HomeMy WebLinkAbout2465 ORANGE AVE - Building PermitsJob Address: 2465 ORANGE AV
Suite:
Vicinity:
Primary Occ: R3 Dwellings/ Cong Res <10
Parce� Number: TPN007011
Appiicant: ANDREW PATTERSON
Address:
Owner: 2453 ORANGE AVENUE LLC
Address
Type of Construction: V-N
Zoning:
Phone: 949-294-9057
2ip:
Phone:
Zip:
Contractor: PATTERSON CONSTRUCTION CORPORATION
Address: 421 31ST ST �
Phone: 949-294-9057 CELL
NEWPORT BEACH, CA '
Zip: 92663 License: 802367
Arch : BUCILCA, GREG Eng:
Address: 2062 BUSINESS CENTER DR Address:
SUITE 100 Phone: 949-851-9080
IRVINE, CA � �
Zip: 92612 License: 026879
Slatus: ISSUED
Applied: 09/26/2006
Issued: 11/27/2007
ISSUED BY: Z) 2 /�
Phone:
License:
SCOPE OF PERMIT
PLAN 1R, LOT 8:
2,041 S.F. S.F.D. WITH 441 S.F. ATTACHED GARAGE AND 13 S.F. PORCH. 3 BEDROOMS AND 2.5 BATHROOMS. 15T FLOOR: 834 S.F., 2ND
FLOOR: 1,207 S.F. REF.: GO6-00032
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$1, 009.94
$1, 553.75
$19.95
$0.00
$0.00
$0.00
$2,583.64
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY � Front 0-0
PARKING Existina: o
FEE SUMMARY
- PLANNING & ZONING
Rear 0- 0 Left 0- 0
Rear 0- 0 Left 0- 0
Required: 0 Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right - 0-0
$199,51426
$o.ao
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements untler Califor�tatutes 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 wor s suspended or abandoned
for a.period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must com vdth all applicable codes, and all
required Inspections end final approval must be obtained. Failure to obtain inspections and tinal approval will sult in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
<nu�ae ��vw�
WORKERS' COMPENSATION DECLARA710N: . ,
I hereby attirm under penalty oi perjury one of the tollowing tleclarations:
❑ I have and will meintein a certificate oi consent to setl-Insure for workers' compensation, as provitletl for by section 3700 of the Labor Code, for lhe pertortnence ot Ihe
work for which this permit is issuetl.
❑ I have antl will maintain workere' compensatlon insurence, as required by section 3700 oi the Lebor Cotle, for ihe DeAortnance ol the work for which this permit is luued.
My workers' compen Inesu nce carner,�y1+^o o�,llcy�77�umber ere: A C2
Carrier - ��v\��� 1�"•W1 PolicyNumber: ��_ 1� oo �l J 7
(This sectlon need not be campleted iI the permit is valueO et one huntlreO tlollers ($100) or /ess.) `--�--�
❑ I certity that in Ihe pertormance of Ihe work f iie his permit is issued, 1 shall not employ any person in eny manner so as to become sublect to the workers'
compensatlon laws ot Calitornla, an e thet' oul acome sub�ect to Ihe workers' compensetion pmvisions of Sectlon 3700 of the Labor Code, I shall forthwlth
comply with Ihese provisions
i
Applicant Signature: Date:� � ��/ �%
WARNINQ: FAILURE E RS' COMH � ION COVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FlNES UP TOONE HUNDRED
T110USANO DOL , , IN ADDITION TOCi1E COST OF COMPENSATiON, DAMAGES A5 PROVIDED FOR IN SECTION 3]060F THE LABOR CODE, IMEFEST, M1D ATTORNEY'S FEES.
LICENSE� CONTRACTORS DECLARATION:
I hereby aMirm �hat I am licensetl
torce and eHe'cc l.ic. a
Contrectors Signeture: _
�_ _ _�,_.
