The URL can be used to link to this page

Home My WebLink About2463 ORANGE AVE - Building Permitsl JobAddress: 2463 ORANGEAV Suile: Vicinity: Primary Occ: R-3 Dwellings/ Cong Res <10 Parcel Number: TPN007010 App�icant: ANDREW PATTERSON Address: Owner: 2453 ORANGE AVENUE LLC Address Type of Consiruclion: V-N Zoning: Phane: 949-294-9057 Zip: Phone: Zip: Contractor: PAT7ERSON CONSTRUCTION CORPORATION Address: 421 31ST ST NEWPORT BEACH, CA Zip: 92663 Arch : BUCILLA, GREG Address: 2062 BUSINESS CENTER DR SUITE 100 Phone: 949-851-9080 IRVINE, CA Zip: 92612 �icense: 026879 Phone: 949-294-9057 CELI License: 802367 Eng: Address: Staws: ISSUED Applied: 09/26/2006 Issued: 1121/2007 ISSUED BY: �� Phone: License: SCOPE OF PERMIT PLAN 1, L0T 7: 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 FLOOR: 1,207 S.F. REF.: G06-00032 FEE SUMMARY Plan Check: $1,009.94 Permit: $1,553.75 SMIP Res: $19.95 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Calc Valuation: Siss,Sia.zs Claim Valuation: So.00 Total: $2,583.64 PLANNING & ZONING SETBACKS MAINSTRUCTURE FroN 0-0 �� Rear 0-0 Left 0-0 � Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Ezistina: 0 Reauired: 0 Pr000sed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and ralated regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspendetl or abandoned tor a.penod of 180 days. INSPEC710NS: In order for the work authorized under ihis permit to be considered legal, such work must comply ith all applicable codes, and all required Inspeetlons and final approval must be obtained. Fallure to obtain inspections and final approval will res in the expira�ion of this permit. FOR INSPECTIONS CALL: (714) 7545628 zaae�as ls�oo> WORKERS' COMPENSATION DECLARATION: "' ' ' ' I hereby aHirm untler penalty ol perjury one oi �he lollowing deGarations: ❑ I heve and wlll meinteln a certlllcate of consant Io sell-Insure for workers' Compensation, es provitletl fOr by SaCtion 3700 of the Lebor Code, lor the pertortnence oi the work tor whiCh Ihis permit I5 Issuetl. ❑ 1 have end wlll meintain workers' canpensatl� insuranqe, es requiretl by section 3700 of Na Lebor Code, for Ihe peAortnance ot the work for which Nis pertnit is Issuatl� My wolkers' compense Ins rpn carne/gn� ppli�Y number are: -- __ �� D� �/� ��7/ 1 CarriBr.�"�� r� � lI({�«I Poli� Number._ / /�� (This section need not be ple(etll! fhe permi is valued et one hundretl0ollars ($f 00) oNess.) ❑ I ceNfy that in Ihe pertortnance ot �he work for which Ihis pertnit is issued, l shall not employ eny person in any menner so es to become subject to the workers' compensetlon laws oi Celltomia, end e ree t�at ii I shoulA become sublect to the workers' crompensallon proNsion9 of Section 3700 oi th Wbor Cotle, I shall forthwith comply with ihese proWsions //� j� Applicent5ipneWre: Deie:"'' � WARNINO: FAIL O �f0 RS�f71 ENS O COVERAGE IS UMAWFUL AND SNALL SU9IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE MUNDRED T/iOUSAND t00,�OQ("Ip(iG0R16NTOTHE FCOMPENSATION,DAMAGESMSPqOVIDEDFORINSECTION3108OFTHEIABORCODE,IN�EREST,ANDATTORNEI"SFEES. LICENSED CONTRACTORS DECIARATION: I hereby eflirtn that I em licensed und�er.provlsions ol torce.end eNect. Lla a �� 6% 7000)ot DlNsion 3 oithe Business � LCless'a CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirtn ihet ihere is e consimction lending egency for ihe pertormance oi lhe work tor which this permit is Issued. (Sec. 3097, Civil Code). Lendefs Name: Lenders Address: Signature: Date: my licensg_is in lull OWNER-BUILDER DECLARATIONS: I here6y ettirtn that untler penelry ol0erjury ihat I am EXEMPT FROM THE CON7RACTORS LICENSE LAW lor the following reasan (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires e pertnit lo wnstruct, alter, improve, demolish, or repair eny structure, pnor to Its issuance, elso requires the applicant for such pertnit to file e signed stetement thet he or she Is Ilcensetl pursuent to the provislons oi ihe Contractors Llcanse Lew (Chepter 9(commencing with Section 7000) of Divislon 3 of the Business entl Protesslons Code) or t�et he or she is e:empt iherelrom end tha besis for the alleped exemption. Any vlolation oi Section 