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Home My WebLink About2451 ORANGE AVE - Building PermitsJob Address: 2451 ORANGE AV Suite: Vicinity: Primary Occ: R3 Dwellings/ Cong Res <10 Type of Conslruction: V-N Parcel Number: TPN007004 Zoning: Applican�: ANDREW PATTERSON Address: Owner: 2453 ORANGE AVENUE LLC Address Phone: 949-294-9057 Zip: Phone: Zip: Contractor: PATTERSON CONSTRUCTION CORPORATION Address: 427 31STST Status: ISSUED Applied: 09/26/2006 Issued: 11/21l2007 ISSUEDBY: -""� I � Phone: 949-294-9057 CELL NEWPORT BEACH, CA � Zip: 92663 License: 802367 Arch : BUCILLA, GREG Eng: Address: 2062 BUSINESS CENTER DR Adtlress: SUITE 100 Phone: 949-851-9080 Phane: IRVINE, CA Zip: 92612 License: 026879 License: SCOPE OF PERMIT PLAN 1, LOT 1: 2,041 S.F. S.F.D. WITH 441 S.F. ATTACHED GARAGE AND 13 S.F. PORCH. 3 BEDROOMS AND 2.5 BATHROOMS. 1ST FLOOR: 834 S.F., 2ND FLOC S.F. REF.: G06-00032 ' PA-06-10N'('(-16945 FEE SUMMARY Plan Check: $1,039.06 Permit: $1,598.55 SMIP Res: $20.77 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $2,658.38 , PLANNINC� & ZONING SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: o Calc Valuation: 5zo�,�is.os Claim Valuation: so.00 Rear 0-0 Left 0-0 Right 0-0 Rear 0- 0 Left 0- 0 Right 0- 0 Required: 0 Pr000sed: 0 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 780 days, or if work is suspended or abandoned for a.period of 180 days. INSPECTIONS: In ordar for the work authorized under this permfl to be considered legal, such work must comply with epplicable codes, and ell requlred Inspections end final approval must be obtained. Failure to obtain inspections and final approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448-08 (8N0) WORKERS' COMPENSATION DECLARA710N: ' I hereby aHirm under penalty of perjury one oi Ihe following declarations: ❑ I have and will maintflin e certiticate of consent to satf-Insure for workers' compensetion, as provided for by section 3700 0l the Lebor Code, for the peAormance oi the work tor which �his permil is issuetl. ❑ I have end will malntaln workers' compensation insurence, as requlred by section 3700 of the Lebor Code, tor Ihe pedormence oi Ihe work tor whlch this pertnll is issued. My workers' compepa�ll�n Ins ry ence carrlQcand poli� number ara: � Cartier. �� PpIlcyNumber: �1� .--�) ��(J (Th/s section need not be completed il the permit is velued at one hundre0 dollers ($100) or less.) ❑ I ceNfy Ihet in �he peAortnance of the work for which this permit is luued, I shall not employ any person In any manner so es to become sublec� �o the workers' compensetlon laws o1 Celitomia, end egr o-i et II I should become suD�ect ro the workars' compensetian pmWsions of Section 3700 oi the Labor Code, I shell forihwith comply with these provisions. AppliCenl SlgneWre: Dete: C / f�/f"J � WMNINO: FAILURE TO SECURE WOBI ' �MPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT PN EMPLOYER TOCRIMINAL PENPLTIES AND VIL FlNES U TP OONE Hl1NpREp TiqUSAND�Ol1.AFE(E100,000),IWICSS IIXJTOTMEC0.STOFCOMPENSATION,DAAUGESlSPROVIDEDFORINSECilON3]O60FTHELABOqCODE,IMEflEST,ANDATTOHIJEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby eflirm ihat I em force end ettect Lic. a_ ConirectoYs Signeture: CONSTRUCTION LENDING AGENCY: 7000) ot Dlvision 3 0l iha Business �Professions Cotle, end my license is in lull Cless q i i ❑ I hereby aflirtn thal there is a construction lending egency tor che pertortnance af tha work for which ihis pertnit is issued. (Sec. 3097, CiNI Code). Lentlefs Name: Lendefs Address: Signeture: OWNER-BUILDER DECLARATIONS: �ate: I hereby etfirtn chet under penalry of perjury Ihat I em EXEMVT FROM THE CONTRACTORS LICENSE LAW lor the following reason (Sec. 7031.5, Business entl Professlons Code: Any ciry or counry which requires a permit to construct, alter, improve, tlemolis�, or repair any structure, pnor to i�s issuance, also requires �he applicant tor such pertnit