7000) ot Division 3 ot the Business and Pro ions Code, and my license is in full
�Gtass x i
�, Date: % �� // �� �
CONSTRUCTION LENDING AGENCYI� r
❑ I hereby aMirtn that ihere is e construction lentling agancy for the pertormance of the work for which ihis pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Signature: _
LendOr'S Address:
Date:
OWNER-BUILDER DECLARATIONS:
I here6y ettirtn ihat under penalry o� perjury �het I am E%EMPT FFiOM THE CONTRACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a permit to constmct, alter, improve, demolish, or repair any stmaure, prior to its issuance, also requires the epplicent for such pertnit
to flle e signetl statement that he or she Is Ilcensetl pursuant ro the provisions ot the Contractors Licanse Law (Chapter 9(commencing wit� Sectlon 7000) of Division 3 oi the
Business end Profassions Code) or Ihat he or she is exempt therelrom antl the basis tor tha ellegetl esemption. Any violetion of Sectlon 7031.5 Dy any eDPlicant tor e pertnit
subjects the applicant to a clvil penalry of not more than five hundred dollars ($500).): �
❑ I, as owner of the property, or my employees with wages es ihelr sole compensatlon, WILL DO THE WORK, and ihe structure Is not intended or oflared for sale (Sec.
7044, Business and Professions Code: Ttie Contractors License Law dces nol apply to an owner of pmperry who builds or improves ihereon, and who does such work
himself or herself or Ihrough hIs or her own employees, provided ihat such impwvemems ere not intended or ottered (or sele. If, however, Ihe building or improvement is
sold within ona year ot completion, ihe owner-builtler will have the burden ot proving that he or she did not build or improve for purpose of sale.). '
❑ I, es owner ot the properry. am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not epply to en owner ot propeny who builds or Improves thereon, and who contracts tor such project wi[h a contrector(s)
license pursuant to the Contrectors License Lews.).
❑ I am exempt under sec. Business antl Professions Code for this reason:
Signature: Date:
Owner ID verifietl by tlnveYs license. ❑ Ves ❑ No Driver's License No.
Venfication ot Ownership by (type of tlocument, i.e. - pmperty tax bill or tleed):
Espires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I herehy certify ihat no excava�ion five (5) or more feet In depih Into which a person is required to descenQ will be mede in connection wi�h work authonzed by Ihis
permit, and that no builtling sirucWre, scattolding, falsework, or demolition or tlismantling ihereof, will be more Ihen thirty-six (36) teet high. (Ghap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomia Administrative Code).
❑ As ownerbuilder, I will not employ anyone to do work which would require a permit irom the Oivision of Indusiriel Satery, as noted ahove, unless such person has a
permit to do such work from the tlivision.
Signature: Date:
Division of Intlusinal Satery Permi� Number.
CERTIFlCATE OF COMPLIANCE AND AllTHORIZA710N OF ENTRY: I cenity under penalty ot perjury that 1 have reatl this application and state �hat the infortnation given is
correct. I agrea to comply with all state lews and city ordinences relating to buiiding consimction, antl authorize representatives of the City of Coste Mesa to enter upon t�e
above-descdbed property for inspection puryoses. I agree not to xcupy or allow occupancy of eny building authorized by this permit until final inspection.
GOpE I, INSPECTIONTYPE
1616 Fizetl System Final Fire Prevention
1266 Pool Spa Final
200. Finel Re-Root
201 Final BIocWFetaining Well
202 Final Factory Fire Place
203
20d
Finel Sign
Final Demolition
0
INTRIALS
CppE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
Data
��� a �
� Date �
D� Iti�Li
�'1:'�vAu � ��.'b,FS��:ik^ii;3ir.iy�L'
� ` — " � Y . �, ,V�S...e
NEWPORT-MESA UNIFIED SCHOOI DISTRICT
CER7IFlCATE OF COMPUANCE OF.DEVELOPMENT FEES
PURSUANT TO AB 1600 AND AB 161
To: (%\1 City of Costa Mesa
( ) City of Newport Beach
( ) Counry of Orange
t,
�° 6799
DisUict Receipt No.