7031.5 by eny applicant tor e permit subjects the epplicent to e civil penelry oi nat more then five hundred dollars ($500)J: ❑ I, as owner oi the properry, or my amployaes with wages as t�eir sole compensatlon, WILL DO TME WORK, end the sWCWre Is not intentled or oHered tor sale (Sec. 7044, Business and Prolesslons CoGe: The Coniractors License Lew tices not apply to en owner of properry who builtls or improves thereon, antl w�o dces such work hlmself or hersetl or Ihmugh hls or her own employees, provitled that such improvements ere not Intended or oXered tor sale. If, however, the builtling or improvement is sold within one year ol completion, Ihe owner-builder will have ihe burden of proving that he ar she did not builtl or improve tor purpose of sale.). � ❑ I, es owner ol the property, am EXCLUSIVELV CONTRACTING WI7H LICENSED COMRACTORS ro construct ihe project (Sac. 7044, Business and Professions Code: The contractors License Lew does not apply to an owner of properry who bullds or Improves ihereon, and who coNrects lor such project with e comractor(s) licen5e pursuent to the Conirettors License Lews.). ❑ I em e:empt under sec. Business and Professions Coda tor this reeson: Signature: Date: Owner ID veritied by tlnvers Ilcensa. ❑ Yes ❑ No Drivefs License No. Expires: Venfication of Owners�ip Dy (type of document i.e. - property tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: � ❑ I hereby certify that no exwvatlon five (5) or more teet in depth into which a person is required to tlescen4 wlll be mede in wnnection with work authorized by this permit, entl that no huilding siructure, scalloltling, felsework, or demolition or dismaniling thereol, will he more Ihan thirty-slx (36) leet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tltle B, Cellfomia Adminisiretive Code). ❑ As owner-builder, I will not employ anyone to do work which would requlre e permil irom the Division ol Industrial Sefery, es noted ebove, unless such person has e permit to do such work Irom Ihe division. Signature: Division of Industrial Sefery Pertnit Number: Date: 1 Will the applicant or present or fuWre building occupent need to file end certily e Business Plan br emergency response to releese or Ureatened release of e hazardous meterial7 ❑ Yes ❑ No (Section 25505 0l ihe Callfomia Health entl Satery COCe reQuires, wi�h some excep�ions, Ihet e Business Plan be filetl with the Coste Mesa Fire Deparimenl by every business which has et eny one time during a reported year a quantity of hezerdous materials equal to or greeter ihen e weight of 500 pands, or a volume of 55 gallons, or 200 abic feet of compreued gas at siandard �emperaWre and pressure). ....._.._ ........................__..................................__............................................__._._.........................._..........................__........................._.__..................................................................._...................._..............._...................._...... 2 Does or will t�e applicant or present or future builtling occupant need to file e registration fortn br ecutely ha�rtlous matedals7 ❑ Yes ❑ No (Sectlon 25533 0l the Celifomle Health and Setery Cotla, with some e:captlons, requires registretion with the Costa Mese Fire Depariment by each business which at any one tima has on hend e quantiry of ecutey hazardous meterials equal to ar greater than e welght of 500 pounds, or e valume ol 55 gellons, or 200 cubic taet of compressetl gas at stantlertl tempereWre en0 pressure). ................_.............................................................._.._................................_...................................._............................._................................._...............................................................................................................................................__..... 