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Home My WebLink About2647 ORANGE AVE - Building Permits...: ., _ _._ ___- . _ _ .. . . _ .. . � - Project Address: FI\•AL GRA�L\G CERTIFICATIO\' 2697 � Lot \umber: �� S7/y Permit ;�umber: By Civi1 Eneineer: � I cerify to the satisfzctory completion of erading in accordz��ce u�ith the appro�•ed plans, specifications, 1oca1 and state codes. All drzinaee de��ices required by the gradin� permit, =rdin� plan znd gndin_ ordinznce ha�•e been inst�lled. Adequate pro�•isions ha��e been made for drainzoe ef surface'H•ater from each'bvi)dins site. ' The n;ini;nums zre: 2� Fal? from s:n�ct��res uithin 5 feet from e�terier u�zL'c. 1� F�ll for zsphzlt surfaces and ]zndsczped arezs. �.�/t FaU for :one,-e:e Surf2C25 f0 2t•r:o�'2d dlSj)OSc) E;:25. T�,e finzl ii�0f?Hi�:�iii5 2c sho�an on the mcorded tract mzp ue;e set. All fina� ofcG'I!7Q E)�\'2- tio-s 2;e �ithin =]iJ0 0; the desi^ned e1e��z!ioac. Supe,��icin� Civil Engi�eer d Res. ;�o. 3� 7`��0 (Si_,^,etcrc) — p Dzie � �`7�9/ � OQPpFESSlpN9 \ ti�vQ�pO�N B �Mt�` `�2 v_� ? �� 9t1� G3 W i 1 0 rn cG 000 � • * * `r>' CIVI� ��' �rFOF CAl1F�P� . _ S^k�� a�d SIc;v .i;�:-ii:1.!(�Y�. - q�\ �•�.•;: � CITY OF COSTA MESA BUILDIN6 DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT l� P MIT NUMBER P99-00130 (714) 754-5273 • Fex (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2647 ORANGE AV Suite No Vicinity: Parcel Nunm6er: TPN960106 Applicant: Address: Owner: AMMERMAN,MARK NEW MILLENIUM HOMES Address 2823 MCGAW IRVINE, CA Contractor: NEW MILLENNIUM HOMES Address: 2823 MC GAW Arch I Eng : Address: IRVINE, CA PLUMBING PERMIT Phone: Zip: Phone: 949 660-1700X706 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 PLUMBING FOR NEW SFR, REF: B98-02236: 2 TUBS, 1 DNV, i WASHER, 3 SHOWERS, i SINK, 5 WASH BASINS, 4 TOILETS, 1 W/H, 1 W/S, 5 GAS OUTLETS, 7 GAS SERV., 1 B/PREVENTER, 1 SEWER CON., AND 1 LAWN SPR. SYSTEM. ISSUE FEE BackFlow irrigation BackFlow Preventer Bathtub Clarifer System Connect pce,Soda,etc) Dental Units Dishwasher Drain. Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Inierceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $22.00 $0.00 $8.75 517.50 $0.00 $0.00 $0.00 $8.75 $0.00 $D.00 50.00 50.00 $0.00 $0.00 $5.50 s�.00 $0.00 $8.75 $0.00 $0.00 Qn 1 0 2 0 0 0 1 0 0 0 0 0 0 1 � 0 1 0 0 FEE SUMMARY AMT Laundry Tub / Washer $8.75 Landscape Irrigation $13.25 P-Trep $0.00 Pressure Regulator $0,00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 SewerCapforDemo $0.00 Sewer Connect $22.00 Sewer Private Line $0.00 Shower $26.25 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $8.75 Sink, service/mop $0.00 Spa (private) 50.00 Spa (public) $0.00 oTv 1 1 0 0 0 0 0 0 i 0 3 0 0 0 1 0 0 0 COMMENTS / SPECIAL CONOITIONS Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) 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 $43.75 $0.00 50.00 $35.00 $71.00 $0.00 $0.00 $8.75 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALCALCULATEDFEES: $249.75 QTY 0 0 0 0 0 0 5 0 0 4 1 0 0 7 0 EXPIRATION: This pertnit shall automatically expire end become void if 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 aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlona end final approvel must be obtained. Failure to obtain inspedions and final approval will result In the expiration o( this permit. FOR INSPECTIONS CALL: (714) 7545828 � WORKERS' COMPENSATION DECLARATION: I hereby ettirtn under penalty oF perjury One ol Ihe following decleretions: ,� ❑ I heve enA will meintain e certificate oi consent to self-Insure for workers' wmpensetion, es proWded for by section 3700 of Ihe Labor Catle, for the peAortnance af the work br which t�is permit is issued. ❑ I have antl will maintain workers' campensatlon Insurance, es requiretl by section 3700 oi tha Lebor Gotle, for ihe peAortnance ot Ihe work for which this pertnit Is issuetl. My workers' compensaiion Insurenca certier en0 policy number ere: Cerrier: Policy Number: (This sectlon need nat be comp/eted N the permit Is valued et one huntlretl tlallaro ($100) or less.) ❑ I certHy Ihet in Iha performance ol the work for w�ich this pertnit is issue4 I shall not employ eny person in any manner so as to become subject to the workers' compensetlon laws of Celifomia, entl egree th If I sh Itl become suhject to ihe workers' compensetion provisions of Sectlon 3700 a� Ihe Lebor Cotle, I ahall fonhwlth comply wlth Ihese pr ��sJ!