Plan Check No.
�APPlicant: z� 5�.� f� !C� �v' C n'��-L :� G.- ��, 1`-�' �— � l�1 1 I
�.
Address:_ Z S� G � ��/l � •�z
Telephone Number: I �'i �S'% � �SG �S r;--c;
�___ — - - _
TracUParcel and Lot Number(s):
Location of Project:
Number of Square Feet of:
Residential Space
Commercial and
Industrial Space
CommerciaVlndustrial Projed is: (Check One)
� Warehouse
R8D
� Mov're Theater
� Mini-storage
�, Heavy IndusUial
� Regional Shops
� Light Industrial
� This project is exempt because
To�� � �, ��5 ��y
x 5.30 ��
��� U
NOV 2 120D7 �
_ Motel
Bank
_ Neighbofiood Shops
_ RacquetMeallh
_ Hotel
Medieal Otfice
Office Park
CITY OF COSTA MESA �
Preschool
Auto Repair
Hospital
Large O/fice
OfGce Bldg.
Restaurant
Fast Food
This certifies that the above-named Developer/App6cant has paid school facilily fees in comp6ance with Govemment Code sections
53080 and 65995. The Building Permi� for this square footage in this proposed development may now be issued by your jurisdic8on.
Checks are to be made payable to Newpon-Mesa Unifled
AuMoNxad RaprexNatiWe
The above represenhation as to square footage is true. Appticant agrees that i(
true, then this cerfificate shall automatically terminate and the appropriat�,2�
Date: �/��/n '7
determined that such representa6ons are not
shali be natified.
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
PERMIT TYPE
JOB ADDRESS:
Vicinily:
SQ. FT: 0
MECH
2465 ORANGE AV CM
77 FAIR DRIVE, COSTA MESA, CA 92626
STATUS: ISSUED
DATE ISSUED: 11/21/2007
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 FACTORY
FIREPLACE, 3 VENT FANS AND 1 MECH HOOD W/DUCT. REF.: 606-01611
OWNER: 2453 ORANGE AVENUE LLC Address: 190�NEWPORT CENTER DR STE 220 Unit:
PHONE: City/State/Zip: NEWPORT BEACH, CA
APPLICANT: ANDREW PATTERSON Address: 421 31 ST ST Unit:
PHONE: 949-294-9057 CELL City/State/zZip: NEWPORT BEACH, CA
CONTRACTOR: PATTERSON CONSTRUCTION CORPORATION
Address: 421 37ST STUni[: PHONE: 949-294-9057 CELL �
City/State: 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
l�J
License No. 802367
CELL:
J
NOTICE: The work authorized by this permit shall comply with all applicable handirap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically explre antl become vold if work is not commenced within 180 days, or it work is suspe ed or abandoned
for a.period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wit II applicable codes, and all
requlred inepeetlona end final epproval must be obtalned. Failure to obtain inspections and final approval will result in t e expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545628
24a8d8 (8�W)
WORKERS' COMPENSATON DECLARA710N:
I hereby afrirm untler penalry oi perjury one of the following declarations:
❑ I heve entl wlll meintaln e certificete oi consent to self-Insure tor workArs' compensetion, as provided for by section 3700 of ihe Lebor Code, for the pertormence oi the
work tor which �hi5 Dermit Is Issued.
❑ I have and will meinlaln workere' compensatlon insurance, as requiretl 6y sectlon 3700 oi the Lebor Code, for the peMortnance of the wark tor which thLq pertnit i u.
