210 Final Electricel 212 Final Fire Prevantlon 220 Final Planning Appro�al 222 Final Site 250 FinalBuilding/Occupancy Date Q�j�, �NTRULS �