¢//��s�./� �) ApplicantSigneture: f9��% �� Date: 3'��^� � WARNING: FAIWRE TO SECURE WORKEPS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EM%.OVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED TMWSAND DO�LARE (5100,OW), IN ADDITKKJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEC�IIXJ 31O60F THE 1A00R CODE, INTEREST, FN� ATTORNEY'S FEES. LICENSED COMAACTORS DECLAHA710N: I hereby ettirm that I am licensed under provisions ot Chepier 9(crommencing with Section 7000) ol Division 3 oF the Business and Protesslons Code, end my license is in tull tarce end ettect. Lic. x �i �%2l�/ 9 Class # (� Conirectols Signeture: � ✓/ - � / �_ �_ Date: � .� S —� �j CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that there is a construction lending egency tor ihe pertortnance of the work for which this pertnll is issuetl. (Sec. 3097, Civil Coda). Lenders Neme: LentleYs Adtlress: Signature: Date: OWNER-BUI�DER DECLARATIONS: I hereby aHirtn t�et untler penalry ot perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions COAe: My dry or counry which requires a permit to consiruct, alter, improve, demdish, or repair eny structure, prior to Its iuuance, also requires the epplicant tor such permit to file e siBned stetement that he or she is licensed pursuant to the provisions of the Cantrectors License Law (C�apter 9(commencing with Sedion 7000) ot DlNsion 3 01 ihe Business end Pmfessions Code) or that he or sha Is exempt theretrom and the basls br Ihe alleged exemption. Any violatlon of Sectlon 7031.5 by any applicent for a pertnit subjecis ihe epplicaN to a civll penalry of not more than frve hundretl tlollars ($500).): ❑ I, es owner oi the properry. or my employees with wages as thelr sole wmpensetlon, WILL DO 7ME WORK, anA ihe siructure Is not intentletl or oHered tor sale (Sec. 7044, Business and Professions Cotle: The Contrectors License Law does not epply to en owner oi property who builAs or Improves thereon, and who tloes such work �ImseH or herself or through his or her own employees, provitled that such Improvements ere not intentled or otteretl for sale. If, however, Ihe Dulltling or Improvement is soltl within ona year of complation, Ihe owner-bullder wlll have the burden of proving I�et he or she did not build or improve for purpose of sala.). ❑ I, es owner oi the properry, am EXCWSIVELY CONTRACTING WITH LICENSEU CONTRACTORS to construct the project (Sec. 7bi4, Business and Profeuions Code: The conirec�ors License Lew tloes not apply to an owner of property who builds or improves thereon, entl who contracis for such project with e contractor(s) Ilcense pursuent to the Contrectors License Lews.). ❑ I em exempt under sec. Business and Profasslons Code for this reason: SigneW re: Date: Owner ID veritiatl by tlriveYs license. ❑ Yes ❑ No Drivefs License No. Expires: Venlication of Ownership by (type of documenC I.e. - properry tau bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I �BreCy certify Ihat no excevellon tNe (5) or more teet in depth into whic� e pereon Is requlred to descend, will be mede In cannectlon with work authodzed by this pertnit, entl that no building strucWre, sceXolding, felsework, or demolition or tlismentling thereot, wlll be more then ihirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Califamla Administretive Cotle). ❑ As owner-builder, I will not employ enyone to tlo work which would require e pertnit Irom the Division of Industnal Satey, as