HomeMy WebLinkAbout2459 ORANGE AVE - Building PermitsJob Address: 2459 ORANGE AV
Suite:
Vicinity:
Primary Occ: R3 qwellings/ Cong Res <70 Type of Construclion: V-N
Parcel Number: TPN�07008 Zoning:
Applicant ANDREW PATTERSON
Address:
Owner: 2453 ORANGE AVENUE LLC
Address
Phone: 949-294-9057
Zip:
Phone:
Zip:
Contractor: PAT7ERSON CONSTRUCTION CORPORATION
Address: 421 31ST ST
NEWPORT BEACH, CA
Zip: 92663
Arcn : BUCILLA, GREG
Address: 2062 BUSINESS CENTER DR
SUITE 100 Phone: 949-851-9080
IRVINE, CA �
Zip: 92612 l.icense: 026879
Phone: 949-294-9057 CELL
License: 802367
Eng:
Address:
Status: ISSUED
Applied: 09/26I2006
Issued: 11/272007
ISSUED BY: � 1.
Phone:
License:
SCOPE OF PERMIT
PLAN 2R, LOT 5:
NEW 2,263 S.F. S.F.D. W1434 S.F. ATTACHED GARAGE AND 117 S.F. PORCH. 3 BEDROOMS, 2.5 BATHROOMS, FIREPLACE IN FAMILY ROOM,
BONUS ROOM ON 2ND FLOOR. iST FLOOR: 1007, 2ND FLOOR: 1,256 S.F. REF.: G06-00032
Plan Check: $1,122.78
Permit: $1,727.35
SMIP Res: $23.06
SMIP Com: $0.00 '
Other: $0.00
Inspection: $0.00
Total: $2,873.19
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existina: o
� � - � �Rear 0- 0
Rear 0- 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Required: 0 Pr000sed: 0
Calc Valuation: szso,sso.�o
Claim Valuation: So.00
Right 0- 0
Right 0- 0
NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requirements under California st es 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 spended or abandoned
for a.perlod of 180 days.
INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply all applicable codes, and all
required Inspectiona and finel epproval must be obtained. Failure to obtain Inspectlons and final approval will result in the expiration oi this permit.
FOR INSPECTIONS CALL: (714) 7545626 ,
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WORKERS'COMPENSAnON DECLARAnON: �
I �ere6y affirm under penelty of per�ury one af the following declarations:
❑ I heve entl will melntein a certHicate of consent to self-Insure tor workers' compensation, as provitled tor hy section 3700 oi Ihe Lebor Cotle, for the peAarmance of the
work for which this pertnil is Issuetl.
❑ I have end wlll malnteln workers' compensatlon Insurence, as requiretl by sectlon 3700 of Ihe Lebor Cotle, tor �he Oertormence ot �he work for whiCh Ihis pertnit is Issuetl.
My workers' compensetlon `IrJiY'�rYnyce artler an Ilcy vnufm6g1� are: �^yy ^y /^ ^Y ���
Carriar:� J7 ^�`�� � IC` Pd y Number. _ v` W �
(7his sectlon need not be completed il (he Oermit is lued et one huntlreO tlallers ($100) or less.)
❑ I certity that in the peAortnance oi the work For which�pjspaqnit is Issued, I shell not employ eny person in any manner so es lo become suDject to Ihe workers'
compensetian lews ot Calitomie, end egree t trtThould 6come subject to Ihe workers' compensation provisions of Sectlon 3700 of t e�r Code, I shell fort�with
comply with these provisions. 9 (�
ApplicentSlgneiure: - �pe�a;�—' // �J v%
WARNINCi: FAILURE TO SEWRE P1 COMP TIIXJ C RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENFI.TIES AND CML FlNES UP TO ONE HUNDREO
T/qUSMlD DOLL4RE (5100, AD E COST OF PENSATION, DMMGES AS PROVIOED FOR IN SECTION 3%O60F THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby atlirtn that 1 em Iicensed under pr visions of Chaptar 9 ing with Se Ion ) ol Divisian 3 of the Business and Prof ns Code, antl my license is in full
t�ica ana ettect. uc. a L b ic�as's a
Comractofs Signature: " ate: ��
CONSTRUCTION LENDING AGENCY:
❑ I hereby eHirtn thet there is a construction lending agency tor the peAormance of Ihe work tor which this permit is issued. (Sec. 3097, Civil Cotle).
Landefs Neme: Lender's Atldress:
Signature:
OWNER-BUILDER DECLAFiATIONS:
Date:
I hereby aNlrtn lhat under penalry ot perjury �hat 1 am EXEMPT FROM TME COMRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Pmfesslons
Cotle: Any ciry or counry whic� requires e pertnit to conslruct, alter, improve, tlemolish, or repair any strucWre, pnor m its issuance, elso requlres the epplicant for such permit
to file e siqnea statemem ihet he or she Is Ilcensed Dursuant to the provlslons ol tha Contrectors Llcense Law (Chepter 9(commencing with Sectlon 7000) of Division 3 ot Ihe
Business end Protessions Code) or thet he or she is anempt Ihereirom antl t�e besls for the elleged exemption. Any violation of Section 7031.5 by eny appllcent for a permit
subjects the eDP����� �o e civil penalty of not more ihan five hundred dollars ($500).):
❑ I, es owner ot the praperry, or my employees with wages as their sole compensatlon, WILL DO THE WORK, end the structure is not intended or oHered tor sale (Sec.