3 Does or will the epplicant or present or luture building occupant need to prepere an RMPP (Risk Managemen� antl Prevention Program for acutely hazerdous meterials)9 ❑ Yes ❑ No (Seciion 25534 0l the Celifomla Health entl Safety Cotle provides that the Casta Mesa Fira Depariment may require the preparalion, certifcation and tiling with Ihe Fire Depertment oi en RMPP by buslnesses which are repuired to re9ister awtely hezardous metedals wlth the Fire Deperimem. n en nrvirr is presemry reqmrea, nas seaion zoesa or me cauromia neann ena seiery coae oeem m�y crompuea wi ......................................................................._....._............_.................................................................................._..............................._........................................ Doas ot will the epplicant or pre5ant or luture builtling occupant raqulre for Ihe work which Is Ihe sublect ol this a p from the Souih Coest Air Qualiry Manepement Distnct or from any other air polNtion control tlistrict or agency7 �' (Section 65850.2 ot t�e Celifornle Govemment Cotle requires that t�e requesteA intormation be lumishetl on epplica� ........................................................................................................................................................................................................................................................... WIII eny patl of Ihe feciliry to be constructed undar Ihis permit he within 10001eet tmm Ihe outer pountlarles ot e schi (II yes", the feclliry must meet the repulrement of Sections 25534 an0 42303 of the Califomia Health and Selery Cod .......................................................................................................................................................................................................................................................... It e permit from Ihe South Coest Air Ouelity Menagement District or other eir polWtion conlrol district or egency eoolicatlon. heve ell ot t�e Eisclasures oresctlbetl �v Califomia Healih antl Seletv Code Sectlon d2303 Deen metle7 on a ermit for such canslruction or 8 No tor non-residential builtling pertni4s). CER7IFICA7E OF COMPLIANCE: I cartity thet under penelty of perjury the Informa�ion glven above is correct I agree to comply with all state laws end ciry ordinances regardinq Hezertlous Metenals entl Emissions. Slgneture: Dete: CER7IFlCATE OF COMPLIANCE AND AUTMORIZA710N OF EN7RY: I cenity under penelty ol perjury thel I heve reed ihis epplication end state Ihet the informetlon given is correc4 I agree b comply wlth all stete lews end ciry ordinances relating to bullding wnstructlon, antl euthodze represenlatives of t�e Ciry oi Costa Mesa to enter upon t�e ebove-descn6ed property for inspection puryoses I aarmnot to occupy or ellow xcupancy of eny building eutharized by Ihis permit until final inspection. GOOE r. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Finel 200. Finel Re-Rooi 201 Flnel BIocWRetaining Well 202 Final Fedory Fire Plece 203 Final Sign 204 Finel Demollilon p,¢, f(�$ �Qp�( INSPECTIONTYFE 208 Finel Mechenical 208 Finel Plumbing 210 Finel Electrical 212 Finel Fire Preventian 220 Finel Planning Approval 222 Final Slta 250 Final BuildinryOccupenry V7.�i .mi...9 � i.'i1„r�'sJ�:q:.l'..,..�%eh.3i.;1uC: f: n l� v n � y .•. •.'.'G! 1'r NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTFICA?E OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO A8 1600 ANO AB 181 To: (/y City o( Costa Mesa ( ) Ciry of Newport Beach ( ) Counry of Orange • . . L. �Q 6g�� DisUict Receipt No. Plan Check No. �� -�� Applicant: �S 3 � �� z �� — Telephone Number: / � �_ . . _ .. _ ,"T TracVParcel and Lot Number(s): Locadon of Project: Number of Square FeQt of: Residential Space Commercial and Industrial Space � �� x Ei.84 �� CommerciaNndustrial Project is: (Check One) Warehouse R8D Movie Theater Mini-storage Heavy IndusUial Regional Shops Light Industrial _ This project is exempt because x S .30 _ Motel Bank _ Neighborhood Shops _ RacqueUHealth _ Hotel Medieal O(fice Office Park Total � 1 I `i � � Total Preschool Auto Repair Hospital Large Ofice OtBce Bldg. Restaurant Fast Food This certifies that the above-named Developer/AppGcant has paid school facikty (ees in comptiance with Govemment Code sections 53080 and 65995. The Building