notetl above, unleu such person �es e permit to do such work irom the divislon. Signelure: Date: Division of Indusinel Sefery Permit Number: CERTIFlCATE OF COMPLIANCE AND AIJf}IOROATION OF ENTRV: I cenify under penalry ot perjury that I have read t�ls appllcetion end stete Net the informetion gNen Is conect I egree �o comply with all state lews antl city ortlinences relating to building consWction, end euthonze representetives of Ihe City ot Costa Mesa to enter upon the flbove-tlescrlDed properry tor inspectlon puryoses. I agree not to occupy or ellow occupancy ot eny building authonzed by Nis pertnit until tinal inspection. nature Oi Legel Owner(s) Dete /'�� 3-g-- `j � And/OrAuthodzed Applicent '� Dete CO�EI. INSPECiIONTVPE �¢ III�LS 1616 Fixed System Final Fire Preventlon 1266 200 201 202 203 Pool Spe Final Flnel Re-Root Final BIxWReteining Wall Finel Fadory Fire Plece Final Sign 204 Finel Demalitlon COOEt INSiECTIONTYPE 206 finel Mechanicel 20B Finel Plumbing 210 Finel Electncal 212 Final Fire Preventlon 220 FinelPlanning Approvel 222 FinalSite 250 Finel Bulltling/Occupency � 1�� CITY OF COSTA MESA � � �- � _ � BUILDING D/YISION : . DEVELOPMENT SERVICES DEPARTMENT �� ; PERMIT P JJ!O00%J R (714) 754-5273 • Fax (714) 754-0856 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Job Address: 2647 ORANGE AV Suite No Vicinity: Parcel Number: TPN980106 Applicant: AMMERMAN, MARK Address: Owner: NEW MILLENIUM HOMES Address: 2823 MCGAW IRVWE, CA Contractor: NEW MILLENNIUM HOMES Address: 2823 MC GAW ArchlEng: Address: IRVINE, CA Phone: Zip: Phone: 949 660-7700X106 Zip: 92614 Phone: ,949 660-1700 Zip: 92614 License: 743778 Phone: Zip: License: SCOPE OF PERMIT MECAHNICAL FOR NEW SFR, REF: 698-02236: 1 FAU, 1 A/C 77 REGISTERS, 1 HOOD, 4 VENTS AND 1 F/P. ISSUE FEE Inst FAU <100 k BTU Insl 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 Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < t0000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $22.00 $1325 $0.00 $12.25 $0.00 $13.25 $0.00 $0.00 $9.50 $9.50 $0.00 $26.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercia l I ncinerator Domestic Incinerator Compressors / Absorption Svstems Upto3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 7,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS 1 SPECIAL CONDITIONS Status: ISSUED Applied: 02/25/1999 Issued: 02/25/1999 Quantity $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 $0.00 5�05.75 EXPIRATION: This permit shell automatically expire and become voitl if work is not commenced within 180 days, or if work is suspended or abandoned for a perlod of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inepeetlona end flnal epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: � I hereby affirtn untler penalry oi perjury one of the following tleclaretions: . ❑ I have end will meintain a certificete oi cronsent to self-Insure tor workers' compensetion, es provided for by section 3700 oi ihe Lebor Coda, for Ihe pertormence af iha work for which this permit is issuad. ❑ 1 have end witl meinWin workers' o�mpensation insurance, as required by section 3700 of Ne Labor Code, tor Ne peAortnance o1 the work for which this pertnit Is issued. My workers' compensation Insurance cerrier end policy number ere: Cartier: Policy Number: (This section need not be comp/efed il the permif is valuetl at one hundred dollars ($f00) or less.) ❑ I certify Ihat in the performance of ihe work for which this permit is issued, I shall not employ eny person in any manner so as to become subject to the workers' compensation lews of Calitornie, antl egree at if I should become subject to the workers' compensetion provisions oi Section 3700 of the Lebor Code, I shell forthwith comply with these pri �s'o�ns. � j� �/ Applicant Signeture: �/✓H.�L.� , v/ C.