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Home My WebLink About2645 ORANGE AVE - Building PermitsProject Address: Lol \umber. � Permit ;�umber: FI\.�L GRA�I\G CERTIFICATIO\' � By Civil Eneineer. I cenify to the sztisfzctor}� completion of grading in accordance v.�ith the appro��ed plans, specifications, local and state codes. All draina�e devices required by thz gradin� permit, �radin� plan znd grzdin� ordin2nce ha�•e been insulled. Adequate pro�•isions ha��e been madz for dninaae ef surface uater from each'building'site. ' The n�ini;n��n:s 2re: 2� F�1! fro:� srecr.ues within 5 feet fren exterior «•2Ps. �/t F2�� i0i c5} �=�1 surf2ces Gi)d �Z11lJSlGT:� 2rezs. . 0.�� Fzll for co�cre:e SLJifeC25 10 2F�r;o�ed disposzl �r;�s. TG� fji�2� iu0r.c�;rencs zs sho��•n o� the recorded�traci maa U'2i: $:I, �.�� f�c� �fcC�'1!:�o e1�\'2� tier,s are Niihi� = 1%10 0; thz desi=ned ele�•a+ions. Supe;��isin� Ci�il En�in:er Ree. No. 3�7� � (�t�Oe:LfC) � Dz�: 2 7 9 QPpFESSIp� \ ��Q,�t.� �� 6 HA,1,��9 E`2Gi � Q ' N m � W IXP t � � • * `r1,,9 CIVI� �� OF �A��P _ _ ST::•� a�a si� CITY OF COSTA MES,4 BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PE � UMBER' P99-00131 (714) 754-5273 • Fax (714) 754-0856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: 2645 ORANGE AV tpn980107 AMMERMAN,MARK NEW MI�LENIUM HOMES Address 2823 MCGAW IRVINE, CA contractor: NEW MILLENNIUM HOMES Address: 2823 MC GAW ArchlEng: Address: IRVINE, CA PLUMBING PERMIT Phone: 2ip: Phone: 949 660-1700X106 Zip: 92614 Phone: 949 660-1700 Zip: 92614 License: 743718 Phone: Zip: License: Status: ISSUED Applied: 02/26/1999 Issued: 02/26/1999 SCOPE OF PERMIT PIUMBING FOR NEW SFR, REF: 898-02237: 2 TUBS, 1 DM/, 1 WASHER, 1 SHOWER, 1 SINK, 3 WASH BASINS, 1 SET, 3 TOILETS, 1 W/H, 1 W/S, 5 GAS OUTLETS, 1 GAS SERV., 1 B/PREVENTER, 1 SEWER CON., AND 1 LAWN SPR. SYSTEM. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drein, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $22.00 50.00 $8.75 $17.50 30.00 $0.00 $0.00 $8.75 50.00 $0.00 50.00 $0.00 $0.00 50.00 55.50 51.00 50.00 $8.75 90.00 50.00 QTY FEE SUMMARY Laundry Tub / Washer Landscape Irrigation P-Trap Pressure Regulator Process Piping (per 70 ft) Receptors Septic Tank Sewer Cap for Demo Sewer Connect Sewer Private Line Shower Sink, bar Sink, commercial Sink, Floor Sink, kitchen Sink, service/mop Spa (private) Spa (public) AMT $8.75 $1325 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $22.00 $0.00 $8.75 $0.00 $0.00 $0.00 $8.75 $0.00 $0.00 $0.00 QTY 1 1 0 0 0 0 0 0 1 0 1 0 0 0 7 0 0 0 COMMENTS I SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toileq Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $26.25 $8.75 $0.00 $2625 $71.00 $0.00 $0.00 $8.75 50.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: $214.75 QTY 0 0 0 0 0 0 3 1 0 3 1 0 0 1 0 EXPIRATION: This permit shall automatically expire and become void II work is not commenced within 180 days, or If work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permfl to be considered legal, such work must comply wlih all applicable codes, and all requlred Inepeetlona end final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5828 WORKERS' COMPENSATION DECLARATION: I hereby eflirm untler penaly ol perjury one of the following declere�lons: � ❑ I heve end wlll meintain e certlficate oi cansent to selt-Insure tor workers' compensation, es provitled for by sectlon 3700 0l the Lebor Code, for the pertortnence ot the work tor whic� Ihis pertnii Is iuuetl. �I have entl wlll melnteln workers' compensation Insurance, es requiretl by SecUon 3700 ot Ne Labor Code, for the pertortnence ot the wwk tor wltich this permlt Is Iswetl. My workers' comp nse ion Ins}�rance cartier entl pollcy num6er ere: r/ a Cartier. �iF j / nH YJ Policy Number. � 9 D y��sl d� (Thls secUon need no� comp/efe i/ the imil ls va/ued et one huntlretl tlo/lars ($ f00) or IessJ ❑ I cenity thet In the pertortnance of the work far which t�is permit Is issue4 I shall not employ any person in eny manner sa as to 6ecoma sub�ect to the workera' compensation laws ol Califomle, end epree Ihat It I shoulA Eecome sub�ect ta the workars' compensatlon OroNsions of Sectlon 3700 of the Lebor Code, I sheli torthwit� t se provi / A Icam Signature� �1(��1M,,,r.