to file e slgneC slatement thet he or sha is Ilcensetl pursuant ta the proNslons ot the Contreciors License Lew (Chepter 9(cammencing with SecUon 7000) of DlWsion 3 of the Business end Prolessions Cotle) or ihat �e or s�e Is exempt ��erefrom and the basis tor ihe elleged exemption. Any violatlon of Section 7031.5 Dy eny applicant for a pertnit sublects Ihe epplicant to e civil penalry of not more then ilve hundred tlollars ($500).): ❑ I, es owner oi the property, or my employees with weges es their sole compensation, WILL DO THE WORK, end the structure Is not intanded or oHeretl tor sele (Sec. 7044, Business antl Protessions Cotle: The Contractors License Lew tloes not apply to an owner of pmporty who builds or improves thereon, and who does such work himseN or hersel� ar ihrough his ar her own employees, provided thet such improvements are not Intende0 or oHered lor saie. If, however, ihe building or improvement is sold within one year ot completion, the ownervbullder will have ihe burdon ol proving that he o� she ditl not builtl or improve for purpose ot sale.). ' ❑ 1, as ownar af the properly, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS b consWct the project (SecJ044, Business and Profeulons Code: The coniractors License Ww Does not apply to en owner of pro0erty who bullds or Improves ihereon, entl who contrecis tor such project with a coniractor(s) license Oursuent to Ne Contractors License Lews.). ❑ I em exempt under sec. Signature: Owner ID verifiad by drivefs license. ❑ Ve5 ❑ No Business end Professions Code for lhis reeson: Verificetion ol Ownership by (rype of document, I.e. - property tax blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTFICATION: DriverS LicenSe No. Date: Expires: ❑ I hereby cenify that no eacavation flve (5) or more feet In tlepth into which e person is required to descend, wlll be made in connection with work euthonzed by Ihis perml�, antl ihat no builtling simcWre, scaHolding, telsework, or demolition or dismantling ihereof, will be more ihan thirty-siz (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Title 8, Calitomla Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require e permi� from the Division of Indusirial Safety, as notetl ahove, unless such person hes e permit to do such work irom the division. Signeture: Date: Divislon of Intlusirial Safety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUT�GBIZpTON OF ENfAV: I certify untler penalty of parjury ihat I have read this application antl state ihat the information given is correct. I egree to comply with aj0 tet�ws and rty ortllnances relating to buiiding consimction, antl euthonze �epresentelives of Ihe Ciry of Coste Mesa to enter upon Ihe e6ove�descnbed propeAy f'rtSrpecii puryo � ree not to occupy or ellow occupancy of any 6uilding authorized by this �pe�rmit u/ntilf+��al inspection. ure Of Legal O er(s) _, �� 7e� �/? , AnNOr Authorized Applicant Date CO�E �. INSVECTIONTYPE 1616 Fixetl System Final FIre Preventlon 1266 Pool Spa Final 200, Finel Re-Roof 201 Flnal Block/Retaining Wall 202 203 204 Final Factory Fire Place Final Sign Final Demolition Q�g �$ SODE� INSPECTIONTYVE 206 Final Mechenical 208 Flnal Plumbing 270 Final Electncal 212 Finel Flre Preventlon 220 Final Planning Approvel 222 Final Sile 250 FinelBuilding/Occupancy - ` '• . : t?v'� J"4'.ti"� . .. . v?f rN^rti,i":7�aV.� ',�i�. ;.. h)'� NEWPORT-MESA UNIFIED SCHOOL DISTRICT CER7IFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 7600 ANO AB 181 To: ( City o( Costa Mesa ) iry of Newport Beach ( ) Counry of Orange . . 1 � . . �J° 6803 Distrid Receipt No. Plan Check No. // /J �"'�� 0 Applicant: 2-i��3 Orc.-4N'G E!�-v� ffv:z �G �- Address: Telephonf �.