7044, Business end Professions Code: The Con�rectors License Lew tloes not apply to an owner of property who builds or improves t�ereon, and who tloes such work
himsell or herselt or through his or �er own emplayaes, provitletl that such improvemenis ere not Intended ar otteretl for sele. II, hawever, ihe building or Improvement is
sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purposa oi sale.�. '
❑ I, es owner of the proPerty. am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business end Protessions
Code: The contrec�ors Llcense faw does not eppty to an owner of propeny who builds or Improves thereon, end who contracts tor such pro�ect wtlh e contrector(s)
licen5e pureuant Io the Conlractors License Laws.).
❑ I am exempt untler sec. Business enC Professions Code for this reason:
Signeture: Date:
Owner ID verllled by driver's license. ❑ Yes ❑ No Drivers License No.
Verilication ol Ownershlp Dy (type of Aocument, i.e. - properry ta< bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cenity thet na excavetion ilve (5) or more faet in depth Into which a person Is requlretl to desrand, will be made in connec�lon wlih work euthoAzed by Ihis
permit, entl that no Cuilding structure, scaffoltling, falsework, or tlemolition or tlismantling ihereof, will be more than thirry�six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle B, CalNomie Administrative Cotle).
❑ As owner-builder, I will not employ enyone to do work which woultl reqWre e permit irom Ihe Division of Indusinal Safery, es noted ebove, unless such person hes a
permit to do such work irom Ihe division.
Signawre: Date:
Division of Intlustrial Safery Pertnit Number.
CERTIFlCATE OF COMPLIANCE AND AUTHORVATON OF ENTRV: I certiy under penalty oF perjury tha� 1 have read this appliceiion and siate that Ihe Infortnation given is
correct. I egree Io comply with ell stete laws end ciry ordinences releting to building consiruction, antl authonze representatives of iha Ciry of Coste Mesa to enter upon the
ebove�described properry for inspection purposes.�o occupy or ailow occupency of any building au�horized by ihis Oermit until finel inspection.
CODE �. INSPECTION TYPE Qd¢. IIIIIDSLS
1678 Fixetl System Final Fire Preventlon
1266 Pool Spa Final
200. Finel Re-Roof
201 Finel BIocWRetalning Wall
202 Final Faclory Flre Place
203 Final Sign
204 Final Demalition
yOUE 1 INSPECTION iYPE
20fi Final Mecflenital
20B Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Apprwal
222 Final Site
250 FinalBuilding/OccuOancy
D
�/ ,� r/ ��
Date '
Qdg INRfIAL9
r�{I�'f,�T+!
or.f :�
. . .., . ��. r.i
.....:.. � y .
NEWPORT-MESA UNIFIEO SCHOOL DISTRICT
CERTIFICATE OF COMPUANCE OF DEVELOPMENT FEES
PURSUANT TO AB 1600 AND AB 181
To: �City of Costa Mesa
( ) City of Newport Beach
( ) Counly of Orange
�° 6796
DisUid Receipt No.
Plan Check No.
�o-O�(Q f�
LPPlicant-� � �S � �..� � ../ G �� �� � C. L .
A� ca�ess:
TelephonE
TracUParcel and l.ot Number(s):
Location of Project:
Number of Square Feet of:
Residential Space
Commercial and
Industrial Space
CommerciaUlndustriai Project is: (Check One)
Warehouse
RSD
Movie Theater
Mini-storage
Heavy IndusUial
Regional Shops
Light Industrial
_ This project is exempt because
22�3x s,.�.
To�� � 9' 2
x S .30 o tal
D
NOV 212007
_ Motel
Bank
_ Neighbofiood Shops
_ RacqueUHealth
_ Hotel
Medicai Of�ee
Office Park
CITY OF COSTA MESA _
Preschool
Auto Repair
Hospital
Large Office
Office Bldg.
Restaurant
Fast Food
This certifies that the above-named Developer/App6cant has paid school Faakty fees in comp6ance with Government Code sections
53080 and 65995. The Building Pemils for this square footage in this proposed development may now be issued by your jurisdictlon.
Checks are to be made payable to Newport-Mesa Unified School District.
8Y: i
Autlarizad Repeserdative
The above representation as to square (ootage is We. Appticant agrees that if k is later detemrned fhat such representadons are not
true, then this certificate shall automatically terminate and the apqopriate City��ty3t�all be nodfied.
Date: /�// / � %
(714) 754-5273 • Fax (714) 754-4856 • wv+w.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
PERMIT TYPE
JOB ADpRESS
Vicinity:
PLUM
2459 ORANGE AV CM
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
ISSUED
1112112007
SOK
SCOPE OF WORK: PLUMBING INCLUDES: 1 BACKFLOW IRRIGATION, 1 BACKFLOW PREVENTER, 2 BATM=��UBS, 1 -
DISHWASHER, 1 GAS (1-4 OUTLETS), 1 GAS SERVICE, 1 LANDSCAPE IRRIGATION, 1 LAUNDRY TUBNVASHER, 1 SEWER
CONNECTION, 2 SHOWERS, 1 KITCHEN SINK, 4 WASH BASINS, 4 WATER CLOSETS, 1 WATER HEATER, 1 WATER SERVICE
AND 1 WA7ER
PIPING.