�.. — - �—geta�� 3� fs� 'rj Ci UFE TO SEIXIPE WORKERS' COMPENSATION COVEMGE IS UNLAW FUL AND SHPLL SUBIECT AN EMPLOVEiiTIICflIMINAL PENALTIES AND CML FlNES UP TO ONE NUNDRED TMOUSAND DOLURE (5100.000). IN ADDRION TO TNE WST OF COMPENSATION, DAMAGES AS PiiOVI�ED WR IN SECTION 37080F THE UBOR CODE, IMEHEST. AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereDy�I�mStwt I em-1(c�s under provislons of Chepier 9(commencing with Sectlon 7000) ot D�I999^^^�3 0l the Bus u end Profeulons Coda, end my Iicense is in full fo ce flnr� effect. lJc. a ��I ��] � SS � Class a �� Canlrecrors Signeture: _ y� rAr.,�� Dat�_�— qq CONSTRUCTION LENDING AGENCY: ❑ I hereby aMirtn Ihet Ihere Is a constructlon lendinp egency tor the pertortnence ot ihe work for which Nis permit Is Issued. (Sec. 3097, Civll Cotle). Lentlefs Neme: Lendefs AAdress: Signature: OWNER-BUILUER DECLARATIONS: Dete: I hereby effirtn thet unAer Oenelry ot perjury Ihat I em El(EMPT FROM THE CONTRAC70HS LICENSE LAW lor t�e followinp reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which requires e permit to consirud, alter, improva, demalish, or repair eny structure, prior lo its Issuance, elso requires Ihe applicant lor such pertnil to flle e signetl stetament Ihet he or s�e La licensetl pureuant to t�e O��s ot the Conirec[ors License Lew (Chapter 9(wmmenUnB with Sectlon 70W) ot DMslon 3 0l Ne Businass end Professions Code) or that he or she is exempt ihereirom en0 the Desis tor Ihe alleged exemptlon. Any violation oi Section 7031.5 by any applican� tor a pertnit sub�ects the epplicant to e clvil penalry ol not more than five hundred dollars ($500).): ❑ I, es owner ol the properry, or my employees with wages es thelr sole compensatlon, WILL DO THE WORK, end the structure is not Intentletl or oNeretl for sflle (Sec. 7044, Business end Professions Coda: The Contrectors License Law tloes not eppty to an owner ol properry who bulltls or Improves thereon, and who does such work himsell or �erselt or Ihroug� his or her own employees, provitletl thet such Improvements ere nat intentled or ottered tor sele. If, hawever, the bulltling or Improvement Is soltl within one year af completion, the awner-builtler will heve the burtlen of proving Ihat he or she ditl not bulltl or improve for purpose of sale.). ❑ I, as owner of the property, am EXCWSNELY CONTFiACTING WIiH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Pmtessions Code: The contrectors License Law tloes no� epply to en owner oi property who bulltls or im0�oves Ihereon, and who conirecis for such project wlth e contractor(s) license pursuant to t�e Contradors License Laws.). ❑ I em e:empt under sec. Business and Professians Code far this reeson: Signeture: Dete: Owner ID vertlie0 by tlrivers license. ❑ Yes ❑ No Driver's Ucense No. Veriticetlon o1 OwnersNp by (rype at document, i.e. - praperry te�c bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMR CEHTIFICATION: Expires: ❑ I hereby Cenity Ihet no exCavetlon tive (5) or more f9et In depUl Inio which e person Is requlred to desCend, wlll be mede in Cannectlon wlth work eulhaAzed by this pertnit, end thet no building structure, scattdding, feLsework, or demolition ar dismentling thereol, wlll be more then thirty-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celltomia AdminislraWe Coda). ❑ As owner-6ullder, I wlll not employ anyone to do work which would requlre e pertntl from Ihe Dlvlslon of Industdel Sefety, ea notetl above, unless sucli peraon has e pertnll to tlo such work from the Aivision. Signeturo: Date: Dlvislon of Indusirial Safery Permil Number: CERfIFlCATE OF CAMPLJANCE AND AUTHORRATfON OF EMAY: I certify untler penalry ot perjury thet I �ave read this epplication and stete Nat Ne Infortnetion given Is correcL I egree to wmpty with ell state lews end ciry