Pemits for this square footage in this proposed devebpment may now be issued by your jurisdic6on. Checks are to be made payable to NewpoA-Mesa Unified School Disfid. eY: AuMorized RepreaeMatiWe The above representation as W square footage is We. Appticant aprees that if k is true, then this certlficate shall automatiealy terminate and the appropriate Ciry� Date: � ��J �;Z iedthatsuchrepresenta0ons are not notlfied. (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. Ff: 0 MECH 2463 ORANGE AV CM STATUS: ISSUED DATE ISSUED: 11I21I2007 ISSUED BY: SOK SuitelUnit: SCOPE OF WORK: NEW S.F.D. WORK INCLUDES: t FAU > 100 K BTU, t REPAIR/ALT COOLIIVG/HEAT, 1 FACTORY FIREPLACE, 3 VENT FANS qND 1 MECH HOOD W/DUCT. REF.: 806-01610 . OWNER: 2453 ORANGE AVENUE LLC Address: 790 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 CONTRACTOR: PATTERSON CONSTRUCTION CORPORATION License No. 802367 Address: 421 31ST STUniI: PHONE: 949-294-9057 CELL � City/State: NEWPORT BEACH, CA ZipCode: 92663 CELL: 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 NOTICE: The work authorized by this permit shall comply with all applirable handicap accass requirements under Califo e statutes and rela�ed regulations. (Ord. No. 92-28, § 1, 12-21-g2) EXPIRATION: 7his permit shall automatically expire and become void if work is not commenced within 1 BO days, or I ork is suspended or abandonetl foi a,period of 780 days. INSPECTIONS: In order for lhe work authorized under this permit to be considered legal, such work must omply with all applicable codes, and all required Inapections and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448d6 (6/00) WORKERS'COMPENSAnONDECLARAnON: I heieby aflirtn under penalry of perjury ona of the following declaretions: ❑ I have end wlll meimain a caniticete of consent to seli-Insure for workers' compensation, es provided br by sectlon 3700 of the Lebor Code, for iha pedormence of the work for which this pertnit is issued. ❑ I have and wlll meinlain workers' compenution insurence, es required by sectbn 3700 of the Lebor Coda, for the pedortnance oi the work Iw whlch this pertnit Is issued. My workers' satlo2lnsuranc�rrle��icy number are: � `� aa l- U Q�� S�d Cartier:3 '�% Policy Numbe'r: (Tfiis section need not be campleted i/ the permit is velued et one hunCreC dol/ars ($100) or less.) ❑ I certiy thet In the perfortnance ot the Art r which this permit is issued, I shall not employ any person in any manner so as to 6ecome subject to Ihe workers' compensetlon laws of Calitoml agre at if I should bacome sub�ect to ihe workers' compensatlon provisions of Saction 3700 0l t e Labor Cotle, I s�all forthwith comply with t�ese provisi � ApplicentSignature: �D�te: -% �L_��/o� i r � WARNING: FNLURE T CU RKERS' C PENSATION COVE NLAWFUL rWD SHALL SUBJECf AN EMPLOYER TO CPIMINPL PENALTES AN� CML FlNES UP TO ONE HUNDRED TIKKISRNDDOLLA , ),INADDRIIXJTOTHECOSTOFCOMPENSATION,DAM4GESASPROVIDEDFORINSECfION3]O60FTHEtABORCOOE.INTEREST,MlDATTORNEI"SFEES. LICENSED CONTRACTORS DECLARATION: I hereby.eflirm�thet I em torca entl eNect. Lia M with Section 7000) of Dlvlslon 3 of the Businey�nd Professions Cotle, end my license is in full � .Class a �•� J i f Date:, i ,L ,� . �- CONSTAUCTON LENDING AGENC7: ❑ I herehy aXirm that there is a construction lentlinp eBency lor the pertormance of the work lor which this pertnit is issuetl. (Sec. 3097, Civil Code). Lenders Neme: Lender's Atltlress: Signature: Date: OWNER-BUILDER DECLARATONS: I hereby eHirm Ihet untler penalty of perjury that I em El(EMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which reQuires e permit to consimct, elter, improve, tlemolish, or repalr any simcWre, prior to its issuance, elso requlres Ihe applicant tor such permit to file e signed stetement that he or sha Is Iicensetl pursuent to the provisions ol the Cantrectors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of ihe Business end Professions Code) or thet he or she is ezempt theretrom antl the basls for the elleged e:emption. Any violation of Section 7031.5 6y eny epplicant for e pertnit subjects tha appllcant to e civil penalry af not more then flve huntlred dollars ($500).): ❑ I, as awner ol the properry, or my employees with weges es Iheir sole compensation, WILL DO 7HE WORK, and the structure is not Intended or oHere0lor sale (Sec. 7044, Business end Protessions Code: The Contractors License Law tloes noi apply to en owner ot Droperry who builds or improves Ihereon, and who Ooes such work himself or herseN or through his or her own employees, provided that such improvemenis are not Intentled or oHered for sale. If, however, the builOing or improvement is soltl within one year of completion, the ownerbuilder will have the hurden of proving that ha or s�e tlid not build or improve for purposa ol sele.). � ❑ I, as owner ol lhe properry. am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS lo construcl lhe project (Sec. 7044, Business entl Professions CoAe: The coNractors License Law tloes not epply to an owner of pmpeny who builds or impmves thereon, entl who contracts tor such pro�ect wlth a contractor(s) license pursuant to ihe Coniractors License Lews.). ❑ I em exempt under sec. Business and Prolessions Code for this reason: Signature: Date: __ Owner ID verllietl by 4nveYs license. ❑ Yes ❑ No Onvefs License No. Vetlticetion oi Ownarship by (typa al tlocumem, I.e. - propeny tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION: E:pires: ❑ I hereby certlty Ihat no excavation five (5) or more feet in depih into which e person is required to descend, will De made in connection wi�h work authorizetl by ihis permit, and Ihat no builtling structure, scallolding, falsework, or demolition or dismantling ihereof, will be more than ihirty-si: (36) feet high. (Chap. 3.2, Grp 2. Art 2, Sec. 341, Title 8, Califomia Administrative Cotle). ❑ As owner-builder, I will not employ enyone to do work which would require e permi� trom Ihe Division of Intlustnal Sefery, as notetl above, unless such parson hes e permil Io do such work tram the division. Signature: Date: Division of Industnal Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORIZA710N OF ENTRV: I certity untler penelry of perjury Ihal I have reatl this applicalion and state that t�e information qiven is wrrect I egree to comply with all state lews end ciry ordlnences relating to building constructlon, antl euthodze representatives of t�e Clry of Cwta Mesa to enter upon the ebove-descnbed pmperty for inspection puryos e not to occupy or allow occupancy oi eny buildinq authonzed by this permit until finel inspection. COUE 1. INSPECTIONTYPE Qd¢, Ui�IALS 1616 Flxetl System Final Fire Prevention 1266 Pool Spe Final 200. Final Re-Roaf 201 FInaI8locWReteining Wall 202 Final Fedory Fire Place 203 Finel Sign 204 FinalOemoli�ion COOE� INSPECTIONTYPE 206 Final Mechanical 20B Finel Plumbing 210 Finel EiectdCal 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy F-.� DT�� . i 111. : G �` C� (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PERMIT TYPE JOB ADDRESS: Vicinity: I��II�'d 2463 ORANGE AV CM STATUS: DATEISSUED: ISSUED BY: Suite/Unit: ISSUED 11I21I2007 SOK SCOPE OF WORK: PLUMBING INCLUDES: 1 BACKFLOW IRRIGATION, 1 BACKFLOW PREVENTER, 2 BATH TUBS, 1 _ DISHWASHER, 1 GAS (1-4 OUTLETS), 1 GAS SERVICE, 1 LP,NDSCAPE 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 WATER . . PIPING. OWNER: 2453 ORANGE AVENUE LLC Address: PHONE: Ciry/State/Zip: APPLICANT: ANDREW PATTERSON Address: PHONE: g49-294-9057 CELL City/State/zZip: CONTRACTOR: PATTERSON CONSTRUCTION CORPORATION Address: 421 315T ST City/State: NEWPORTBEACH,CA 2ipCode: 92663 PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: $0.00 PERMIT FEE: $277.40 . TOTAL F�ES: $277.40 790 NEWPORT CENTER DR STE 220 NEWPORT BEACH, CA 421 31ST ST : . NEWPORT BEACH, CA �icense No. 802367 PHONE: 949-294-8057 CELL CELL: NOTICE: Tha work authorized by this permit shall comply wlth all applicable handicap access requirements untler regulations. (Ord. No. 92-28, § 1, 72•21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if w for a.penod of 180 days. � and related suspended orabandoned INSPEC710NS; In order for the work authorized under this pertnit to be consldered legal, such work must coy�(ly with all applicable codes, antl all required