OWNER: 2453 ORANGE AVENUE LLC Address:
PHONE: City/State/Zip:
APPLICANT: ANDREW PATTERSON Address:
PHONE: g4g-294•9057 CELL City/Stale/zZip:
CONTRACTOR: PATTERSON CONSTRUCTION CORPORATION
Address: 421 37ST ST
Ciry/State: NEWPORT BEACH, CA ZipCode: 92663
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE: $0.00
PERMIT FEE: $277.40,
TOTAL FEES: $277.40
190 NEWPORT CENTER DR STE 220
NEWPORT BEACH, CA
421 31ST ST :
NEWPORT BEACH, CA
License No. 802367
PHONE: 949-294-9057 CELL
CELL:
1��
NOTICE: 7he work authorized by this permit shall comply with all applicable handicap access requiremenis under
regulations. (Ord. No. 92-28, § 1, 12-21-92) �
and related
EXPIRATION: Tnis permit shall automatically expire and become void It work is not commenced within 1b0 days, or if wor suspended or abartdoned
for a.period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred InBpeetions end flnel epproval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
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WORKERS' COMPENSATION DECLARA710N:
I hereby eHirtn under Denelry at perjury one of the tollowing deGaretions:
❑ I heve end will meintain e cartiticate of wnsent to sell-Insure for workers' compensetion, es D��ded for by sectlon 3700 0l Ihe Labor Code, tor the pertormenca ai the
work tor which this permit is issued.
❑ I have antl wlll malntain warkers' campensaiion insurence, es requiretl by section 3700 af the Labor Code, for the peAortnance of ihe wark tor which Ihis permi� is issued.
My workers' compensgtiqn Ins ry ence carr' ntl policy um6er ere: �y..� __� �/ `_�
ceme�:' ��f�'tl-i' policyNumber. �1�'G� �J�
(Thls sectlon need nof be mplefed il the permit is valued et one hundretl tlollars ($f 00) or less.) �— --
❑ I certily ihat in the peAormenca oi ihe work For which this permit is Issuetl, I shall not emplay eny person in any manner so es to become subject to ihe workers'
compensatlon laws of Celitomia, and e hat"r should become sub�ect b the workers' compensatlon proWsions ol Sectlon 3700 of tha Labor Code, I shall forthwith
campty with ihese provisions.
Appl� nt Signature: - �Date: � / /C /r�^7
WAfiNINO: FWLURE TO 5 E MPENSA N COVEfUGE IS UMAWFUL AND SMP11 SUflIECT AN EMPLOYER TO CRINJNAL �5 AND CML FlNES UP TO IXJE HUNDRED
THIXISANDDOLLARE ,INADDITIONTOTMEC0.5TOFGYkAPENSATION,DAMAGESASPiiOVIDEDWRINSECTION3lOeOFTHELABORCOOE,IMEFiEST,ANDATTORNEI"SFEES.
LICENSED CONTRACTOBS DECLAHA710N:
I hereby eNirm Ihat I am license erF(�
force end.eMect: Lic. W (..�
Con ctoYs SlgnaWre: �
CONSTRUCTON LENDING AGENCY:
Section 7000) ol Divisian 3 ot the Business g�rofessions Code, an� y Ilcense is in tull
��Cless N r )
Date: �' �^�_����
❑ I hereby eHirm that there is e constmction lending agency tor Ihe pedormance of ihe work for w�ich this permit is issued. (Sec. 3097, Civil Cotle).
Lentlers Neme: Lendefs Address:
Signe�ure:
OWNER-BUILDER DECLARATONS:
Dete:
I hereDy aflirm Ihet under penelry ol perjury that I am EXEMPT FfiOM 7HE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business end Profassions
Cotle: Any ciry or counry which requires a permit to consiruct, alter, improve, tlemolish, or repair eny structure, prior to its issuence, also requires lhe epplicant lar such pertnit
to file e signed stetement that he or sha is licensetl pursuant ta the pmdsions of Ihe Contrectors License Lew (Chapter 9(commendng with Section 7000) of DlNsion 3 ot the
Business antl Pmfessions Cale) or t�at he or she I5 exempt therefrom and the basis tor the elleged e:emptian. Any WUetion ol Seclion 7031.5 by eny epplicant tor e pertnit
sub�ects Ihe applicam to e civil penelry of nm more than tive �untlretl tlollars ($500).):
❑ I, as owner ot Ihe properry, or my employees with wages es thelr sole compensation, WILL DO THE WORK, and ihe struciure is not intended or ofleretl lor sale (Sec.