ordlnances relatlng to building constructlon, antl euthodze representetives of the Ciry ol Costa Mese to enter upon the ebova-describetl D�oPerry for inspection purposes. I egrea not to oaupy or allow occupency of eny bullding euthoAzed by thls parmit until final Inspepion. Lepal Owner(s) COOE L INSVECTIONTYPE - 1818 Fizetl System Finel Fire Preventlon 1288 200 201 202 203 206 241&18 Pod Spe Finel Flnel Re-Root Finel Block/Reteinln8 Wall Finel Fectory Flre Placa Flnel Slpn Flnal DemollUon ��m. �pp�j iwsvecnoxnce 206 Finol Mechunicel 208 Finel Plumbing 210 Flnal Electrlcel 212 Flnfll Fire PrevenUon 220 Flnel Plennlnp Approvel 222 Final Slte 250 Finel Buildinp/Occupancy Date �ff I�� CITY OF COSTA MESA BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT MI NUMBER 99-00080 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: 2645 ORANGEAV Suite No Vicinity: Parcel Number: tpn980107 Applicant: AMMERMAN, MARK Address: Owner: Address: Contrector: Address: ArchlEng: Address: NEW MILLENIUM HOMES 2823 MCGAW IRVINE, CA NEW MILLENNIUM HOMES 2823 MC GAW IRVINE, CA Phone: Zip: Phone: 949 660-1700X106 Zip: 92614 Phone: 949 660-1700 Zip: 92614 License: 743718 Phone: Zip: License: SCOPE OF PERMIT MECAHNICA� FOR NEW SFR, REF: 898-02237: 1 FAU, 1 A/C 15 REGISTERS, 1 HOOD, 3 VENTS AND 1 FIP. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Ezhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $22.00 $13.25 $0.00 $12.25 $0.00 $13.25 $0.00 $0.00 $9.50 $9.50 $0.00 319.50 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 1 0 1 0 7 0 0 1 1 0 3 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commerci a l I n cinerator Domestic Incinerator Compressors / Absorotion Systems Upto3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp i5to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS I SPECIAL CONDITIONS Status: ISSUED Applied: 02/25/1999 Issued: 02/2511999 Quantlty $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 E99.25 EXPIRA710N: This permit shall automaticalty ezpire and become void if work is not commenced within 180 days, or It work is 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 comply with all applicable codes, and all requlred Inapeetlone and final epproval must be obtained. Failure to obtain inspeclions end final approval will result in the axplration of ihis permit. FOR INSPECT�ONS CALL: (714) 754-5828 WORKERS' COMPENSATION DECLARATION: I hereby affirtn under penalry of per�ury one ot the fWlowing deUeretlons: ❑ I heve and wlll meintaln e cenllicate ol consen� to selt-Insure tor workers' compensetlon, es provitletl 1or by sectlon 3700 oi the Lebor Code. for the pertarmence of the wark for which ihi5 pertnit is issuetl. 0 I heve end wN maintflin workers' compensatlon Inwrence, es reqWreC by section 3700 of the Lebor Code, for Ne peAortnance of ihe work ta which ihis pertnit Is issuetl. My workers' compey�ation nsurence rtier enA pollcy number ere: ca�a�: ( �.t � Rrti n Policy Number C✓ �' gc.� 1173 O/ (Th/s secf/on neetl nof be complefetl !! (he permlf !s v�ued et one huntlretl dollers ($100) or less.) . � I certity ihat in ihe pertormence ol Ihe work tor which Ihis permlt Is issued, I shall not employ eny person in eny manner so as lo becoma sub�ect to t�e workers' compensetlon laws ol Celltomie, en egree thet tl I should become sub�ect to t�e workers' compensetion provisians ol Section 3700 oi the Lebor Code, I shell tort�wit� comply with these pr i s. / /'� c p Applicen� SigneWre: �Lf,6 . (lli-'� Date: � ` �- / 1 WARNINO: FAILURE TO SECURE WORKERS' COAIPENSATION COVEM�E IS UNLAW FUL AN� SMALL SU&IECf AN EMPLOVER TO CRIMINNL PENALTIES AND CML FlNES UP TO ONE MUNDRED THOUSAND DOLLARE (Et00.OW), IN ADOITION TO THE COST OF COMPENSATIIXJ, �AMAGES AS PROVIDED FOR IN SECTION 37080F iHE LABOR COOE, INfEREST, ANO ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: II hereby ettirm ihat I em Ilcensed under pro�(Isions of ChaO�er 9(commendnp wllh Sectlon 7000) of Dlvision 3 of the Businessg� tl Pmfessions Code, and my Iicense Is in tull rorce