�� Date: �- O -� � WARNWG FAILURE TO $ECURE WOFKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYEP TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND DOLLAHE (5100,000), IN ADDITION TO iHE COST OF CAMPENSATION, DMMGES AS PROVIDED WR IN SECTION 3]O60F THE LABOF CODE, IPREflEST, ANO ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I em Ilcensed underD�qvisions ot Chapter 9(commencing with Section 7000) of Divislon 3 of the Busines�j d Pratessions Cotle, end my license is in tull torce end eNea. Lic. x %�i �7�Y qass a /5 Contrector's Signature: ./1/L.-. ' - � Date: i - �`� CONSTRUCTION LENDING AGENCY: ❑ I hereby aRirm Ihat Ihere is a consimction lending agency for Ihe padormanca of the work far which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lentlets Address: Signature: Dete: OWNER-BUILDER DECLARATIONS: I hereby ettirm ihat under penalry of perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Buslness end Professions Code: Any ciry or counry w�ich requires e permit to construct, atler, improva, demolish, or repelr any siructure, prior to its issuanca, also requlres the epplicant for such permlt to file e signetl statement that he or sha is licensetl pursuanl to the provislons ot ihe Conirectors License Law (ChaD�er 9(commencing with Section 7000) of Division 3 of ihe Business and Pmfessions Code) or that he or she is exempt lherefrom and the basis tor Ihe elleged exemptlon. Any violatlon of Sectlon 7031.5 by any applicant tor a pertni� sub�ects Ihe epplicant to e civil penalry of not more than five �undred tlollars ($500).): ❑ I, as owner oi Ihe properry, or my employees with wa9es as ihelr sole compensatlon, WILL DO THE WORK, end ihe structure is not intended or oHered tor sale (Sec. 7044, Business and Protessions Cotle: The Coniradors License Law tloes not apply to en owner of property who builtls or improves thereon, and who does such work himseli or herself or Ihrough his or her own employees, provitled Ihat such Improvemenis are not intended or ofrered tor sele. If, however, the building or Impmvement Is soltl within ona year of completion, the owner-bullder will have ihe bwden of proving ihet ha or she did no� build or improve for purpose of sale.). ❑ I, as owner of the property, em El(CLUSIVELY CONTRACTING WITH LICENSED CON7RAC70RS to conslruct t�e project (Sec. 7044, Busineu and Pmtessions Code: TTe coNractors License Lew tloes not epply to an owner ot properry who builds or improves thereon, end who wntrects for such pmject with a caniractor(s) license pursuant to Ihe Contractors License lews.). ❑ I am exempt under sec. Business and Professions Code for ihis reason: Signeture: Dete: Ownef ID verifietl by dnver'S IiCenSe. ❑ Ye5 ❑ No Dnver's LiCense No. Expire5: Verification of Ownership by (rype af document, i.e. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PEHMIT CERTIFICATON: ❑ I hereby certity ihal no excavetion fve (5) or more feat In depth Into which e person is requiretl to descentl, will be metle in connedlon with work authorizetl by thls pertnit, and ihat no Duilding siructure, sceNoltling, falsework, or demolition or tlismantling thereof, will be more than thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Titla 8, Califomie Atlministretive Cotla). ❑ As owner-Duiltler, I will not amploy anyone to do work which would require a pertnit trom ihe Division of Indusirial Safery, as noted ebove, unless such person hes a pertnit ta do such work trom ihe division. Signature: Dete: Division ot Industnal Sefety Permit Number: CEHTIflCATE OF COMPLIANCE AND AUIHORIZA710N OF ENfAY: I certify under penalty ol perjury that I have reatl this epplicalion and stete that the Information given Is correcL 1 agree to comply with all slate lews and ciry ortlinances relating to building construdion, end euthonze representetives of the Ciry ot Costa Mesa to enter upon the above-descnbed properry for inspection purposes. I egree not to occupy or allow occupancy ot any building authonzed by this pertnit until final inspedion. �' �Sign re Of gel Owner(s) � _ � ��e AnNOrAuthodzedApplicant ^a Date CODE I. INSGECTION TYPE 1616 Fixed Systam Finel Fire Prevention 1266 Paol SOa Finel 200 Finel Re-Roof 201 Finel BIocWRelaining Well 202 203 204 2d48-66 Finel Fectory Fire Place Final Sign Finel Demolltion �e� e �QQEj INSPECTIONTYVE 206 Finel Mechenical 208 Final Plumbing 210 Final Elacidcel 212 Finel Fire Prevention 22o Finel Plenning Approvel 222 Finel Site 250 Final Bullding�Occupancy 1 IIII. ' � • � � I� - � � � CITY OF COSTA MESA , . � - BUILpING DIVISION : DEVELOPMENT SERVICES DEPARTMENT J. . ' . ��, PERMIT PER 7 UMBER 698-02236 (714) 754-5273 • Fe�c (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: ZB4% ORANGEAV Suite: Vicinity: Parcel Nunmber: TPN980106 npp�icant AMMERMAN, MARK Address: Owner: NEW MILLENIUM HOMES Address 2823 MCGAW IRVINE CA Contractor. Address: Zip: Arch : Address: Phone: BUILDING PERMIT Zaning: Phone: 949 660-1700X706 Zip: Phone: 949660-1700 X-106 Zip: 92614 Phone: License: Eng: Address: Zip License: Zip: SCOPE OF PERMIT CONSTRUCT NEW DETACHED RESIDENCE (1 OF 9-UNIT PROJEC�. SEE DR-98-07. PLAN 1A-2,064 SQ FT 2 STORY - 459 SQ FT GARAGE: - 3 BDRM & 2 1/2 BATH, F/P ICBO - FRONT PORCH (34.5 SQ FT). FEE SUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Other: I nspection: Total: SETBACKS ACCESSORY PARKING NOTES: $208.37 $1,282.25 $17.86 $0.00 $0.00 $0.00 $1,508.48 Front 0- 0 Front 0- 0 Existinq: 0 Rear 0- 0 Rear 0- 0 Reuuired: 0 PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Status: ISSUED Applied: 12/16/1998 Issued: 03/08/1999 Phone: License: Calc Valuation: St�e,s3z.sa Claim Valuation: So.00 Right 0-0 Right 0- 0 EXPIRA710N: This permit shall automatically expire and become void if work Is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeetlona end final epproval must be obtained. Failure to obtain Inspectlons end final approval wlll result in the expiration of this permit. ,OR INSPECTIONS CALL: (714) 7545828 WORKERS' COMPENSATION DECLARATION: . ' I here6y eXirm under penelry of perjury one of iha followinp declaretions: + ,, ❑ I heve end will meintaln a cartificate of consent to self-Insure for workers' compensetion, as proviAetl tor by sectlon 3700 of ihe LeDor Cotle, for the peAartnence of the work far whic� t�is permit is Issued. ❑ I heve and will mflintain warkers' compensation insurence, az required by section 3700 0l ihe Lebor Cotle, tor the pertortnance oi ihe work br whlch ihis pertni� is Issued. My workers' compen¢atlon In rance carrier end policy number are: Car�er. C �. 1 �o w�`J • Policy Number W �I g� ��'71 O I (Th/s secNon need nat be campleted i! Me rmit /s velued et one hundied dol/ars ($700) ar /ess.) ❑ I certify ihat in ihe peAortnance of Ihe work tor which Ihis pertnit is issued, I shall not employ any person in eny manner so as to become subject to the workers' compensatlon laws ot Celitomia, e epree thet H I shoultl become subjacf ta the workere' compensation provisions ot SeMlon 3700 ot the Labor Code, I shell forthwith comply with �hese %p'Q%Q�sions. ApPlicent5lgnaNre: ///n_.� _ � -__ _ - Date: �� '-�' � WARNINO: FAILURE TO SECURE WORKEFS' CAMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN� GVIL FlNES UP TOONE HUNDRED TlIOUSAND DOLLARE (E100,000�, IN ADDITION TO TME COST OF COMPENSATION, DAMAGES AS P(iOVIOED PoR IN SECrION 3]O60F THE IABOR CODE. IMEREST, AND ATfOFNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihat I em licensed und4( pro lons oi Chapter 9(commencing with 5ection 7000) ot Division 3 of tha euslness2and Professions Cotle, end my Iicense is in full force end eHect Lic. p 7�i °j I �� Class q U Coniracrors SigneNre: . � •�`..