7044, Business and Protessions Code: The Contractors License Lew dces not apply to en owner of properry who builds or improves Ihereon, and who Ooes such work
himself or hersalf or Ihrough his or he� own employeas, providetl ihat such improvements ara not intentled or oflered tor sale. If, however, the building or Improvement is
sold within one year ot completion, the owner-builder will have Ihe burden ot proving that he or she ditl not build or improve for purpose of sale.). •
❑ I, es owner of ihe property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business entl Protessions
Code: The contrettor5 Lltense Lew doe5 not epply �o en owner ol property who bullds or Improve5 ihereon, antl who contrects for such project wlth e contrector(s)
licanse pursuam to the Contractors License Laws.).
❑ I am ezempt untler sec. Business and Pmfessions Code tor Ihis reason:
Signature: Dete:
Owner ID veritietl by tlnvefs license. ❑ Yes ❑ No DnveYs Licensa No. Expires:
VedflCaliOn of Ownership by (type of documenl, I.e. - prOperty �aa bill or deetl):
DIVISION OF INDUSTRIAL SAFETY 7ERMIT CERTIFICATION:
❑ I hereby certify that no excevation tive (5) or more feet In depih Into which a person is requiretl to descend, wlll be made in connection with work euthonzeA by Ihis
permit, entl that no huilding strudure, scaHoldinq, falsework, or tlemolilion or dismantling Ihereot, will be more lhan thirty-six (36) feet hiqh. (Chap. 32, Grp 2, Art 2, Sac.
341, Tltle 8, Califomia Atlministreliva Code).
❑ As owner-Ouiltler, I will not employ anyone to tlo work which would require a permit from the Division ol Industrial Selery, as noted above, unless such person has e
pertnit ta do such work Irom the division.
Signature: Data:
Divlsion of Intlustrial Safery Pertnit Number:
CERTIFICATE OF COMPLIANCE ANO AUTHORVATION OF ENTRY: I certify under penalry of perjury thal I have read this epplication and stata Ihet ihe Informatlon given is
correct. I egree to comply wlth all state lews end ciry ordinences �elating to building construc�lon, entl euthodze representatives oi the Ciry of Caste Mese ro enter upon the
above-descnbed property for inspection Ourposes. I egree not to occupy or allow occupancy ot any building euthorized by this permit until final inspection.
COUE 1. INSPECTIONT'PE
7616 Fixetl System Final Fire Prevention
1286 Pool Spe Final
200. Finel Re-Root
201 Flnel BIocWRetaining Well
202 Final Fedory Fire Place
203 Finel Sign
204 Final Demalition
/ D/a��
/ � r�p(�tti
Qe¢ �lj7�iJA� j�QQf.,( INSFECTIONTYPE
n.
206 Finel Mechanicel
208 Flnal Plumbing
210 Finel EleC�riCel
212 Flnel Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupancy
Qeg li�e�s
(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us
PERMIT TYPE
JOB ADDRESS:
Vicinity:
SQ. FT: 0
I�`ilx9:
2459 ORANGE AV CM
77 FAIR DRIVE, COSTA MESA, CA 92626
STATUS: ISSUED
DATE ISSUED: 11/21I2007
ISSUED BY: SOK
Suite/Unit:
SCOPE OF WORK: NEW S.F.D. WORK INCLUDES: 1 FAU > 100 k BTU, 1 REPAIR/ALT COOLING/HEAT, 1 FAt;l��RY
FIREPLACE, 3 VENT FANS AND 1 M�CH HOOD W/DUCT. 606-01615
OWNER: 2453 OR4NGE AVENUE lLC Address: 190 NEWPORT CENTER DR STE 220 Unit:
PHONE: - City/State/Zip: NEWPORT BEACH, CA
APPLICANT: ANDREWPATTERSON Address: 421 31STST Unit:
PHONE: 949-294-9057 CELL City/State/zZip: NEWPORT BEACH, CA
Address:
City/State:
PATTERSON CONSTRUCTION CORPORATION
421 31ST STUnit: PHONE: 949-294-9057 CELL
NEWPORT BEACH, CA � ZipCode: 92663
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE: $98.45
PLAN CHECK FEE: $0.00
INVESTIGATION FEE: $0.00
REINSPECTION FEE: $0.00
TOTAL FEES: $98.45
License No. 802367
CELL:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Californi atutes 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 if w is suspended or abandoned
for a.periotl of 180 days.
INSPEC710NS: !n order for the work author'¢ed under th'rs permit to be considered legal, such work must comply with all appliceble codes, ern1 all
raqulred Inspeetions 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
244&46 (8/00)
WORKERS' COMPENSA710N DECLARATION:
I heraby eHirm under penalty of peryury one ot the following declarations:
❑ I have and will maintain e certifiwte of consent to self-Insure tor workers' compensation, as provitled for by section 3700 of the Labor Code, for the performance of ihe
work for which ihis permit is Issued.
❑ I have and will maintain workere' compensetion insurance, e requiretl by section 3700 of the Labor Code, for the perfortnance oi the work for which ihis pertnit is issu
My warkers' compenset��' rp�y�..u�� n cerrler policy nu ber ere:
Carrier. --�" J "1 "'��- � Pdicy.Number: � ��f � /�
(This sectlon need not be complefed i/ fhe permil is va/ued et one huntlreG dollers ($100) or /ess.J `'-- 1 �'
❑ I cerlity Ihat in iha pertortnance of the work for v�IvcMi is permit is issued, I shall not employ any person in any menner so as to become subject lo ihe workers'
compensetion laws of Calitomla, end egr Ifat it I s �Itl become su6�ect to ihe workers' compensatlon provisions of Sadion 3700 oi Ihe Lebor Code, 1 shall torihwith
comply with these pravisions.