end ettem. uc. a '7 �9 3�l �}I C�ass a /S I Contreaors S�gneture: ✓�� „ /'•t oate: '�— Sf � Cj 1 CONSTHUCTION LENUING AGENCY: ❑ I hereby afflrtn thet there Is e canstrudlan lending agency lor tho peAortnence ol t�e work lor which this pertnit is Issued. (Sec. 3097, Civil Code). Lentlefs Name: Lendels Addrass: Signature: Dete: OWNER•BUILDER DECLAPATIONS: I herehy etfrtn thet untler penalty ol per�ury thet I em E7(EMPT FROM THE CONTRACTORS IICENSE LAW tor lhe tollowing raason (Sec. 7031.5, Business and Professions Cade: Any ciry or counry which requires e pertnll to canstruct, elter, Improve, Cemolis�, or repalr eny strucWre, pnor to IIs issuance, elso requires the ap0�icent for such permit to file a signed stetement Net he or she b Iicensed pursuant to Ihe provisions of the Contrectors License Lew (Chapter 9(commendng wlih Sectlon 7000) of DlNsion 3 ot ihe Business end Professions Code) or Ihat he or she is exempt Iheretrom and Ihe basis lor Ihe ellaped exemption. Any violation at Sedian 7031.5 by any applicant for e permil subjects Ihe applicant to e dvil penalry o1 not more Nan Me hunCreO Collars (5500).): ❑ I, as owner of Ihe property, or my employees witf� wages es thelr sde compensstion, WILL DO THE WORK, end the structure is not intentletl or oHeretl for sale (Sec. 7044, Business entl Protessions Cotla: 7Te Contreqors Llcense Lew Goes not appty to an owner ot property who builtls or improves thereon, and who does such work hlmself or hersefl or Nmugh his or her own employaes, provlded thet such ImprmemenLs era not intentletl or oXeretl tor sale. It, however, Ne builtling or Improvement is sold wit�in one year of completion, the owner-Dullder will heve the burden ol proNng that he or sha dld not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTAACTOHS to construd the project (Sec. 704a, Business and Professions Code: The contrectors License lew tloes not eppty to en owner ot property who bulids or improves thereon, end who wntracts tor such projed with e contractor(s) licanse pursuant to the ContraMore License Lews.). ❑ I am exempt under sec. Business flnd Professions Code for Ihis reason: SigneWre: Date: Owner ID venlied by drivers licensa. ❑ Ves ❑ No Drivefs Licanse No. Expires: Vedficatlon ot Owners�lp by (rype of tlocument, I.e. - pmperry laz Dill or tleed): DIVISION OF INDUSTRIAL SAFETY PEflMR CERTIFICATION: ❑ I hereby cenlly that no excavetion live (5) or mare feat In tlepth Into which a person is requlred to descend, will ba mede In connectlon wIN work euthorized by Nls permit, end that no bulltling structure, scettolding, telsework, or demolition ar dismentling thereol, wlll be more than thirty-siz (38) feel high. (Chap. 32, Grp 2, An 2, Sec. 341, Tlpe B, Celifamla ACminlstretNe CatleJ. ❑ As owner-builder, I wlll nat employ enyane to do work whlch would require a pertnit trom the DlWsian ol Intlustdel Sefery, es noted ebove, unless such person hes e pertnit to tlo such work trom the tlivi5ion. Signeture: Dale: Dlvlsion af IndusMel Sefary Permit NumDer: CERTIFlCATE OF CAMPLIANCE AND AUTHORPJITON OF EMFiY: I certity untler penalry of perjury that I have read this flpplication and sfete that the Iniormation given is conacL I egree to compty with ell stete lews enC dry ordinances relatlng to bui101np conswction, antl authodze representemes of the Clry ot Cosia Mesa to enter upon the ebove-dexriUed properry for inspectlon purposes. I egree not lo occupy or allow occupancy of eny builtlinp authorized by this permit until Mal inspeclion. �/J� igneWre/O�,f LepalOwner(s) Date {'/'� l�f� / ,I.....`-�� - �" `� Ci �� AnC/0�f u�thorized ApPlicant Date GOOE �. INSPEClIONTYPE 1618 Flzetl System Finel Fire Preventlon 1288 200 201 202 203 204 2a4&48 Pool Spe Finel Flnel Re-Root Finel Block/Retaining Well Flnel Fectory Flre Plece Flnal Sign Flnel Demditlon �g. �� COOE I INSPELTION TYVE 208 Final Mechenical 20B Finel Plumbing 210 Flnal Eleclricel 212 Final Flre Preventlon 220 Flnel Plenning Approvel 222 Finel Site 250 Flnel Buliding�Occupency ' �.1 I�1111. ' • .