Inspectiona and flnal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zaae-as �sioo� WORKERS' COMPENSATION DECLARATION: I hereby attirtn untler penalry of perjury one oi the following tledarations: ❑ I have end wlll meintein e certificate ot consent to self-Insure for workers' compenseHon, es provided br by section 3700 of the Lebor Cotle, for t�e peAormence o� Ihe work lor which Ihis permli is issuetl. ❑ I have end will malntaln workers' compensation insurance, as requiretl by sectlon 3700 of the Labor Cotle, for ihe peAortnance of ihe work for which Ihis pertnit is issuetl. My w� rs' compensylen�s�ura�ce carti nd poli number ere: ^ r�, �,., � i�.9ffl0f:.. - C� T��'� �� Policy,Number: �A� — DO �� (7his secUon need nof be p/etetl i/ Ne permi! is ve/uetl et one hunOred dollers ($100) or /ess.J � ❑ I ceniy thet in t�e performance oi ihe work for which ihis pertnit is issuetl, I shell not employ eny person In eny manner so as to bacome suCject to Ihe workers' compensation laws of Calllornle, and e� t Ii I shoultl bacome sublect b Ihe workers' compensalion provisians of Section 3700 of ihe bor Code, I shell lorthwith comply with these provislons. Applicent Signeture: -' rDete:--� _ L�� _ WARNINO: FAILURE TO SECURE CE PENSATI COVERAQE IS UNIA L'AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO TFKKISANDDOLLARE�5100,000�, ADDITIIXJTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECilON3]WOFTHEL4BOFCOOE,INiEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm Ihat I em foroe end aMect. Llc. q_ GOn�recior'e Signature: with Sectlon 7000) of Divislon 3 ot Ihe Business an fessions Code, antl my Ilcense is In tull _ � Class a / i _ i . i i — CONSTRUCTON LENDING AGENCY: ❑ I hereby eflirtn thet thera is e consWction lending agency tor the peAormance ol the work lor w�ich Ihis permit is issued. (Sec. 3097, Givil Code). Lendefs Neme: Lentlers AtlCress: Signeture: Da�e: OWNER-BUILDER DECLARATIONS: ' I hereby aHlrm t�et untler penelry ol parJury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Buslness end Prolessions Cotle: Any city or county which requires e permit to consiruct, eltar, improve, tlemollsh, or repeir any strucWre, pnor to its issuance, elso requires ihe flppllcaN for such parmit to ille a signetl statement Ihat he or she Is Iicensatl pursuant to tha proNsions oi ihe Contractors License Lew (Chapter 9(commencing wiM Sedlon 7000) oi Division 3 ot the Business end Professlons Cotle) or that he or she is exempt iherefrom and the besis for tha elleged e:emption. Any violation oi Section 7031.5 by any eppllcenl for e pertnit subjects the epplicant to a civil penelty of not more then five �undred dollers ($500).): ❑ I, es owner ot tha properry, or my employeas with wages es ihelr sole compensation, WILL DO THE WORK, antl the sWcture Is not Imantletl or oilered tor sale (Sec. 7044, Business end Prolessions Code: The Contractors License Lew does not apply to en owner ol pmperry who huilds or improves thereon, antl who does such work �imsell or hersell or Ihrough his ar her own employees, provided that such improvemenis ere not intended or oHeretl tor sale. It, howaver, Ihe bullding or improvement is sold within ona yeer of completion, ihe owner-builder will have the burdan ot proving that he or she did not build or improve for purpose of sale.). ' � I, as owner of Ihe propeny, am EXCLUSIVELV CONTRALTING WI7H LICENSED CONTRACTORS ro cnnstruct the prolect (SecJ044, Business end Professions Code: The contractors Llcense Lew does not epply to an owner ol property who builas or Improves Ihereon, entl who contracts for such proJect with a contrector(s) licen5e pur5uant to the Contretlorb Llcen50 LewS.). ❑ I em exempt untlar sec. 8usiness end Professions Coda for this reason: Signeture: Date: Owner ID verifietl 6y tlriveYs Iicensa. ❑ Yes ❑ No Drlvols License No. Vedficetion ol Ownershlp by (rype of daument, i.e. - pmperty tau bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Expires: ❑� I hereby ceNiy ihat no excavetlon five (5) or more feet in tlepth into which e person Is required to descend, will be made in connection with work euthonzed by Ihis pertnit, end that no