--�� Da�e: �- �" � y CONSTRUCTION LENDING AGENCY: � I hereby effirm Nat there is e construction lendinq agency for Ihe pertortnance of �he work for which ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lenders Neme: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm Ihet untler penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Protessions Code: Any cfly or counry which requires a pertnit to construct, alter, Improve, demolish, or repair any aWcture, Dnor to its issuance, elso reqWres the applicant br suc� permlt to file e signed stetement Ihat ha or she Is Ilcensed pureuent to tha provisions oi the Contrectore License Lew (Chepter 9(commencing with Sectlon 7000) of Divislon 3 oi the Buslness end Professions Code) or that he or she Is exempt theretrom and the basis for t�e elleged exemption. My vlolatlon of Section 7031.5 by any applicant for e pertnit subJecla the epplicant to e dvil penalry of not more Nen five huntlred dollars ($500).): ❑ I, es owner oi Ihe praperty, or my employees with wages as their sole compensatlon, WILL DO TF1E WORK, antl the structure is not Intanded or ofleretl for sale (Sec. 7044, Busineu flntl Professions Cade: The Conirectors License Lew does not apply to en owner of properry who builds or improves thereon, and who daes suc� work hlmseN or hereelf ar through his or her own employees, provitled that such Improvements ere not intendetl or offeretl for ule. It, however, ihe builtling or Improvement is soltl within one year ot complation, Iha owner-Duiltler wlll �ave the burden of proving the� he or she tlid not build or improve 1or puryose of sale.). ❑ I, es owner oi the properry, em E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct Ihe proleci (Sec. 7044, Business end Professions Gode: The contrectors license Law Coes no� epply to an owner ol properry w�a builGs or improves thereon, end who contracis for such project wlih a contrectar(s) license pursuant to the Contrectors License Lews.). ❑ I em exempt untler sec. Business and Professlons Code for ihis reason: Signature: Dete: Owner ID veritied by drivefs license. ❑ Yes ❑ No Drlvafs License No. Verlficatlon oi Ownership by (rype ol documant, I.e. - properry te�c bill ar tleetl): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: Eapires: ❑ I hereby certiy thet na excavetion tNa (5) or more leet in depth imo which a person is requiretl ro tlescend, will De mede In connection with work euthodzed by ihis pertnit, end that na builtling strucNre, scaHoltling, felsework, or demolition ar dismentling thereof, will be more then Ihirry-six (36) feet high. (C�ap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomia Atlministrative Cotle). ❑ As owner-bullder, I will not employ anyone to tlo work which woultl require e pertnit Irom ihe Division o1 Intlustrial Sefery, es noted ebove, unless such person hes e pertnit ro Oo such work irom the diNslon. Signeture: Date: Divlsion of Industnal Satery Pertnit Numher: CERTIFlCATE OF COMPLIANCE AND AIITMORPJITON OF ENTRY: I ceNfy untler penelry oi perjury thet I heve reed this epplication end stete thet the Intormellon given is correct. I egree to wmply with all stete lews enO ciry or0lnances relaiing to building construction, end authorize representatNes ol the Ciry of Costa Mesa to enter upon the ebove-tlescribed property for inspaction purposes. I epree not to occupy or ellow occupanry af any building authorized by this pertnit until final inspection. �� e nature OI Legel Owner(s) Date � /1,�. � (G1n, _ 'S - i!- �1 `1 AnNOr Au odzeA Applicent Date COUE �, INSGECTIONTYPE 1676 Fized System Finel Fire Prevention 1288 Pool Spa Finel 200 Final Re-Root 201 Final BIocWReffiining Wall 202 Finel Fectory Fire Plece 203 Final Sign 204 Flnal Demolltion za6ae QSjE It�E{$ GQQ[f INSPECTONTYPE . 208 Finel Mechenical 20B Finel Plumbinp 210 Final Electricel 212 Final Fire Preventlon 220 Flnal Plenning Approvel 222 Final Site 250 Final Builtling/Occupancy PAg .ni�R , NE4.. JRT-MESA UNIFIED SCHOOL Di� fRICT CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 To: (/) City of Costa Mesa ( ) City of Newport Beach ( ) County of Orange Applicant: � Address: _�' ielephone Number: _ h�'n - �7i�ci : .. � 2855 District Receipt No.