� �� C l ' > . � CITY OF COSTA MESA r ' e t B!/ILD/NG DIVISION ' -- � DEVELOPMENT SERVICES DEPARTMENT J. `' __. �� PERMIT PE ITNUMBER 898-02237 (714) 754•5273 • Fax (714) 754-4856 . 77 FAIR DRIVE, COSTA MESA, CA 92626 Jobnddress: 2645 ORANGEAV Suite: Viciniry: Parcel Nunmber: TPN980107 npp�icant:. AMMERMAN, MARK Address: Owner: NEW MILLENIUM HOMES Address 2823 MCGAW IRVINE CA Contrector. Address: Zip: Arch : DAVID GOt Address: 17932 skyrark circle SUITE # A Irvine, CA. BUILDING PERMIT Zoning: Phone: 949 660-1700 #106 Zip: Phone: 949 660-1700 #106 Zip: 92674 Phone: License: Eng: Address: Phone: 714-852-8596 Zip 92614 License: C8150 2ip: SCOPE OF PERMIT CONSTRUCT NEW DETACHED RESIDENCE (1 OF 9-UNIT PROJECT) SEE DR-98-07. PLAN 7 B- 2,064 SQ FT 2 STORY - 459 SQ FT GARAGE: 3 BDRM & 2 1l2 BATH, FIP ICBO ,& FRONT PORCH (34.5 SQ F'f) FEE SUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: 5208.37 $1,28225 $17.86 $0.00 $0.00 $0.00 $1,508.48 SETBACKS MAW STRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 S[atus: ISSUED Appli¢d: 12/16I1998 Issued: 03I0811999 Phone: License: $178,632.58 ao.00 EXPIRATION: This permlt shall automatically expire and become vold if work is not commenced within 780 days, or If work is suspended or abandoned for a pe�lod of 1 BO days. INSPECTIONS: In order for the work authorized under lhis permit to be consldered legal, such work must comply with all applicable codes, end all requlred Inepectlona end final approval must be obtained. Failure to obtein inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5828 WORKERS' COMPENSATION DECLARATION: . . I hereby eMirm untler penalty oi per�ury one oi t�e follovnng declarations: R , ❑ I have end will malntain a certiticete of consent to setl-Insure for workers' compensetlon, as provitletl for by section 3700 of the Labor Cotle, for the pertormance of Ihe work lor whlch Ihis permit Is issued. � ❑ I �ave antl will meintain workers' compensetion insurerrca, as required by secUon 3700 of Ihe Lebor Cotla, for Ihe pertortnance of ihe work tor whiU this pertnit is is,wed. My workers' compensatio� Insurepae cartler entl polic,y number are: �,/90 �IJ 7�D � Certier: _ � �a � (n.y. n Policy Number. (Thls secflon neetl nof be complete0 il Me pe !!!s valued ef one �undred dollars (5/00) or less.) ❑ I certly t�at in t�e pertortnance of t�e work tw which this pertnit is issue4 I shall not employ any person in eny menner eo es to become sub�ect to Ihe workers' wmpensatlon laws of Celitomle, end eg Ihat if I should become sub�ect to the workero' compensetian proNsions ot Section 3700 of the Lebor COCe, I shall torNwith comply with Ihese pro 'sions./ /� �y � Appllcant SlgneNra: �(�c✓L� _ l Aa.�-+-� Dale: �i - rS —9 WARNINO: FAILURE TO SECURE WORKERS' COFAPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJELT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE MUN�RED THOUSAND DOLLARE (5100,000), IN ADOfiION TO TME CDST OF COMPENSAiION, DAhNGES AS PROVIDED f-0R IN SECrION 3]OB OF THE LABOR CODE, INfEREST, AND ATTORNE`fS FEES. LICENSED CONTRALTORS DECLARATION: I �ereby aMirm that I em licensetl untler proNsions ot C�apter 9(commencinp wl�h Sectlon 7000) ol Division 3 of the Business en�rofeulons Cotle, entl my Iicense is in tull torce antl eHect. Lla a�� Clew p �S Contrectafs Signature: � .�-w--`— Date: �- I� ^ 9 �l CONSTRUCTION LENDING AGENCV: ❑ I hereby affirtn Ihat Ihere is a consiruccion lentling egency for t�e paAortnance ot the work for which this permit Is iuue0. (Sec. 3097, CIWI CoOe). Lenders Name: Lentler's Address: Signeture: Date: OWNER-BUILDER DECLARA710NS: I hereby eMirtn Ihet untler penalry of perJury t�at I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the lollowinp reeson (Sec. 7031.5, Business enA Professlons Cotle: Any ciry or counry which reQuires a pertnit to consWct, elter, improve, damolish, or ropelr eny structure, pdor to Its Issuence, elso requires the epplicanl for such pertnit to file e signed stetemem Ihat he or she Is I�ensed pursuam ro Itie provisions ol t�e