__ . TracUParcel and Lot Number(s): Locafion ot Project: Number of Square Fept of: Residential Space <��u i �(2I Xs,.B. - /�20�= �2�� Commercial and Industrial Space x I.30 Total p �� D CommerciaUlndustrial Projed is: (Check One) � � NOV 212007 _ Warehouse _ R&D _ Movie Theater _ Mini-storage _ Heavy IndusUial _ Regional Shops _ Light Industrial _ This project is exempt because _ Motel _ eank CITY OF COSTA PAESA _ Neighbofiood Shops _ RacqueUHeaM _ Hotel _ MedicalOffice _ Office Park This certifies that the above-named Developer/Applicant has paid school tacility fees in 53080 and 65995. The Building Permi� fot this square footage in this proposed developi Checks are to be made payable to NewpoA-Mesa Unified School Districl. By: Preschool Auto Repair Hosqtal Large Office Office 81dg. Restaurant Fast Foad ;e with Government Code sections now be issued by your jurisdic6on. The above representacon as to square footage is We. Appkcant aprees that i( R is determined that such representations are nat true, then this ce 'ficate shal tically tetminate and the appropriate C' o ty s 'fied. Oate: CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICES DEPARTMENT New State Law: Swimming Pool Safety Act of 2006 (Assembly Bill 2977) Effective January 1, 2007 California Health and Safety Code Section 115928 "(d) Whenever a buildine permit is issued for the remodel or modification of a sinQle family home with an existinQ swimmin�pool, toddler pool, or �a, the permit shall require that the suction outlet of the existing swimming pool, toddler pool, or spa be upgraded so as to be equipped with an anti-entrapment cover meeting the current standards of the American Society for Testing and Materials (ASTM) or the American Society of Mechanical Engineers (ASME)." Address/Permit Number �0��- �«Q�� }�pc� — O � (� ( C� ❑ There is ah existing swimming pool, spa, or toddler pool on this property. I will install an anti-entrapment device that conforms to this law, and I understand that the installation of this device is required prior to iinal building inspection approval. There is no swimming pool, spa, or [oddler pool on this property. ��o--�--��,�' � -�� , Name (please priny � Builying Division (714) 754-5273 • Code En(orcement p14) 754-5623 • Planning Division p14) 754-5245 FAX (714) 754-4856 • TDD (714) 754-5244 • www.ci.costa-mesa.ra.us �pu vE4 � � i 3 i y _ fy /826 LETTER OF TRANSMITTAL To: City of Costa Mesa Buildinq and Safetv Department 77 Fair Drive Costa Mesa, CA 92628-1200 Date: Mav 20, 2008 BV P.C. No.: 40008-891001.00 Agency P.C. No.: 06-01607 thru 01616 Description: Waterpointe Development Attn: Permit Tech 2451 — 2467 Oranqe Ave, Costa Mesa Via: � BV Delivery We are forwardinq within: 1 Plans Energy Calcs Correction Lists 2 Post Tension Special items to note: ❑ Pending stamp and signature Sails Report 3 Truss Calcs ❑ Unreasonabie Hardship Approval Required � Plan Check fee due for Deferred Truss: Anson So, PE - 2.0 hours at $120/hr. _$240.00. Permit Technician fee due 1.0 hour at $75/hr. = 75.00. Total $315.00* *This amount will be billed in June 2008. The followinq items have been verified: �Plans Stamped and Signed � Correction List in BV File ❑Questionnaire Sent to Applicant � Log Book Entry Made ❑ Energy Regulations Remarks: Approved. If enclosures received are not as listed, please notify us. Thank you. Pamela Schur 951.493.1065 Sue Demkowicz 951.493.1074 Building Safety Services Received by: Date: 1181 California Ave., #202 � Corona, CA 92881 TEL: 951.493-1060 � FAX: 951.493-1061 � WEB: www.us.bureauveritas.com (714) 754-5273 • Fax (714) 754-4856 • www.ci,costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PERMIT TYPE JOB ADDRESS: Vicinity: ELEC 2451 ORANGE AV CM STATUS: ISSUED DATE ISSUED: 11I2112007 ISSUED BY: RMD Suite/Unit: SCOPE OF WORK: ELECTRICAL PERMIT FOR A 2,041 S.F. S.F.D. WITH 441 S.F. ATTACHED GARAGE AND 13 S.F. PORCH. ELECTRICAL: 2,041 SF SFD W/ 2 LIGHT FIXT, 4 OUTLETS AND 2 SWITHCES IN THE GARAGE. REF#: 806-01607 OWNER: 2453 ORANGE AVENUE LLC Address: 190 NEWPORT CENTER DR STE 220 Unit: PHONE: City/State/Zip: NEWPORT BEACH CA APPLICANT: ANDREW PATTERSON Aiidress: Unit: PHONE: 949-294-9057 City/Slate/zZip: � CONTRACTOR: PATTERSON CONSTRUCTION CORPORATION License No. 802367 Address: 421 37ST STUnit: PHONE: 949-294-9057 CELL , Ciry/State: NEWPORT BEACH, CA ZipCode: 92663 � CELL: ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $148.80 Reinspection Fee $0.00 TOTAL FEES $148.80 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work Is suspended or andoned for a.period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with ell e cable codes, and all requlred Inapections and tinel approval must be obtained. Fallure to obtain inspectlons and final approval will result in the ez ratlon of this permlt. FOR INSPECTIONS CALL: (714) 7545626 2aae�ae �aroo� WORKERS'COMPENSAnON DECLARAnON: I hareby eflirtn under penelry of perjury one of the tollowing tledarations: ❑ I heve entl wlll melnteln e certificete of consent lo self-Insure tor workers' compensatlon, es provlded for by sectlon 3700 oi the Lebor Code, for the pedormance of ihe work for whiCh thl9 Derml� I5 i5suad. ' ❑ I have entl witl maintain workers' compensatlon Insurance, as required by sectlon 3700 oi ihe Lebor Code, for ihe peAortnance of ihe work for which this pem�it is Issued. My workers' compen n In ran rrler a�olicy num er are: �/ /��( J� Cartier. = ' � �� w P�Cy.Number:� � ( ' �(1 ��iJ (This secfion neetl nat be com etetl if fhe pertnif Is ve/ued ef one hundred dollers ($ f00) or Iess.J ❑ I cenity that in the peAortnence of t�e work for�yeht � permit is issued, I shall not emplay eny person in eny menner so as to become subject to ihe workers' compensatlon laws of Califomle, end agre HS � I becoma subject m t�e workers' compensatlon provislons of Sectlon 3700 ofot Labo otle, I shell torihwith comply wlth these provisions. c— Applicent Signature: i Date: /� ) h—% WARNING: FAILURE TO SEW RE W S' ENSATION GUVEMGE IS UNL4WFUL M!D SHALL SUBJECf Ml EMPLOYER TO CHIMINAL ENALTIES AND dVIL FlNES UP TO ONE MUNDRED THOUSrWDOdlARE(5100,000 DRIONTOTHECOSTOFCOMPENSATIpJ,DAMAGESASPROVIDEDFIXiINSECT10N3]OBOFTMEUBORCODE,INTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm t�et I em lice uqd a�s' ns.eM�hap mencing with Section 7000) at Division 3 oi t�e 8usines d Professlons C e, and my license Is in full forae and eflecL Lic. p �� % � , Class s Contrector's Slgnature: � - Date: CONSTRUCTION LENDING AGEN ❑ I hereby efflrm that there is e construction lending agency for the pedormance of ihe work lor which this pertnll is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lender's Address: Signature: oate: OWNER-BUILDER DECLARATIONS: I hereby eHlrm Ihet under penalry af par�ury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor �he following reason (Sec. 7037.5, Buslness end Professions Cotle: Any city or county which requires a permit to construct, alter, improve, demolish, or repair eny structure, pnor to its issuance, also requires the applicent for such pertnit to tile a signeC statement that �e or she is Ilcensetl pursuant to the provisions ot ihe Contractors LJcense Lew (Chepter B(commencing with Sectlon �000) oi Dlvlsion 3 of ihe Business and Professlons Code) or that he or she is exempt Iherefrom end the basis for the ellegetl ezemption. Any violation of Section 7031.5 by any epplicent for a permit subjads Ihe applicant to e civil penelry of not more than five hundred dollars ($500).): ❑ I, as owner ol ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, entl t�e siructure Is not interMed or oHeretl for sele (Sec. 7044, Business and Prolessions Code: The Contractors License Law does not apply to an owner of property who builtls or improves ihereon, and who does such work himsetl or herself or through his or her own employees, provided thet such improvements are not Intendetl ar oHeratl for sale. It, however, Ihe building or improvement is sold within one year of comple�ioq the owner-builtler will have tha burtlen