Appllcant.Signature: Dete: � �� /� ��i
WAflNINO: FAILURE TO SECURE W 1 ' SATION CAVE IS UNLAWFUL AND SHALL SUBJECT AN EMP�OVER TO CFIMINAL PENALTIES AND CIVIL FWES UP TOONE HUNDRED
THOUSANDOOLL4FE(5100,000), DITIONTOTHECASTOFCAMPENS�ION,DAMAGESASPROVIDEDFORINSECTION3'IO60FTHELABORCADE,INTEREST,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS DECLAHATION:
I he�y etfirm that I am license�tler
force end ettec�. Lic. A L��
CONSTRUCTION LENDING
wit� Section 7000) of Division 3 ot the Business ar�rotesslons Cotle, antl my license is in full
❑ I here6y aHirtn ihat there is a construction lending agency for the peAormance oi the work for which this permit is iuued. (Sec. 3097, Civil Code).
Lentler's Neme: Lender's Address:
Slgneture:
OWNER•BUILDER DECLARATONS:
Date:
I hereby aHirtn that undar penelry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Protessions
Code: Any ciry or counry which require5 e pertnit to consWct, alter, improve, Oemolish, or repair any structure, pnor to its issuance, also raquires Ihe epplicant tor such pertnit
to file a signetl statement ihat he or she Is Iicensetl pursuant to Ne provisions o1 tha Contrectors License Lew (Chepter 9(commencing with Sectlon 7000) ot Divlsion 3 ot t�e
Business entl Profeuions Coda) or Ihat he or she is exempt therefrom antl t�e basis tor the alleged examptian. Any violation of Section 7031.5 by eny applicant for e pertnit
subjecis the eppliwn� to a civil penelry of not more than tive hundred dollars ($500).):
❑ I, es ownar of ihe properry, or my employees wi�h waqes as �heir sole compensation, WILL DO 7HE WORK, and ihe structure is not intended or oNaretl for sale (Sec.
7044, Business and Protessions Cotle: The Contractors License Lew does not apply ro an owner of properry who builds or improves thereon, and who does such work
hlmseH or hersetl or ihrough his or her own employees, provided ihat such improvements are not intended or oHered for sale. N, however, ihe building or improvement is
sold within one yea� oi completion, ihe owneo-builtler will have ihe burden ot proving ihat he or she did not build or improve for puryose oi sele.). '
❑ I, es owner oi the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to con5tmcl ihe prolect (Sec. 7044, Business antl Profes5ions
Cotle: The coniractors License Law does not epply to an owner ol property who builtls or Improves ihereon, and who wntracts for such pro�ect with a contractor(s)
license pursuant to Ihe Conirector5 Litanse Laws.).
❑ I am e:empt untler sec. Business end Pmfessions Code for this reason:
SignaNre: Date:
Owner ID veniietl by tlnvefs license. ❑ Yes ❑ Na Oriver's License No. Expires:
Vedfication oi Ownership by (type af tlocument, i.e. - properry tex bill or deed):
DIVISION OF INUUS7RIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify ihat no eacavation five (5) or more feet in depih into which e person is required to descentl, wlll be made in connection wit� work euthorized by Ihis
permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereot will be more than thirty-sia (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 71t1e B, Calitornia Adminisirative Code).
❑ As ownervbuilder, I will nol employ enyone to do work which would require a permit from the Division of Industriel Sefety, as notetl aDove, unless such person has a
permit to do such work irom ihe division.
SignaNre: Date:
Division of Indusirial Satery Pertnit Number:
CERTIFICATE OF COMPLIANCE AND AUTHOHIZATION OF ENTRV: I certity under Denalty of perjury that I have read this epplication and state that the information given is
correct. I agree to comply with all state lews and ci r diaa es rela�ing b builtling constmction, antl euthodze representatives of the City oi Costa Mesa to enter upon the
ebove-descnbed property For inspection puryos . agree not occupy or ellow occupancy oi any building authorized by this permit until finel inspection.
SignaW Of Leg r(s) Dat
r-�� --- _ j�/-- ../� e?
A Or"Authonzed Applicant �-- Dat� �,
COOE �, INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spe Final
200. Final Re-Root
201 Finel BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demalition
PdIF IIIIIDSLB
LOpE� INSVECTIONTYPE
206 Finel Mechenical
208 Finel Plumbing
270 Final Electrical
272 Final Flre Preven[ion
220 Final Planning Approval
222 Final Site
250 Finel BuiltlincyOccupancy
�: 1 1111_ :
� Yy �►
(714) 754-5273 • Fax (714) 75y-4856 • wv+w.ci.costa-mesa.ca.us
PERMIT TYPE
JOB ADDRESS
vicinity:
ELEC
2459 ORANGE AV CM
77 FAIR DRIVE, COSTA MESA, CA 92626
STATUS: ISSUED
DATE ISSUED: 11/21/2007
ISSUED BY:
Suite/Unit:
SCOPE OF WORK: ELECTRICAL PERMIT FOR A NEW 2,263 S.F. S.F.D. W/434 S.F. ATTACHED GARAGE AND 177 S.F. PORCH.