Contractors License Lew (Chepter 9(cammenUng wlih Section 7000) ot Divlslon 3 0l the Busineu antl Prolessions Code) or Ihat he or she Is exempt Iherefrom and �he basls for the alleged exemptlon. Any vloletlon at Sedlon 7031.5 by eny applicent for a pertnit sub�ects the applicant lo e civil penalry of not more Nen iNe hundred tlollars (5500).): ❑ I, es owner ol Ihe properiy, or my employeas with wages es Iheir sale compansatlon. WILL DO hIE WORK, antl tne structure Is not intended or oMered for sale (Sec. 7044, Business and Professions Cotle: The Convaaors LJcense Law tloes not eppty to en owner ot property who bulltls or improves thereon, antl who does such woffc himsell or herselt or Nroug� his or her own employeas, provltled ihat such Improvements are not Intended or oHered lor sele. Ii, �owever, Ihe bullding or improvement Is solE wlthln one year ot crompletlon, the ov.•ner-builder will have ihe burtlen oi OroNng ihet ha or she did not builtl or improve for purpose of sale.). ❑ I, es owner of the property, em EXCLUSIVELY CONTRACTING Wf7H LICENSED CONTRACTORS to wnsirud tha project (Sec. 7044, Busineu end Professions Cade: The contreciors License Lew tloes not eppty to an owner of properry who builds or improves Ihereon, and who comrecis for suth project wlt� e comractor(s) license pursuant to the Contrectors License Laws.). ❑ I em ezempt under sec. Businass and Prolesslons Code For this reason: Signature: Date•. Owner ID venfietl by tlrivefs license. ❑ Ves ❑ Na Ddvels LJcense No. Eepires: Vetlilcatlon of Ownership by (rype of dacumem, I.e. - O�aPerry tarz bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I �ereDy ceNfy that no e:wvetion INe (5) ar more teet In tlepth Into whicli e person I5 requlred to descenQ wlll be meAe In connecllon wiih work euthorizeA by this pertnit, antl thet no builtling strucNre, scaHdding, telsework, or tlemdition or dismantlinp thereof, will be more then thlM-sl: (38) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, T1tle 8, Cellfomia AdmlNstretNe COCa). ❑ As owner-huilder, I will not employ anyone to do work which would require a pertnl� Irom ihe DIvlslon of Industriel Sefery, es noted above, unless such person hes e permit lo tlo such work from the division, Slpneture: Dete: Division o1 Intlusirial Safety Permit Number: CERTIFlCA7E OF CAMPW WCE AND AllTT10R¢ATION OF ENTRY: I certity under penelry of perjury thet I heve read Ihis epplicetion end stete ihat ihe infortnetlon given Is correct. I egrea lo comply with ell stete lews flnd ciry ordinances relating lo building consiruction, end authorize representetives ol the Clry of Coste Mesa to enter upon Ihe ebove-descrlGetl propeity for inspection purposes. I egrea not to occupy or flllow OCCupancy ot eny building authorized Dy Nis pertnit until final inspeclion. Ign re OI Legel Owner(s) Date ��,,� %%G,...�— �-_�-99 Antl/Or AUNOAzed Applicent � Date COpE �, INSVECTIONTYVE 1818 FImeA System Finel Fire Preventlon 1288 Pool Spe Finel 200 Flnel Re•Roof 201 Finel BIocWReteining Wflll 202 Flnal Fectory Flre Plece 203 Finel Sign 204 Flnal Demolltion 2448de OAff UI�lLB CO�EI INSPECTONTYPE 208 Finel Mechenlcel 20B Finel Plumbinp 210 Flnal Eleccdcel 212 Fnal Flre Preventlon 220 Flnal Plenning Approvel 222 FInaI5lte 250 Finel Building/Occupenry OAg II�Al9 � ; - " � NEvvPORT-MESA UNIFIED SCHOOL DISTRICT To: CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 ( /) City of Costa Mesa ( ) City of Newport Beach ( 1 CounN of Oranae Applicant: Addre5s: Telephone TracUParcei anu �oi rvumoer�s�. �rv �- �� i Location of Project: Z� 3� —��/ 7 ru.,� c• �iP� Y.:,,�855 District R�eceipt No.�� Plan Che�c�o�36' Number of Square Feet of: %��A.�= �U��iS Residential Space C` Ic{ ; iG � U�'0 ResidentiaU Sr. Citizen Space Commerciai and Industrial Space Commercial/Industrial Project is: (Check One) _ Warehouse _ R&D _ Movie Theater _ Mini-storage _ Heavy Industrial _ Regionai Shops _ Light Industrial _ This project is exempt because I ` x $1.84 x $ .30 _ Motel Bank _ Neighborhood Shops _ RacqueVHeaRh _ Hotel _ MedicalOffice _ Office Park Total ��.