of proving �het he or she did not build or impmve tor purpase of sale.). ' ❑ I, as owner of the properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Prolessions Cale: The wntrectors lJcensa Lew does nat apply to an owner oi properry who builds or Improves Ihereon, end who contracts tor such project with e contwctor(s) license pursuant to the Coniractors License Laws.). ❑ I am exempt under sec. Business and Professions Code tor t�is reason: Signature: Date: Owner ID veritiad by drivers license. ❑ Yes 0 No Drivets License No. Vedlication ot Ownership by (type ol doCument, i.a. - pmperty taz 6ill or daed): Expires: DIVISION OF INDUSTRIAI SAFETY VERMR CERTIFICATION: ❑ I hereby certity the� no excavetion tive (5) or more teet in depth into which a person is requiretl to descend, wlll be made in connection with work authodzed by Ihis pertnit, end that no building structure, scaHolding, talsework, or demolition or dismantling Ihereot, will be more ihan thirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 71t1e e, Celltomia Administrelive Code). ❑ As owner-builder, 1 will nat employ enyone to do work which would require e permi� from the Division of Indusidel Sefety, as noted above, unless such person hes e parmit to tlo suc� work trom ihe division. Signature: Date: Division oi Intlustrial Setery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATON OF ENTAY: I ceRify under penalty ol perjury ihat I heve read t�is application and stete that the inlorme�ion given is correcl. I agree lo comply with all stete laws end city ordinances relating to bullding consiructlon, end euthorize representatives of the City of Costa Mese to enter upon Iha ebove-described properry tor inspection purposes. I eg�9+rot)p occupy or ellow occupancy of eny building euthorized by Ihis permit until final inspection. GOOE �. INSPECiIONTYPE 1618 1266 200. 201 202 203 Fixetl System Finel Fire Prevention Paol Spa Final Final Re-Roof Final Block/Retaining Well Final Factory Fire Place Finel Sign 204 Finel Demolition ��CIIIII.I41 �OOE I INSPECTION TYPE 206 Final Mechanical 20B Finel Plumbing 210 Finel Eledrical 212 Final Fire Preventlon 220 Final Planning Approval 222 Finel Site 250 Finel Building/Occupency PAIE 1I�LS � � , (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PERMIT TYPE JOB ADDRESS: Vicinity: SQ. FT: 0 MECH 2451 ORANGE AV CM STATUS: ISSUED DATE ISSUED: 11121/2007 ISSUED BY: SOK Suite/Unit: SCOPE OF WORK: NEW S.F.D. WORK INCLUDES: 1 FAU > 100 K BTU, 1 REPAIR/ALT COOLING/HEA-�, 'i FACTCP.`; FIREPLACE, 3 VENT FANS AND 1 MECH HOOD W/DUCT. REF.: B06-01607 � OWNER: 2453 ORANGE AVENUE LLC Address: 190 NEWPORT CENTER DR STE 220 Unit: PHONE: City/State/Zip: NEWPORT BEACH CA APPLICANT: ANDREWPATTERSON Address: 42131STST Unit: PHONE: 949-294-9057 CELL City/State/zZip: NEWPORT BEACH, CA CONTRACTOR: PATTERSON CONSTRUCTION CORPORATION Address: 421 31ST STUnit: PHONE: 949-294-9057 CELL � City/State: NEWPORTBEACH,CA 2ipCode: 92663 _ MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: $96.45 PLAN CHECK FEE: � $0.00 � INVESTIGATION FEE: $0.00 REINSPECTION FEE: $0.00 TOTAL FEES: $98.45 ;, License No. 202367 CN��R NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspend or abandoned for a.period of 180 days. INSPECTIONS: In order for the work authonzed under ihis permit to be considared legal, such work must comply with all plicable cotles, and all required Inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will resufl in the piration of this parmit. FOR INSPECTIONS CALL: (714) 7545626 zaosae �eioo� WORKERS'COMPENSAPON DECLARAnON: I hereby eNirtn untler penalry of perjury ona oi the tollowing tleclaretions: ❑ I heve end will melntain a cenificete of consent b self-Insura br workers' compensation, es provitled for by section 3700 ot Ihe Lebor Code, for the pertormence of Ihe work for whlCh ihis pertnil is issued. ❑ I have antl wlll maintain workers' compensation