building siructure, scaffolding, falsework, or demolition or dismantling �hereot, will be more Ihan thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Tllle 8, Celibmie Adminisiretive Code). ❑ As owner-builder, I will not employ enyone to do work which would require a pertnit Irom the Division of Industrial SaFery, as noted ebove, unless such person has e permit to tlo such work trom ihe division. Signature: Date: Division of Intlustrial Safary Partnit Number: CERTFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTAY: I certify untler penalty of periury tha� I have read this applicetion end state thet tha Informatlon given is wrrect I egree to comply with all state laws and ciry ordinances relatlng to builaing consiructlon, and euthotlze representatives ot ihe Ciry ol Coste Mesa to enter upon the ebove-described property for inspection purpases. I egree not to occupy or allow occupency of any huiltling authonzed by this permit until finel inspection. COOE I. INSPEL'TION TYPE 1616 FIxeG System Final Fire Prevention 126fi Pool Spe Final 200. Finel RB-Raof 201 FIneI BIocWRelaining Well 202 Final Factory Fire Place 203 Final Sign 204 Finel Demolllion QLijE �$ j�QQE� INSPECTIONTYVE 206 Final Mechanical 20B 210 212 220 Final Plumbing Final Eleclncal Finel Fire Prevention Final Planning Approval at 1/ iS"!�? / Date 222 Final Site 250 Flnal euiltling/Occupency pL\1�IJu1LIF1 (714) 754-5273 • Fax (714) 754d856 • www.ci.costa-mesa.ca.us PERMIT TYPE JOB ADDRESS: Vicinity: ELEC 2463 ORANGE AV CM 77 FAIR DRIVE, COSTA MESA, CA 92626 STATUS: ISSUED DATE ISSUED: 11/21/2007 ISSUED BY: RMD Suite/Unit: SCOPE OF WORK: ELECTRICAL PERMIT FOR PLAN 1, L0T 7: ' 2,041 S.F. S.F.D. WITH 441 S.F. ATTACHED GAR4GE AND 13 S.F. PORCH. 3 BEDROOMS AND 2.5 BATHROOMS. 1 ST FLOOR: 834 S.F., 2ND _ FLOOR: 1,207 S.F. REF#: BO6-01610 OWNER: 2453 ORANGE AVENUE LLC Address: 190 NEWPORT CENTER DR STE 220 Unit: PHONE: City/State/Zip: NEWPORT BEACH, CA APPLICANT: ANDREW PATTERSON � Address: Unit: PHONE: 949-294-9057 City/State/zZip: CONTRACTOR: PATTERSON CONSTRUCTION CORPORATION , License No. 802367 Address: 427 37ST STUnit: PHONE: 949-294-9057 CELL City/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 � NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under regulations. (Ord. No. 92•28, § 1, 12-21-92) and related EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if w is suspendetl or abandoned for a.pedod of 180 days. INSPECTIONS: In order for ihe Work authorized under this permit to be considered legel, such work must c ply with all applicable codes, and ell requlred Inapeetlons and finel approvat must be obtained. Failure to obtain inspections and finai approval will result in the axplration of Ihis permit. POR INSPECTIONS CALL: (714) 7545626 z+nane �e�vo) WORKERS' COMPENSAnON DECLAFiAnON: '� I �erehy affirtn under penelty of DerJury one oi Ihe following declarations: ❑ I heve end will melntain e certiflcete of consent to self-Insure for workers' compensation, es proWtled for by sectian 3700 ot tha Lebor Code, for the peAortnance of the work fof which t�is pBrmii IS Issued. � I heve and wlll melmain workers' compensation Insurance, as requlretl Dy section 3700 oi the Lebor Cotle, for ihe pedormance of he work for which this permit Is Issued. M workero' cam e n In rence er and oll number are: /'n �� Cerrier.Y. P � � � YV � Policy Number. _ — ( �� _ – �� (This secNon need not be complefed 1! fhe permlfls velued et one hundred tlollers ($100) or Iess.J l_ � ❑ I ceRlly thet in the peAortnence of the work for which t�is permit is Issued, I shall not employ any person in eny manner so as to become su6ject to the workers' compensetlon laws ot Celifomia, ettietiFFe ald become sub�ect ro t�e workers' compensatlon proNsions of Section 3700 of the e6or Cade, I ahall fonhwlth comply with �hese provisio . / �/ Applicant SlgnaWre: � Date:_ �L� �/ /r. � WARNING:FAILURE SECU RN SATIO EMGEISUNLAWFUTANDSMALLSUBJECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFlNESUPTOONEHUNDRED TKKISAND E . 