��0•�� Total Total Preschool Auto Repair Hospital Large Office Office Bldg. Restaurant Fast Food This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code sections 53080 and 65995. The Building Permits for this square footage in this proposed development may now be issued by yourjurisdiction. Checks are to be made payable to Newport-Mesa Unified School District. _�� . Representative The above representation as to square footage is true. Applicant agrees that if it is later determined that such representations are not true, then this certificate shall automaticaity terminate and the appropriate City/County shall be notified. Date: �7 — � �—� /,�iL•'.,.1� �%l.n:.�'Cv CITY OF COSTA MESA ° ` BUILpING DIYISION , �' � DEVELOPMENT SERVICES DEPARTMENT �• � PERMIT P MIT NUMBER �� 99-00'142 (714) 754-5273 • Fau (714) 754-0856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address Contracror: Address: ISSUE FEE Temp service test Res. alc package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Nan Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Molore to 1hp MolorS t0 10hp Motors l0 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 2645 ORANGE AV tpn980107 AMMERMAN,MARK NEW MILLENNIUM HOMES 2823 MCGAW IRVINE, CA NEW MILLENNIUM HOMES 2823 MC GAW IRVINE, CA ELECTRICAL PERMIT Phone: Zip: Phone: 949 660-1700 Zip: 92614 Phone: 949 660-1700 Zip: 92614 License: 7437'I B status: ISSUED Applied: 02/25/7999 Issued: 02/25/1999 SCOPE OF PERMIT ELECTRICAL FOR NEW SFR, REF: 698- 02237: 2068 SQ FT , 1 FIXT., 1 OUTLET, 1 SWITCH, & i METER. $22.00 $0.00 50.00 $103.40 $0.00 50.00 $7.00 $1.00 $1.00 $0.00 $0.00 $27.25 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 2068 0 0 1 1 i 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System I Lighting Busway I100 ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 700 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 80.00 50.00 $0.00 50.00 TOTAL CALCULATED FEES E155.65 COMMENTS / SPECIAL CONDITIONS Quantity EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or ebandoned for a perlotl ot 180 tlays. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all requlred Inspectlone and final approval must be obtained. Failure to obtain inspections end final epproval will result in the axpiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545828 WORKERS' COMPENSATON DECLARATION: I hereby aHirtn untler penaly of per�ury one of Ihe following tleclaretions. r., ❑ I heve and witl maintain e certlficete oi consent to setl-Insure tor workers' campensatian, as prodded for by section 3700 of Ihe LeDor Code, for the pedortnence of the wOrk tor which �his pertnit Is Issued. ❑ I hava end will �maintain workers' compensation insuranw, as requlred by sectirn 3700 ot ihe Lebor Code, tor Ne pertortnance oi the woAc for which this pertnit is issued. My workars' co ens tion Ins nce cartier and policy number ere: fI Cartier. ��Fi a, n Policy Number: �✓ �I b� �I � 3 O � (Thls secNan neee n?be comp/ete0/1 the pASnit is valuetl at one hundretl tlollars ($100) or /eu.) ❑ I certily that in ihe pertormance of the work for which Ihis permi� is issued, I shall not employ any person in any manner so es to become subject to the workers' compensetion laws of CalNornle, end egre thet if I should become sub�ect to ihe workers' compensetion provisions of Section 3700 af Ihe Labor Code, I shell forihwith wmply with Ihesa prov�i '/�s�. / ApPlicant Signeture: � /[�/1�- `�.