My workers' co�nsptlon In rance car � antl II n mber are: r_ - �� '� T w/��
�Certier:` � J f-� � �K— Policy,Number. ; �� ✓
(�his section need nof be completed i! fhe permif Is velued e( one hundred dWlars ($100) or less.) �
❑ I certity Ihe� in t�e perfortnence of t�e work fgUulNehihiap�rtnit is issued, I shall no� employ any person in eny manner so es to become subject to the workers'
compensellon laws of Celifomla, end gre�hat If I should come sub�ecl lo ihe workers' compensetion provislons ot Section 37� the ebor Code, I shell torthwith
comply with these pravisions. �/
Applicant Sgneture: / Dater �� �J O-7
r �
WARNW(3: FAILLIRE TO SEW Ei{ �EEN AT70N C GE IS UNIAWFUL ANO SNAIL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES PNO CML FlNES UP TO ONE HUNORED
T'KKISPND OOLLARE (5100, , IN ADIXiI(iFiO THE C0.5T OF COMPENSATION, DAMFGES AS PqOVIDED FOR IN SECiION 3%O60F THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereDy ettirm that I em
force entl eXect.�Lic. a _
CONiector's SlgneWre:
CONSTRUCTONL
❑ I hereby aHirm
Lendels Name:
Signeture: _
with Sedlon 7000) ot Dlvislon 3 of the Business a�mlessions Code, antl my license is in full
Class p i
a constructian lending egency for the pertormence of the work for w�ich Ihis permit is issuetl. (Sec. 3097, CiNI Code).
Lenders Address:
Date: _
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn thet under penelry af perjury thet I em E%EMPT FROM TME CON7RAC70RS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Buslness entl Professions
Catle: Any ciry or counry which reQuires a permit lo construct, alter, improve, demolish, or repair eny strucWre, pnor ro its issuance, elso raquires Ihe applicant for such pertnit
to file e signetl statement Ihat he or she Is Iicensed Dursuent to the provislans al the Contractors Llcense Lew (C�epter 9(commancing with Section 7000) of Division 3 of the
Business end Professlons Cotle) or that ha or she is exempt thereiran end t�e besls for Ihe alleged exemption. Any violation ot Section 7031.5 by any epP����t for e permit
subjects ihe applicant ta e civil penalry of not more ihan live hundred dollars ($500).):
❑ I, as owner ot t�e property, or my employees with wages as their sole compensation, WILL DO TNE WORK, antl the structure Is not Intended or oMered lor sale (Sec.
7044, Business end Professions Code: The Conirectors License Law does not appy to an owner of proparry who builds or improves ihereon, and who tloes such work
himseit or harself or ihrough his or her own employees, provided thel such improvements ere not Intended or oHered for sale. If, however, the building or Improvement is
soltl within one yeer of completion, ihe owneo-bullder will heve Ihe burden ol p�oving that he or she did not builtl or improve tor purpose of sale.). '
❑ I, es owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo construct tha proJect (Sec. 7044, Business entl Prolessions
Coda: The contrectors License Lew does not epply to en owner of property who builtls or Improves thereon, entl w�o contracts tor such pro�ect with e contractor(s)
license pursuant to the Conirectors License Laws.).
❑ I em exempt under sec. Business and Professions Cotle for t�ls reason:
Signature: Date:
Owner ID verified by dnvers license. ❑ Yes ❑ No Dnvers License No.
Verification o/ Ownership 6y (type of document, i.e. - proparty taz bill or deed):
E:pires:
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTFICATION:
❑ I hereby certify thet no excave�ion five (5) ar more faet in tlepth into whlch a person is required ro descen4 wlll be mede in connection with work eu�hodzed by this
pertnit, and that no building sirudure, scaHolding, falsework, or demoli�ion or dismantling ihereot, will be more �han ihirry-six (38) tee� high. (Chap. 3.2, Gry 2, Art 2, Sec.
341, Ttle 8, Celifamie Atlministretive Code).
❑ As owner-builder, I will nol employ enyone to do work which would requlre e permit from ihe Divisian oi Industnel Sefety, es notetl above, unless such person �as e
permit to da such work fram ihe division.