0�, IN ADDITION TO THE WST COMPENSATION, DAlMGES AS PROVIDED FOR IN SECTIIXJ 3'1O60F THE LA90R CODE, IMEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECIARATION: I here,_by eMirtn thel I am Ilcense tler roviala force antl eHect. Lic. a 0� Contrectors Signeture: (commencing with Sectlon 7000) of Divislon 3 ot the Busines;.ynd Professions Code, antl my license is in tull � !'classa L� �Dete: i �'�a.� CONSTRUC710N LENDING AGENCY: ' ❑ I hereby eHirm that t�ere Is e wnswction lending agency for Ihe peAortnance ol Ihe work for whlc� this pertnit is issuetl. (Sec. 3097, Civil Code). Lentler's Neme: ___ _ _. . Lentler's Atltlress: ._ _ Signature: OWNER-BUILDER DECLARATIONS: Dete: I hereby affirtn thet untler penelry ot perjury that I em EXEMPT FROM h1E CONTRACTORS LICENSE LAW tor Ihe lollowing reason (Sec. 7031.5, euslness antl Professions Cotle: Any ciry or county which requlres e permit to constmct, alter, Improve, demolish, or repair any stmcture, ptlor to its issuance, elso requires the epplicant for such pertnit to file a signed stetement Ihet he or she is Ilcensed pursuent to the provisions of the Camrecrore LJcense Lew (Chepter 9(wmmencing with Sectlon 7000) oi Divlslon 3 ot ihe Business end Pmfeuions Code) or thet he or she I5 exempt therelrom and the basls for the elleged exemption. Any violation ol Section 7037.5 by any epplicent tor e pertnit subjects the epplicent to e clvll penalry oi not more then five hundred tlollars ($500).): ❑ I, es owner of Ihe property, or my employees wlih wages as iheir sole compensetlon, WILL DO TME WORN, end Ihe structure is not In�entled or oHered for sale (Sec. 70a4, Buslness antl Pmfessions Code: The Contractors License Law tloes not aDPly to en owner of property who builds or improves thereon, end who does such work himself or herself or through hls or har own employees, proviaetl �hat such improvemenis ere not Intendetl or oNered for sele. If, however, Ihe builtling or improvement Is sold wlthin one yeer of completion, the owner-builder will have the burtlen ol proving that he or 5he did no� builtl or improve for purpose of sale.). ' ❑ I, es owner ol Ihe property, em E%CLUSIVELY COMRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Prolessions Cotle: The contractors License Lew Aoes not epply to en owner oi property who builds or Improves ihereon, end wha wntracts for such pro�ect with e cantractor(s) license pursuant to t�e Contracbrs License Laws.). ❑ I am axempt under sec. Business and Professions Cotle for this reason: SignaWre: Data: Owner ID venfieA by tlnvefs license. ❑ Yes ❑ No DriveYs LJcense No. Veriticetion ot Ownership by (rype ol document, i.e. - property tau bill or tleetl): F�pires: DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON: ❑ I hereby ce�ity Ihet no excavetion flve (5) or more feet in depth into which e person is requlretl to descend, wlll be mede In connaction with work authonzed by ihis permii, and that no building structure, scaflolding, talsework, or demolitlon or dlsmantling thereof, will be more Ihen thirry-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Califomle Adminisirative Coaa). ❑ As owner�builder, I will not employ enyone to do work which wauld require a permlt from the Division ol Indusiriel Safery, as notetl flbove, unless such person hes e pertnit to tlo such work irom Ihe division. Signelure: Date: Division of Industrial Sefery Permit Number: CERTIFlCATE OF COMPLIANCE AND AU1T10RVATION OF EMAY: I certify under penalty ol perjury ihat I have read ihis epplication and stata Ihat the infortnation given is correct I egree to compty with ell stete laws en nces releting to bullding consiructlon, antl authorize representatives of the qty ot Costa Mese to enler upon ihe e6ova-descnbed property lor inspection p ses. I egree n t to occupy or allow occupancy ol any buildinq euthorized by this pertnit until final inspection. GOOE t. 1616 1266 200. Fl:etl System Final Fire Preventian Pool Spa Finel Final Re-Roof 201 FInaI8locWRetelning Well 202 Final Fectory Fire Place 203 Final Sign 204 Finel Domolitlon �/ ��-, �� Date COpE1 INSPECf10NTYPE QS¢, ��$ 206 Final Mechanical 20B Flnal Plumhing � 210 Flnal Electrical � 212 Flnal Flre Preventlan 220 Flnal Plenning Approval 222 Final Slte 250 Finel Building/Occupency