insurance fls requlretl by section 3700 ot Ue LeOor Cade, lar the peAartnance of the work for which thls permit is issued. My workers' compa�uee�•I n Ins rance wrri7a��,e,n�d�jol�i umber are: �_ ��f� Certler. � - � J � � T ✓ ✓ 'Ti Policy Number. � � �� J "-+ (This�section neetl not be comp/ereU iI the permit is veluetl et one hundred dollers ($100) or less.) - ❑ I certity ihat in ihe perfarmence af ihe wark compensallon laws of Celifornie, end egre[ com0ly with these provisions. Appllcant SlgneWre: ------U/v�n� WARNING: FAILURE TO SECURE WI T/IIXISAND DOIJ.ARE (5100.0001. ON TO � LICENSED CONTRACTORS DECLARATON: I hereby eftirtn that I em roroe anafeec�. Lic. a _ CONSTRUCTION LENDING ertnit is issued I shall not employ any person in eny manner so as to become subject to the workere' become sub�ect to ihe workers' compensetion provlslons of Section 3700 of t/he� abor Coae, I shell forthwith oe�a: l�/�l �'l �FULANDSHPIISUBIECTANEMPLOVERTOCRiMINALP TIESANDpVILFlNESUPTOONEHUNDRE� NSATION, OAMAGES 0.5 PROVIDED fOR IN SECTION 31O80F TME UBOR CODE, IMEREST, AND ATTOFNEI"S FEES. with Section 7000) of Dlvlsion 3 0l ihe Business Professions Cade, and my Ilcensa Is in full � Clessk�{ i ❑ I hereby eHirm ihat Ihere is e construction lentling agency for ihe pedormance of Ihe work for which this permit Is issuetl. (Sec. 3097, Civil Code). Lendefs Neme: Lendefs Address: Signature: OWNER-BUILDER DECLARATIONS: Da�e: I hereby affirm Ihet untler penalry of perjury thet I em EXEMP7 FROM 7HE CONTRAC70RS IICENSE LAW tor Ihe following reason (Sec. 7031.5, euslness end Professions Cotle: Any city or counry which requires a pertnit to construct, alter, improve, tlemolish, or repair any structure, pnor to ifs issuance, also raquires the epplicanl lor such pertnit to flle e signetl stetement that he or she is Ilcensed pursuent to the proNsions ot the Contractors License Lew (Cheptar 9(commencing with Section 7000) ai Divlslon 3 of the Business end Professions Code) or that he or she Is e:empt thereirom end the basis for the elleged exemption. Any Wolatlon of Section 7031.5 by any applicanl tor e pertnit su6�ects t�e epplicant ta e civil penalry of not more then live hundred dollars (5500).): ❑ I, as owner ol the property, or my employees with weges as their sole compenution, WILL DO TME WORK, entl the structure is not intentled or oflered tor sale (Sec. 7044, Business end Professions Coae: The Conirectors License Law tloes not appty to an owner ol property who builds or improves thereon, and who does such work himself or herself or ihrough his or her own employees, provided ihat such improvements are not Intendetl or ofleretl tor sale. If, however, lhe bullding or improvement is soltl within one year of completion, Ihe owner-builder will heva Ihe burden of proving ihat he or she tlitl not builtl or improve for puryose of sale.). � ❑ I, as awner of the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Profeuions Code: The con�rectors License Lew does not epply to an owner ol property who builds or Improves ihereon, and who contracts for such prolect with a contrec�or(s) license pursuent to �he Contractors LiCense LawS.). ❑ I em exempt under sac. Business and Prolessions Coda tor Ihis reeson: Signeture: Date: Owner ID verified by driver's licensa. ❑ Ves ❑ No Drivers �icense No. Ezpires: Veriflcation ol Owners�ip by (type of document, I.