�� Pian Ch�q�c,o�36' � � I�C�� R49- do2 38 TracUParcel and Lot Number(s): lru�+ "� �� 7 y Location of Project: Number of Square Feet of: n��, _ �� cf S Residential Space �: lc{ = iC } ��`1 Residential/ Sr. Citizen Space Commercial and Industrial Space Commerciaf/Industrial Project is: (Check One) _ Warehouse _ R8D _ Movie Theater _ Mini-storage _ Heavy Industrial _ Regional Shops _ Light Industrial 7his project is exempt because li�i x $1.84 x$.30 _ Motel Bank _ Neighborhood Shops _ RacqueUHealth _ Hotel Medical Office Office Park Total � b �� D � n Total Total Preschool Auto Repair Hospital Large Office Office Bldg. Restaurant Fast Food This certlfies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code sections 53080 and 65995. The BuiWing Permils tor this square footage in this proposed development may now be issued by your jurisdiction. 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 automatically terminate and the appropriate City/County shall be notified. Date: �� — I 1— �i �� /��y'_�.t �Y/Gr��''�� ,;4'il•T,��Yr,. . q�� ; •..:..:- � �, (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA ' BUILOING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 2647 ORANGEAV Suite No Vicinity: Parcel Nunmber: TPN980106 Applicant: AMMERMAN, MARK Address: Owner: Address Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 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� 8 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 02/25/1999 Issued: 02/25/1999 SCOPE OF PERMIT ELECTRICAL FOR NEW SFR, REF: 898- 02236: 2560 SQ Ff , 1 FIXT., 1 OUTLET, 1 SWITCH, & 1 METER. $22.00 so.00 $0.00 8128.00 $0.00 50.00 51.00 51.00 $1.00 $0.00 $0.00 $27.25 so.00 50.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 2560 0 0 1 1 1 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspeclion Fee Quantity $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 so.00 0 $0.00 0 so.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E180.25 COMMENTS / SPECIAL CONDITIONS EXPIflATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or If work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under this permit to be wnsidered legal, such work must comply with all applicable codes, and all requlred inapeetlone and final epproval must be obtained. Failura to obtain inspectlons and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION OECLARATION: I hereby aHirtn untler penalry of per�ury ane of the following daclaretions: . - ❑ I heve and will maintain e cenliicate ot consent to seli-Insure for workere' compenutlon, as proWded tor by section 3700 oi t�e Lebar Code, for the pertortnance ot the work lor wnich this pertnit is Issued. ❑ I have end will maintain workers' compensation insurence, es required by section 3700 of Ne Letwr Catle, tor ihe pertortnance of the work br which ihis pertnit Is Issued. My warkers' compensation Insurance carrier and policy number ere: Carner: Policy Number: (7/r/s sectlon need not be cromp/eletl tl fhe permif is valuetl et one hundred dollers ($100) or less.) ❑ I certify Ihat in the peRormence of tha work for which this permit is issued, I shall nat employ any pe�son in eny menner so es to become sub�ect to the workers' compensetion laws of Celifomia, eryl egree�t if I shoultl became subjed to the workers' compensetlon provisions of Section 3700 of the Lebor Code, I ahall forthwith camply with these prow ns. / �� ApPllcant Signature: ��2�� Date: � �— g WARNING: FAILURE TO SEWRE WORKERS' COMPENSATION COVERAGE IS UMAW FUL AND $MP1L SUBJECf AN EMPLOYEF TO CPJMINAL PENALTIES AND qNL FlNES UP TO ONE MUNDRED TMOUSAND DOLIARE (5100,000), IN ADDITON TO THE CQST OF COMPENS/TION, DAMAGES AS PROVIDED FOR IN SECf10N 31060F THE IABOR CODE, IMEAEST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm that I am licensed under mvisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Busines�d Professions Code, and my license is in full force and eXect. Lic. N�y� %� Y Class N Conirectofs Signature: � _ _ `�i�� — Date: � — �_g �i �'� CONSTRUCTION