Signeture: Date:
Division ot Induslnel Salety Permit Number:
CERTIFlCA7E OF COMPLJANCE AND AUT}iOHVJ1TION OF EHTTiY: I certily undar penalry of perjury that I have read ihis epplication end state Ihat the Inlormation given is
correct. I agree to comply with ell state lews end ciry ortllnances relating to building consiruaion, antl euthonze representatives of the Ciry ot Cosia Mese lo enter upon Ihe
ebove-described property for inspection purposes. I egree not to occupy or ellow occupancy of eny building auihorized by this pertnii until final inspec�ion.
CODE I. INSPECTIOXTYPE
7616 Fixed System Final Fire Prevention
1266 Pool Spe Finel
200. Finel Re-Roo�
201 Finel BIocWReteining Well
202
203
204
Final Factory Fira Place
Finel Slgn
Final Demolition
Pdg II�dL�
y00E� INSVECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elec�ricel
212 Finel Fire Preventlon
220 Final Planning Approval
222 Final Sita
250 Finel Builtling/Occupency
�_ �
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
PERMIT TYPE PLUM
STATUS: ISSUED
DATE ISSUED: 11/21/2007
ISSUED BY: SOK
JOB ADDRESS: 2465 ORANGE AV CM Suite/Unit: " �
vicinity:
SCOPE OF WORK: PLUMBING INCLUDES: 1 BAGKFLOW IRRIGATION, 1 BACKFLOW PREVENTER, 2 BATH TUBS, 1 •—
DISHWASHER, 1 GAS (1-4 OUTLETS), 1 GAS SERVICE, 1 LANDSCAPE IRRIGATION, 1 LAUNDRY TUB/WASHER, 1 SEWER
CONNECTION, 2 SHOW�RS, 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: 190 NEWPORT CENTER DR STE 220
PHONE: " City/State/Zip: NEWPORT BEACH, CA ,�,
APPLICANT: ANDREW PqTTERSON Address: 421 315T ST : �
PHONE: 949-294-9057 CEI.L City/State/zZip: NEWPORT BEACH,'CA '
CONTRACTOR: PATTERSON CONSTRUCTION CORPORATION License No. 802367
Address: 421 31ST ST PHONE: 949-294-9057 CELL
City/State: NEWPORT BEACH, CA ZipCode: 92663 CELL: ,
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE: $0.00
PERMIT FEE: $277,40,
TOTAL FEES: $277.40
..�:}7� � ' - ' , .
�: r
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiraments under California statutes-a d related
regulations. (Ord. No. 92-28, § 1, 12-21-g2) '� �
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work i spL ended or abandoned
for a.period of 7 BO days. � ,
INSPECTIONS: In order for ihe work authonzed under this permit to be considered legal, such work must comp y with all applicabie codes, and all
requlred Inepeetions end final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECT70NS CALt: (714) 7545626
aae-ae �5�ou�
WORKERS'COMPENSATONDECLARAnON:
I hereby eHirm under penalty of perjury one oi the following declarations:
❑ I heve end wlll meintein e ceniflcete ot consent to selFlnsura tor workers' compensatlon, es providetl tor by section 3700 of the Lebor Code, for ihe pertottnence ot the
work tor which this pertnii Is luuetl. ,
❑ 1 have antl will maintain workers' compensation insura , es requlretl by sectlon 3700 of t�e Labor Code, for the peAortnance oi Ihe work for which this pertnit is issued.