�---. �� Dale: 3 — � ^ Q � WAFNINCa: FAILURE TO SECURE WORKERS' COfAPENSATION COVEMGE IS UNLAWFUL AND SHP11 SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THWSAND OOLLARE ($100,000), IN ADOfTION TO THE COST OF COFAPENSATIIXJ, DAMAGES AS PqOVIOED F9R IN SECTION 3]O6 OF THE LABOH CODE, INTEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby eflirm that I em licensed u9tl�er mvisions ol Chapter 9(commencing with Section 7000) ot Divlsion 3 ot the Business�tl Professions Code, entl my license is in full force antl eNect. Lic. # %�/ �� Cless a Contrector's Signeture: �—'�-�� Date: `{T_- �— � aj � � CONSTRUCTION LENDING AGENCY: ❑ I hereby effirtn that ihere is a construction IenOing agency for tha pertortnence oF ihe work for which I�is permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lendels Address: Signature: Dete: OWNER-BUILDER DECLARATIONS: I hereby ettirm that under penalry ot per�ury [hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business and Professlons Cade: Any ciry or county which requlres e pertnit to construct, elter, Improve, demolish, or repalr any siructure, pnor to its Issuence, also requlres the applicanl for such permit to flle e slgned statement ihat he or s�e Is Ilcensed pursuant ta tha provisions of ihe Cantrectore License Lew (Chepter 9(wmmencing with Section 7000) af Divislon 3 0l the Business antl Professions Coda) or thet he or she Is exempt theretrom antl the basis tor the alleged exemptlon. Any violation ot Sec�lon 7031.5 by eny applicant tor a pertnit sub�ects Iha applicant to a civil penelty of not mora Ihan fve hundred dollars ($500).): ❑ I, es owner of ihe property, or my employees with wages es thelr sole compensation, WILL DO THE WORK, end the structure Is not intended or ofleretl for sale (Sec. 7044, Business and Protesslons CoGe: The Contractors LJcense Lew tloes not eppty to en owner oi proDerty who builds or improves thereon, and who does such work himself or harsetl or through his or her own employees, provltletl that such Improvements ere not Intended or oHered lor sale. II, however, the bulitling or impmvement Is sold within one year af completion, iha owner-builder will have ihe burden ot proving that he or s�e tlltl not Duild ar improve lor purpase of sele.). ❑ I, as owner of Ihe properry, em EXCLUSIVELY CONTRACTING WfTH LICENSEO CONTRACTORS to wnstrud the projact (Sec. 7044, Business antl Professions Cale: 7Te contrectors License Law does not eppy to an owner ol property who bulltls or Improves thereon, antl who coNrects for such projed with a coNredor(s) license pursuant to the Contradors License Lews.). ❑ I em e:empt untler sec. Business antl Professions Coda tor this reason: Signature: Dete: Owner ID verlfied by dnvers license. ❑ Yes ❑ Na Dnvers License No. Expires: Vartlication af Ownership by (type of document, i.e. - praperty tez bill or tleetl): DIVISION OF INDUSTRIAL SAFE7Y VERMR CERTIFICATION: ❑ 1 hereDy ceNfy that no excavatlon flve (5) or more feet in depth Into which e person is required to descend, will be metle In connection with work aut�otlzetl by this permlt, end ihat no building structure, scaftolding, talsework, or demalition or tlismantling thereol, will be more than ihirry-six (38) fee� hiph. (Chap. 32, Gip 2, Art 2, Sec. 341, Tltle B, Califomla Adminlstreiive Code). ❑ As owner-builtler, I will not employ enyone to do work whlch woultl require a pertnit trom ihe Division ol Industrial Safery, as notetl ebove, unless such pereon has e permit to do such work trom Ihe division. Signeture: Date: Division of Industrial Safery Permil Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTRV: I certify under penelry ot perjury that I have read this epplicatlon end state ihat the informatlon given is wrrect. I egree to comply with all stete lews and ciry ordinances releting to building construction, and authonze representetives ot t�e Ciry of Costa Mesa to enter upon the ebove-described property tor inspedion puryoses. I egree not to occupy or ellow wcupancy of eny bulltling euthonzed by ihis pertnit untll finel inspection. �n�� ture - Le, I Owner(pq^_ s) ^ ` � _ �et � �G !/ ' `��— > An r AuNorizetl Applicant ete CO�E I. INSPECTIONTYPE 7616 Flxetl System Finel Fire Preventlon 1288 Pool Spa Final 200 Finel Re-Roof 201 FIneI BIocWFeteining Well 202 Finel Fectory Fire Plece 203 Final Sign 204 Final Demolition 2C48-68 CA� Itii�ll5 F4pE1 wsvernoxme 206 Flnal Mechenlcal 208 finel Plumbing 210 Flnel Eledricel 212 Flnel Fire Preventlon 220 Flnel Planning Approvel 222 Flnal Site 250 Final Building/Ocaipency � G� It��