LENDING AGENCV: ❑ I hereby effirtn that there is a consiruction lending agency for the peAortnanca of the work tar which ihis pertnit is issuetl. (Sec. 3097, Civil Cotle). Lentlers Name: Lentlels Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm ihat under penelty o� perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reasan (Sec. 7031.5, Business end Professlons Cade: Any ciry or counry which reqmres a pertnit b construct, elter, Improve, tlemolish, or repair eny structure, pnor to its Issuence, also requires the epplicent tor such permit to file e signed statement that he or she Is licensed pursuant ta the provisions ot the Contractore License Lew (Chapter 9(commencing with Sectlon 7000) of Divlsion 3 of �he Business end Professions Code) or thet he or she is exempt therefrom and the basis for the alleged exemption. Any violatlon of Sectlon 7031.5 by any epplicant for e pertnit sub�ects tha applicant to a civil penelry ot not more then flve hundred Aollars (5500).): ❑ I, as owner oF the properry, or my employees wit� wages as thelr sole compensatlon, WILL DO TTIE WORK, and Ihe structure is not intentled or oHeretl for sale (Sec. 7044, Business and Professions Code: The Coniractors Llcense Lew does not apply �o an owner of property who builtls or Improves thareon, antl w�o tloes such work hlmself or hersetl or Ihrough his or hei own employees, provltletl Ihat such improvements ere nat Intentletl or ottered for sale. If, however, ihe building or Improvement Is sold wi��in one year of completion, tha owner-6uiltler will have Ihe burtlen of proving tha� he or she did not builtl or improve for Ourpase ol sale.). ❑ I, es owner at ihe propeny, em EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to construct the Drqect (Sec. 7044, Business flntl Protessions Code: The contractors License Lew does not appy to an owner of pmperty who builCs or Improves Ihereon, end who contracts tor such pmject wlth e wntrector(s) Iicense pursuant to ihe Contrectors License Laws.). ❑ I em exampt untler sec. Signatura: Owner ID venfiad 6y dnvefs license. � Yes ❑ No Business and Professions Code for this reason: Vedilcatlon ot Ownership Dy (rype ol tlocument, i.e. - praparry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Drive/s License No. Date: Expires: ❑ I hereby certity ihat no excevatlon five (5) or more feet In tleD�h Into which a persan Is requlreC to tlescend, wlll be mede in cannedion with work euthorized by this permlL end Ihet no building structure, sceftoltling, felsework, or demolition or dismantling Ihereat, will be more Ihan ihirty-six (38) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Celifomia Atlministretive Catla). � As owner-huilder, I will not employ anyone to do work which woultl requlre a permit irom the Dlvision ot IntlusMal Safery, es notetl ehove, unless such person has e permit to do such work irom the division. Signature: Dete: Division of Indusirial Safety Pertnl� Number: CERTIFlCATE OF COMPUANCE AND AUiHORVJITON OF EMFiV: I certity under penalry ol per�ury thet I have read this application end state thet the Intormatlon given is correct. I egree to comply wiih all siete lews and city ordinences relating to building constructlon, end authonze representatives ot Ihe Clry af Costa Mese to enter upon the ebove-dascnbad pmperry tor inspection purposes. I agree not lo occupy ar ellow occupancy of eny builtling auNorized by this permit untll final inspection. n� ��JJJ Signejure Of,Leg I Owner(s) �^� ^� Date // �.� �/ 6^�" Or AuNodieO Applicant �—�Date COOE t. INSPECiIONTYVE 1818 Flzetl System Finel Fire Prevention 1288 Pool Spa Final 200 Final Re-Raof 207 Finel BIocWReteining Wall 202 Flnel Fecrory Fire Plece 203 Final Sign 204 Finel Demolition zaaaae PAjE It�{$ G4�E� INSPECTIONTYPE 206 Finel Mechenical 20B Finel Plumbing 210 Finel Electricel 212 Final Fire Prevantlon 220 Finel Planning Apprwel F� 250 Final Site Finel Building/Occupancy � Sr-1�•Y9 I�� ,