My workers' comp lon In urance cer�nd poli number ere: __
-Cerrler: ' • PoilryNumber.. �� �(� 7� ��C�
./77iis secfion neerl not be wmpleted il fhe permit is veluetl et one hontlreC dollars ($100) or less.) ' ' �
❑ I certity that in the peAormance of Iha work tor whlch t�ls permit is issued, I shall not employ any person in any manner so es to become subject to Ihe workors'
compansailon lews of Cellloml II I shoul0 become sub�act to Ihe workers' compensetion provisions ot Section 3700 0l Ihe Lebor Cotle, I shell torthwl�h
comply vn�h ihese Provl
Applicant Signature: � � Date: %� � ( /o�
WARNINO:FAILUR Fi5'COMPEN TIONWVERA(3EISUNIAWFULANDSHqLLSUBIECTANEMPLOYERTOCRIMINPLPEWILTIESPNDGVILFlNESUPTOONEHUNDRED
TlKK1SAND OOl1ARE (5100.000), IN ADOfiION TO TNE CQ6T OF COMPENSATION, DPNAGES AS PROVIDED FOFi IN SECiION 31060F THE UBOR C/JDE, IMEREST, AND FTTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eflirm Ihat I em lice tl u�Q i9�s� apter 9(commendng with Section 7000) ot DiWsion 3 of the Business and Pr ssions Code, and my license is in lull
torca'end etfect. Lic. q i/J� LO�i / i �_ Clau'a � i
Contrecrors Signature: / // .�'7 D`e_�e: � �[�/ �� ��
CONSTRUCTION LENDING AGENCY:
❑ I hereby aNirtn t�et t�era Is e construction lending agency tor Ihe pedortnance of tha work for which this permit is issued. (Sec. 3097, Civil Coda).
Lendafs Name: Lendefs Address:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
1 hereby ettirm Ihet under penelty af perjury thet I am E7(EMPT FROM THE CONTRACTOHS LICENSE LAW for the tollowinq reason (Sac. 7031.5, Business antl Professlans
Cotle: Any ciry or county which requires e permit to consiruct, elter, improve, tlemolish, or repair any structure, prior to its issuance, elso requires the epplicant for suc� permil
to file a signed statement ihet he or she is Ilcensed pursuant to the provisions of the Conirectors License Law (Chepter 9(commencing with Sectlon 7000) of DlWsion 3 of ihe
Business end Proieulons Code) or ihet �e or she Is exempl therefrom end the basis for the allegetl a:emption. Any violetion ot SeCtion 7031.5 Dy eny epplicant for a permil
subjecis iha epPlicant to e civll penalty of not more then tive hundretl tlollars ($500).):
❑ I, es owner of the property, or my employees with weges es iheir sole compensetlon, WILL DO THE WORK, and the structure Is not intended or oMereO for sele (Sec.
7044, Business entl Professions Cotle: The Contractors License Lew tices not apply to an owner ot property who bulids or improves t�ereon, and who tloes such work
�imself or herself or through his or her own employees, provided that such improvemenis are not Intended or oHered lor sele. If, however, ihe bullding or improvement Is
sold within one yeer of completion, the owner�builtler will have the burden ol proving thet he or she did not build or improve tor purpose oi sele.). '
❑ I, as owner of the propeM. em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolec� (Sec. 7044, Business and Professions
Cade: The contractors License Lew tloes not epply to an owner of pmpeny wha builds or impmves t�ereon, end who comracts br such project with a conirector(s)
license pursuant to the Conirectors License Lews.).
❑ I am exempt under sec. Business end Prolessions Code tor �his reason:
Signeture: Date:
Owner ID verifled by tlrivefs Ilcense. ❑ Yes ❑ No Orive(s Licensa No.
Veniiwtion ol Ownership by (type af tlocumenL i.e. - property teu bill or deed):
Espires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cenify that no ezcevetian five (5) or more feet in tlepth in�o whlch e person is required to tlescen0, will be made in conneciion wl�h work euthonzetl by this
permlt, antl that no builtling slrucNre, scafloltling, falsework, or demolition or dismamling thereot, will be more than thirry-siz (38) teet high. (Chap. 32, Gry 2, An 2, Sec.
341, Title e, Calibmla AtlmiNstretive Cotle).
❑ As or.neo-6uilder, I will nol employ enyone to do work w�lch would require e permit trom the Division ot Industrial Satery, es noted above, unless such person hes a
permil to tlo such work trom the tlivision.
Signature: Date:
DivLsion ot Industrial Sefery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVATON OF ENTAY: I certity untler penalry of perjury that I have read this epplication and state thet the infortnatlon given is
correct. I agree ro comply wlth all stete lews and ciry ordinences relating to building construction, and euthodze representetives of Ihe Clry ol Coste Mesa to enter upon ihe
ebove-described property for inspection purposes. I�o occupy or ellow occupancy of eny building authorized by this permit until finel inspection.