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I hereby certity I�aI no exwvation five (5) or more leet in depih into which e person is required Io tlescentl, will De mede in connection with work authorized by Ihis permit, antl t�af no building sirucWre, scafloltling, falsework, or demolition or dismantling ihereof, will be more than thirty-six (36) teet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Ttle B, Califomia Adminisiralive Code). ❑ A5 owner-builder, I will not employ anyone to tlo work which would require a permit trom the Division ot Indusirial Safety, as notetl eDova, unless such pereon hes a pertnit to tlo suc� work trom the division. SigneWre: Date: Divislon ot Intlus�rial Satety Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTMORIZA710N OF EMRY: I cenify un0er penalry of perjury that I have read this application antl state that the information given is wrrect I agree to comply with ell slate lews and ciry ordlnences rela�ing m building construction, entl euthodze representatives ol the Ciry of Cwta Mese to emar upon the ebove-desCribetl properry lor inSDettion puryoses I emaa.00t Io occupy or ellow occupancy ol eny builtling authorized by ihis pertnii until finel in5pection. [�S] ]31�I.F�7ia T•P�NJg 1fi18 FIxeO System Final Fire Preventlon 1266 Pool Spe Final 200. Finel Re-Rool 207 Flnel BIaWRe�aining Well 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolition Q�jE II�9L$ �,QQP,( INSPECTIONTYGE 206 Flnal Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Sita 250 Finel Building/Occupency �� Da�� Itl CIIIIGb Y' L. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PERMIT TYPE JOB ADDRESS: vicinity: PLUM 2451 ORANGE AV CM STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: ISSUED 11I21I2007 SOK SCOPE OF WORK: PLUMBWG INCLUDES: 1 BACKFLOW IRRIGATION, 1 BACKFLOW PREVEr�JTEk; 2 BH � R-iii33, 1�--__.. DISHWASHER, 1 GAS (1-4 OUTLETS), 1 GAS SERVICE, 1 LANDSCAPE IRRIGATION, 1 LAUNDRY TUB/WASfiER, 1 SEWER CONNECTION, 2 SHOWERS, 1 KITCHEN SINK, 4 WASH BASINS, 4 WATER CLOSETS, 1 WATER HEATER, 1 WATER SERVICE AND 1 WATER PIPING. OWNER: 2453 ORANGE AVENUE LLC � Address: PHONE: " ' - City/State/Zip: APPLICANT: ANDREW PATTERSON � Address: PHONE: 949-294-9057 CELL City/State/zZip: CONTRACTOR; pqTTERSON CONSTRUCTION CORPORATION Address: 421 31 ST ST City/State: NEWPORT BEACH, CA ZipCode: 92663 PLUMBING.pERMIT FEE SUMMARY PLAN CHECK FEE: PERMIT FEE: $277.40 TOTAL FEES: $277.40 $0.00 190 NEWPORT CENTER DR STE 220 NEWPORT BEACH CA � � 421 31ST ST �: NEWPORTBEACH,�CA � License No. 802367 PHONE: 949-294�•9057 CELL CELL: • 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 aband no%d for a.period of 180 days. � INSPECTIONS: In order for iha work authorized under �his permit to be considered legal, such work must comply with all appll la eodes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expi on of thls permit. FOR INSPECTIONS CALL: (714) 7545626 . 2446d6 (8�W) �A`�y. ... � WORKERS' COMPENSATION DECLARATION: I hereby ettirm under penalry of perjury one oi lhe following declarations: ❑ I heve antl will maintain a certificate oi consent to self-Insure tor workers' compensation, as provided for hy section 3700 oi the Lebor Code, for the peAormance of the work for w�ich Ihis Dermit Is Issued. � ❑ I have and will mainlain workers' compensation in urence, es required by section 3700 of the Labor Code, for Ihe pertortnance oi the work for which Ihis pertnit is issued. My workers' co/a6� lo�} yInsurenca.eerrler e �policy num�er are: � ^ 'w �j .\ rCartier:- -- —. `77� I� Po`icy Number: �O�'�/— 2`� r�%U �(This sectlon need na be completed il the permit is ve ued at one hundred dollars ($100) or less.) ' ❑ I certify thet in ihe pertormance i Ihe work for which this permit is issued, I shall not employ any person in any menner so es to become subject to Ihe workers' compensetion laws of Calgo , an agree thet Ii I shoul0 become sub�ect ro the workers' compensation provislons of Section 3700 oi the Labor Code, I shall forthwith comply with Mese pr isro ,/ Appli_ c_ant SlgneNre: GDete:� �/ �� C� �% WAPNINO: FAIW CU ORKER ' COMPENSATI O1(E&lOE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL ENALTIES ANO CIVIL FINES UP TOONE HUNDFED THOUSAND E($100,0OO�,INADDITIONTOTHECOSTOFCOMPENSATION,�AMAGESASPROVIDEDFOR�NSECTION3]OBOFTHELABORCODE,INTEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereDy attirm thet I em force entl eHect.