ELECTRICAL: 2,263 SF SFD W/ 4 LIGHT FIXTS, 4 OUTLETS AND 2 SWITCHES FOR THE GARAGE. REF#: 806-01d15
OWNER: 2453 ORANGE AVENUE LLC
PHONE:
Address: 190 NEWPORT CENTER DR STE 220 Unit:
City/State2ip: NEWPORT BEACH, CA
APPLICANT: PATTERSON,ANDREW Address: 421 31STST Unit
PHONE: 949-294-9057 CELL City/SlatelzZip: NEWPORT BEACH, CA
CONTRACTOR: PATTERSON CONSTRUCTION CORPORATION License No. 802367
Address: 421 31STSTUnit: PHONE: 949-294-9057CELL �
City/Stale: NEWPORT BEACH, CA ZipCode: 92663 CELL:
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $161.23
Reinspection Fee $0.00
TOTAL FEES $161.23
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under
regulations. (Ord. No. 92-28, § 7, 12-27-g2)
and related
EXPIRATION: This permit shall automatically expire and become void if work is not commenced vnthin 780 days, or if wo s suspended or abandoned
for a.period of 780 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell
required Inspeclions and final epprovel must be obtained. Failure to obtain inspections and tinal approval will result in the expiration o( this pertnit.
FOR INSPECTIONS CALL: (7Y4) 7545626
2448ifi (fJ00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby eMirm under penelry oi perjury one of the following declarations:
❑ I have entl wlll melnteln e cerllficete ot consent to self-Insure for workers' compensatlon, es provided for by section 3700 ot t�e Lebor Code, for the peAormence of Ihe
work for which t�is permit Is Issuad.
❑ I have and will maintain workers' compensation insurance, es require0 by sectlon 3700 ot the Labor Code, tor Ihe pertormance of Ihe work for which this pertnit is luued.
My workers' compenscat�w-i,I�nsurance carnerpatl policy num r ere: ��� '� O���
Cerrier.�"� L��'li"'L- �U ✓i PoliryNumber.--
(This sectian neetl not be comp/eted /l the peimit is valued af one hundred dWlars ($100) or /ess.) �'
❑ I cenify Ihat in the perfarmance ol the 6 o-whic ihis permit is issue4 I shell not employ any person in any manner so as to became su6ject to the warkers'
compensatlon lews o� Callfornla, ree thet s�o ecoma sub�ect to the workers' compensetlan pravisions o1 Section 3700 ot the Labor Code, I shall farthwith
comply wit� these provisio ///�/ �
Applke�t Signeture: � � Date: / / �'a
WAqNING: FAIWfl UR RS' COlAPE TION COVERAGE IS AND SHALL SUBIECT AN EMPLOYER TO CqIMINAL PENPLTIES AND CML FlNES UP TO ONE HUNDRED
T110USAND (5100,000),INADDRIONTOTNECOSTOFOOMPENSATION,OAMAGESASPflOVIOEDWRINSECTION3lOdOFTHELA80RCODE,IMERE5T,ANDATTORNE`fSFEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby ettirm �hat I em Ilcense nd C r 9(commencing wilh Section 7000) of Division 3 of Ihe Busin and Pralessions Cotle, and my license is in full
tome end aHea. Llc. a �� Gau a � ,/
� . .
Contracrors Signetura: � �Dete:� ����
CONSTRUC710 ING AGENCY:
❑ I hereby ettirtn that there Is a consiruction lending egency for the pertormance of the work for which this permit is Issuad. (Sec. 3097, Civil Code).
Lenders Name: Lender'S Adtlress:
Signature:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHlrm lhet untler penelty of parjury thal I am EXEMPT FHOM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5. Business entl Protesslons
Code: Any ciry or counry which requires e pertnit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuance, elso requires the applicant for such pertnit
to flle e signed stetement thet he or she is Iicensetl pursuent to lhe proWslons ol lhe Contreclors Llcensa Law (Chepler 9(commencing with Seclion 7000) ot Division 3 of Ihe
Business enC Proteuions Cada) or that he ar she is exempt Iheretrom and Ihe basis for the alleged axemption. Any vlolalion of Section 7031.5 by any applicant tor a pertnit
subJects the epplicant to a civil penelry of not more ihan five hundred dollare ($500).):
❑ I, es owner ol tha property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, end Iha sWcture is not intentletl or oflered for sale (Sec.
7044, Buslness and Professlons Cotle: The Contractors Licensa Law does no1 appy to an owner of properry w�o Duilds or improves thereon, antl w�o does such work
himsel� or harseN or through �is or her own employees, provided that such improvements are not Intentled or oHared lor sale. If, howeva�, the builtling or improvement is
sold within one year oi completion, the ownar-builder will have the burden of proving that he or she tliA not 6uild or improve tor purposa of sale.). '
❑ I, es owner ol tha property, am E%CLUSIVELV CONTRACTNG WITN UCENSEO CONTRACTORS to wnstruct the projed (Sec. 7044, Business and Professions
Cotle: The contraaors License Law does not apply to en owner ot propeny who builtls or improves t�ereon, entl who comracts lor such pmject with a comractor(sJ
license pursuant ta the Comrectors License Laws.).