CODE �, INSPECTIONiYPE
1616 Fizetl Syslem Final Fire Prevention
7266 Pool Spe Final
200. Finel Re-Roof
201 Flnel Blak/Retalning Well
202
203
204
Finel Fatlory Fire Placa
Final Sign
Finel Demolitlon
D
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� De e '
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GOOEt INSVECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final EleCirical
212 Finel Fire Preventlon
220 Final Planning AOProval
222 Final Site
250 FInalBuiltling/Occupancy
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PERMIT TYPE
JOB ADDRESS
Vicinity:
ELEC
2465 ORANGE AV CM
77 FAIR DRIVE, COSTA MESA, CA 92626
STATUS: ISSUED
DATE ISSUED: 1112112007
ISSUED BY: RMD
Suite/Unit:
SCOPE OF WORK: ELECTRICAL PERMIT FOR PLAN 1R, LOT 8:
2,041 S.F. S.F.D. WITH 441 S.F. ATTACHED GARAGE AND 13 S.F. PORCH. 3 BEDROOMS AND 2.5 BATHROOMS. iST FLOOR: 834 S.F., 2ND _
FLOOR: 1,207 S.F. REF#: BO6-01611.
OWNER: 2453 ORANGE AVENUE LLC Address: 790 NEWPORT CENTER DR STE 220 Unit:
PHONE: City/State/Zip: NEWPORT QEACH, CA
APPLICANT: ANDREW PATTERSON Address: Unit:
PHONE: 949-294-9057 City/Stale/zZip:
CONTRACTOR: PATfERSON CONSTRUCTION CORPORATION License No. 802367 �
Address: 427 31ST 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
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis 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 180 days, or if wor ' suspended or abandonad
for a.period of 180 days.
INSPEC7IONS: In order for the work authonzed under this permit to be considered legal, such work must co with ell applicable codes, and all
required Inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
244&d818�00)
WORKERS' COMPENSATION DECLARATON:
I hereby eHirm under penalry of perjury one o� Ihe lollowing declarations:
❑ I heve entl wlll melntain a cenificete ot consant to self-Insure for workers' compensatlon, es proviaetl tor 6y sectlon 3700 of the Lebor Code, for the peAormance ot ihe
work for w�ich this permit is Issued.
❑ I have antl wlll melntain workers' wmpensation Insurance, es require0 by section 3700 of Ihe Lebor Cotle, for the peAormance of t�e work for which this pertnit i issued.
,Mywarkers'compen nlns encecar�nApoll numberare: �' lj]_��/�
Carrler `-� �� �� ✓h �J� Poliq NumDer.1 �
(fhis section need nat be completed il Ihe permif is valued e( are hundred dollers ($100) ar IessJ
❑ I carlity ihat in ihe peAormance oflh ich this permit is issued, I shall no� employ eny person in any manner so as to become subject to �he workers'
compensatlon laws of Celito�ni� egree tha t I sho acoma subJect to t�e warkers' compensetlan provisions oi Sectlon 3700 oi ihe Lebo atle, I shall fonhwith
comDly with Ihese provi� 'eRs. {�
Applicant Sipnature: [Date:. . %� �l /�%
WARNINO: FN W RE T E 1 ' COMPEN ON COVERAGE IS UMAW'rUL AND SHAl1 SUBJECT AN EMPLOVER TO CWALNAL PENALTIES M!D CML FlNES UP TO ONE HUNDRED
THIXISAND O,OW),INADDIiIIXJTOTHECOSTOFCOMPENSATIIXJ,DAlMGESASPHOVIDEDFORINSEGTON3/O60FiHELABORCODE,IMEREST,ANDATTORNEYSFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHlrtn ihat I em
force entl eHecL.LJcf a _
�--
Contracmfs SlgneNre:',
with Section 7000) ol Divislon 3 of the Business
Class p=
CONSTRUC710N LENDING AGENCY:
❑ I hereby eflirtn ihat there is a construction lending egency tor the pertormance of the work for which ihis partnit is issued. (Sec. 3097, Civil Code).