-Lia k _ Conirec`tor's�SigneW re: CONSTRUCTON LENDING 9(commencing with Section 7000) oi Division 3 of.ihe Business a�rofessions Cotle, end my license is in full LClass #� � oe�e: ,1! ,J� ,� ❑ I hereby attirm that there Is a consiruction lending agency for the performance oi the work tor which this parmit is issuetl. (Sec. 3097, Civil Code). Lendefs Neme: Lentler's Atldress: SigneNre: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm Ihat under penalry oi perjury �he1 I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which reQuires e permit lo consiruct, alter, improve, demolish, or repair any structure, prior to its iuuanca, also requires the epplicant tor such pertnit to tile a signed statement ihet he or she Is Ilcensetl pursuant to the provisions of ihe Contractors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of the Business antl Protessions Cade) or thet ha or she is axempt thereirom antl the basis for the alleged exemption. Any violation af Section 7031.5 by any applicant far a pertnit subjects Ihe epplicent to a civil penelry oi not more than five huntlretl tlollars ($500).): ❑ I, as owner ol ihe properry, or my employees wi�h wa9es as Iheir sole compensation, WILL DO TNE WORK, ena the siructure Is not inlentletl or offered for sale (Sec. 7044, Business entl Protessions Cotle: The Contrectors License Law does not apply to an owner of property who builds or Improves thereon, and who tloes such work himself or herself or through his or her own employees, provided ihat such improvemanis are not intended or oHered for sale. If, however, ihe building or improvement is sold within one year ol completion, ihe owner-builder will have ihe burden of proving ihat ha or she ditl no� build or improve for purpose of sale.). ' ❑ I, as ownar of the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to conslruct iha project (Sec. 7044, Business and Protessions Code: The contractors License Lew tloes no� epply to an owner of property who builds or Improves ihereon, antl who contracis for such project with a contrector(s) license pursuant to ihe Contrectors Licanse Laws.). ❑ I am exempt under sec. Business and Protessions Code for ihis reeson: Signature: Date: Owner ID veritietl by tlriver's Ilcense. ❑ Yes ❑ No Driver's License No. Expires: Verificetion ot Ownership by (type of tlocument, I.e. - propeny tax bill or deed): UIVISION OF INDUSTRIAL SAFETV VERMI7 CER7IFICA710N: ❑ I hereby certity Ihat no excevation five (5) or more feat in depth into which a person is required to descend, wlll be mede in connec�ion wi�h work euthorized 6y �his pertnit, end ihat no building sirudure, scallolding, falsework, or demolition or dismantling thereof, will be more Ihen ihirty-six (36) feet high. (Chap. 32, Gry 2, Ah 2, Sec. 341, Tltle 8, Celifomla Atlministretive Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit from the Division of Industriel Sefety, es notetl above, uniess such pereon has a permit to do such work irom the division. Signature: Date: Division ot Industnal Safery Permit Number: CER7IFICATE OF COMPLIANCE AND AU7HORVA710N OF ENTAY: I certify under penalty of perjury that I have read this epplication and state that the infortnation given is correcL I egrea to comply wllh ell state lews end city ortlinances rela[ing to building construction, and authodze representelives of the Ciry oi Costa Mesa to enter upon Ihe ebove-descnbed property br inspection Ouryoses. I a�qry.earoHe�acupy or allow occupancy of any buildinq euthorized by this pertnit until finel inspection. �QUE I, INSPECTONTYFE Qaj� INTRLILS 1616 Fixed System Finel Fire Prevention 1266 200. 201 202 203 204 Pool Spe Final Finel Re-Roof Finel BIocWRetelning Well Final Fectory Fira Place Finel Sign Final Demollllan . COOE I INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electrical 212 Flnal Flre Preventlan 220 Flnal Planning Approval 222 Final Sita 250 � Final Building/Occupency �/ // ' n 7 i , o"re ix