❑ I am exempt untler sec. Business and Professions Cade for this reason:
Signeture: Date:
Owner ID verified by tlriveYs license. ❑ Yes ❑ No Driver's License No. Expires:
VedNcetion ol Ownership by (rype oi document, i.e. - property tax bill or deed�:
DIVISION OF INDUSTRIAL SAFE7V PERMR CERTIFICATION:
❑ I hereby certify thet no axcavetion five (5) or more teet in depih into which a person is requlred to descend, wlll be mede in connection with work authorized by this
permiL and Ihet no building sirucNre, scaHolding, falsework, or demolition or dismanHing thereof, will be more Ihen ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celllornla Atlministretive Cade).
❑ As owner-builder, I will not employ enyane ta do work which would require e permit from ihe Division ol Indusiriel Safety, es notetl above, unless such pereon has e
permit to do such work from iha division.
Signeture: Data:
Division oi Industriel Safery Permit Numbec
CERTIFICATE OF COMPLIANCE AND AU7TIOBIZATION OF ENTAY: I cenity under penalry of perjury ihet I have roed this epplication entl state that ihe information given is
correct I egree to comply with ell state lew a6-eiP ortlinences relating to Dulltling constructlon, entl euthodze representatives oi the Ciry of Costa Mesa ro enter upon the
ebove-descnbed property lar ins0ec' uryoses gree not to occupy or allow occupancy of eny building euthorized by this permit until final inspedion.
Oi Lega wner(s) Date
�������
And/OrA orized�Applicant�� � `�—�-Dete�—�
COOE I. INSPECTIONTYPE
1616 Fixed System Finel Fire Preventian
1266 Pool Spe Final
200. Finel Re-Rooi
201 Final BIocWReteining Well
202
203
204
Final Fectory Fire Place
Final Sign
Finel Demolition
pSjE �94$ 4QQEj INSPECTIONTYPE
206 Final Mec�enical
208 Final Plumbing
210 Final Electrical
212 Final Fire Preventlon
220 FInelPlanning Approval
222 Final Site
250 Finel Builtling/OccupenCy
PAIE
//l
INiR1�L5
Job Address: 2461 ORANGE AV
Suite:
Vicinity:
Primary Occ: R3 Dwellings/ Cong Res <10
Parcel Number: TPN007009
npp�icant: ANDREW PATTERSON
Address:
Owner: 2453 ORANGE AVENUE LLC
Address
Type ot Consiruction: V-N
Zoning:
Phone: 949-294-9057
Zip:
Phone:
Zip:
Contractor. PATTERSON CONSTRUCTION CORPORATION
Add ress: 421 31 ST ST
Phone: 949-294-9057 CELL
NEWPORT BEACH, CA �
Zip: 92663 License: 802367
Arch : BUCILLA, GREG Eng:
Address: 2062 BUSINESS CENTER DR Address:
SUITE 100 Phone: 949-851-9080 �
IRVINE, CA �
Zip: 92612 License: 026879
Status: ISSUED
Applied: 09/26/2006
Issued: 11/21/2007
ISSUED BY: �
Phone:
License:
SCOPE OF PERMIT
PLAN 2R, LOT 6:
NEW 2,263 S.F. S.F.D. W/434 S.F. ATTACHED GARAGE AND 117 S.F. PORCH. 3 BEDROOMS, 2.5 BATHROOMS, FIREPLACE IN FAMILY ROOM,
BONUS ROOM ON 2ND F�OOR. 1ST FLOOR: 1007, 2ND FLOOR: 1,256 S.F. REF.: GO6-00032
FEESUMMARY "
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$1,122.78
$1,727.35
$23.06
$0.00
$0.00
$0.00
$2,873.19
SETBACKS
MAIN STRUCTURE Front 0= 0
ACCESSORY Front 0-0
PARKING Existin : o
� -' �Rear 0-0
Rear 0-0
Reauired: 0
PLANNING & ZONING
�en o- o � �
Left 0- 0
Proposed: 0
Calc Valuation: $23o,e3o.7o
Claim Valuation: $o.00
Right 0. 0
Right 0-0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under
regulations. (Ord. No. 92-28, § 1, 12-21-92) �
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if w
for a.period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must complvr�i
required inspeetlons and final epproval must ba obtained. Failure to obtain inspections and final approval will result�n
FOR INSPECTIONS CALL: (714) 7545628
zaas�ae �aroo>
and related
orabandoned
ith all applicable codes, end all
ihe expiration of ihis permit.
WORKEqS'COMPENSAnONDECLARAnON: '
I hereby affirtn under penalty of perjury one of the following declarations: .� .
❑ I have end will melnteln e certificate of consent to setl-Insure for workere' crompensation, es D�oNtletl for by sedion 3700 ot Ihe Labor Code, for Ihe peAortnence of ihe
work far which ihis permi� Is issuatl.
❑ I have and will meintain workers' compensation insuran�e, as reQuired by section 3700 of the Labor Cade, for the peAormance of the work for which �his pertnit Is Issued.