Lender'S Neme: Lendefs AtlAress:
Signeture:
Date:
my license is in full
OWNER•BUILDER DECLARA710NS:
I hereby ettirm thet under penelty of perJury thet I am EXEMP7 FROM 7HE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Protesslons
Cotle: Any ciry or counry which requires e pertnit lo wnstruct, elter, improve, tlemolish, or repalr any stmcture, pnor to its issuance, elso requlres the eppliwnt for such permit
ro file a signed statemem that he or she Is Iicensed pursuent ro ihe provisions at the Camrectors Llcense Law (Chapter 9(commencing with Sectlon 7000) of DlWsion 3 0l t�e
Business entl Protessions Code) or thet he or she is exempt therefrom and the basls for Ihe elleged exemptlon. Any violation of Sedion 7031.5 by eny epplicant for a pertnit
sub�ects the epplicent to e civil penelry of not more than live huntlred dollars ($500).):
❑ I, es owner ol Ihe properry, or my employees with wages as their sole compensation, WILL DO TME WORK, an0 t�e siructure Is not Intentletl or otteretl tor sale (Sec.
7044, Business and Professions Cotle: The Contractors License Law dces not apply to an owner of property who builds or improves thereon, and who does such work
himsetl oi �erseN or Ihrough his or her own employees, provided ihat such Improvemenis are not Intended or oHered for sele. II, however, ihe building or improvement Is
soltl wit�in one year of completion, the owner-huilder will heve the burden of proving thet he or she did not build or improve tor purpose oi seleJ. '
❑ I, es owner of lhe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constnict the project (Sec. 7044, Bu5ine55 antl Professions
Catle: The contrectore License Law does not epply to en owner ol property who builds ar improves Mereon, and who contracts tor such pro�ect wlth e contractor(s)
license pursuant to the Canirectors License Laws.).
❑ I em exempt under sec.
Signeture:
Owner ID verifietl by drive/s licen58. ❑ Ves ❑ No
Business and Professions Cotle for this reason:
Vedficetion ol Ownership by (rype ot 0aument, i.e. - properry tex bill or tleetl):
DIVISION OF INDUSTRIAL SAFETV VERMR CERTIFICATION:
DriveYs License No.
Date:
Expires:
� I hereby certity that no excavation five (5) or more feet in depih into which e person is requiretl to tlescentl, wlll be made in connectlon with work authorized by this
permit, end that no building simcture, scattolding, lelsework, or demolition or dismantling Ihereoi, will be more ihan thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifomla Atlminlsiretiva Code).
❑ As owner-builder, I will not employ enyone to do work which would require e permil lrom ihe Division of Intlustnel Safery, es notetl ebove, unless such person hes e
pertnit to tlo suc� wark tram the division.
Signatura: Date:
Division of Industnal Safery Partnit Number:
CERTIFlCA7E OF COMPLIANCE AND AUTMORIZA710N OF EMAY: I cenity under penelty oi porjury ihat I have read this application end state that iha infortnation given Is
correct. I agrae to compty wi�h ell stete laws an0 city ordlnances relating Io builtling constructlon, end euthodze represeniatives oi ihe Ciry ol Costa Mesa to enier upon the
aDove-descdbeG property for inspecGon purpose ot to occupy or ellow occupanry of eny building authonzad by this permit until linel inspeciion.
CODE 1. INSGECTIONTYPE
7616 Fixed System Final Fire Preventlon
1266 Pool Spe Final
200. Finel RB-Rooi
201 Flnel Blxk/Retaining Wall
202 Flnal Factory Fire Placa
203 Final Sign
204 Final Demolition
e
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pyy HIID9L5 cooe. ixsvecnoxnae
208 Final MeChanical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupancy
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