My workers' compe�tl� n$urpnce car�JFannp�[v number are: ��/'A M� , T.. \
CeFrier:� 7/•'lfi� � � PolcyNumber _��L� ���
�(This secHon need not be complefed i! fhe permit is velued et one hundred dollers ($f 00) or less.)
❑ I certify ihet in ihe pertormance ot ih mk�0l�which ihis Dertnit is issue4 I shall not employ eny person in any menner so es to become subject to ihe workers'
compensatlon lews of Californ�'a nd egree I 41 if I should become sub�ec� to ihe workers' compansatlon provisions ot Seclio�� of /Leb=��shell forihwl�h
comply with these provisio S !
ApplicanfSigneture: Dete:----� J
WARNING: FAIWRE TO E KERS' C 7PENSATION CAVERAGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNORED
THOUSANDDOLLARE 00,000),INFDDITIONTOTHECOSTOFCAMPENSATION,DAMAGESASPROVIDEDFORINSECTIIXJ3]O60FTNELABORCADE,IMEREST,NNDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby etfirm Ihat I em licensed under pr 'si
torce and eHecl..Lii. x
Conirectofs Signature:
7000) of Dlvision 3 of Ihe Business and Pro�sj ions Code, end my license is in full
�Gass a' i5 _/
� �'Dale: �p�
CONSTAUCTION LENUING AGENCY: � t� v
❑ I hereDy attirtn thet there is e construction lentling agency for ihe pertormance ot Ihe work for which ihis pertnit is issued. (Sec. 3097, Civil Code).
Lentlefs Name:
Signature: _
OWNER•BUILDER DECLARATIONS:
Lenders Addre55:
Date:
I hereDy aflirtn thet untle� Denelry oi perjury that I am E7(EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business end Professlons
Code: Any city or counry which requires a permit to construct, alter, improve, demolish, or repair any stmcWre, prior to its issuance, also requires the epplicant for such permit
to file e signetl statement lhel he or she is Ilcensed pursuant to lhe provislans of lhe Conireclor5 License Lew (Chapter 9(commencing wilh Section 7000) of Dlvlsion 3 of the
Business end Protesslons Code) or ihet he or she Is exempt iherefram and the basis tor the alleged ezemption. Any violatian of Section 7031.5 by any epplicent lor a permit
subjects ihe applicant to a civil penalry of not more than five hundred dollars ($500).):
❑ I, as owner oi �he properly, or my employees with wages as their sole compensetlon, WILL DO THE WORK, end Ihe siructure is not intended or ofleretl for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not epply to an owner ot property who builds or improves ihereon, end who does such work
himself or herselt or through his or her own employees, provided that such improvaments ere not intended or ottered for sale. If, however, the huilding or improvement is
sold within one year ot completion, ihe owner-builtler will have the burden of proving ihat he or she did not build or improve for purpose of sala.). '
❑ I, es owner oi the property, am E%C WSNELY CONTRACTNG WITH UCENSED CONTRACTORS to constmct ihe project (Sec. 7044, Business and Professions
Gotle: The contredors Ucense Lew tloes not epply to an owner of property who bulltls or Improves ihereon, antl who contracis for such project with e conhector(s)
licensa pursuant to the Contrectore License Laws.).
❑ I am ezempt untler sec. 8usiness and Professions Code tor this reason:
SignaNre: Date:
Owner ID venfied by dnvefs license. ❑ Ves ❑ No Driver's License No. Eapires:
Ventication of Ownership by (rype oi tlocument, i.e. - property taz bill or deed): �
DIVISION OF INDUSTRIAL SAFETY VERMIT CERTIFICATION:
❑ I hereby certify t�e� no excavation five (5) or more teet in depth into which a person is requlred to descend, will be made in connection with work euthonzed by this
permit, and thet no building structure, scaHolding, falsework, or demolition or tlismantling t�ereof, will be more ihan thirry-six (36) feet high. (C�ap. 32, Gry 2, Art 2, Sec.
341, Ttle B, Califomia Administrativa Code).
❑ As owner-builder, I will not employ anyone to do work which would require e permit Irom ihe Division of Industnal Satery, as noted ebove, unless such persan hes e
permit to do such work from ihe division.
SignaNre: Date:
Division of Industnal Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUiFiORIZATON OF EMRY: I cenity under penelty oi perjury ihat I have reatl �his application and state ihat ihe infortnetion given is
corred. I egree to comply wlth all state laws and city ordinances relating to buliding consimction, and authorize representatives of t�e City ot Cosla Mese to enter upon ihe
ebove-described property tor inspection purpos�_s. I agree rwt to occupy or allow occupancy o( any builtling authorized by Ihis permit until linal inspectinn.
COUE �. INSPECTION TYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Finel
200. Finel Re-Root
201 FIneI BIocWRetaining Well
202 Final Fec�ory Fire Place
203 Final Sign
204 Final Demalition
�� �
COUE� INSPELTIONTYPE
206 Final Mechanical
200 Final Plumbing
210 Final Electrical
212 Final Flre Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Occupency
rl�D te
/ )` o�
Date
QAg IIII�Lfl
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