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Home My WebLink About132 MONTE VISTA AVE - Building Permits .. I d Final Sign-Off w �S*SANI1q ' e OCCUPANCY RELEASE , n mo V. Li /a4Job Address: 128-130 Monte Vista 'c%ORAtE,`�ww Project Number TR-15655 A.P. Number: 439-171-37 FEES PAID AMOUNT DATE PAID RECEIPT NUMBER O.C.S.D. $ 9,440.00 5-11-98 000222 INSP. And P.C.- $ 910.00 5-11-98 000222 • FIXTURE FEES $ Varies 6-24-98 13660-13664 SEWER PERMIT $ 55.00 6-24-98 2934 ORD. #16 S ADD. INSP. $ FIELD CHECK: YES DATE: 12-29-98 COMPUTER CHANGED: NO DATE: t-% -99 FINAL APPROVAL DATE SENT TO BUILDING DEPARTMENT: It-It S APPROVED BY: Dawn Schmeisser9talkSAVM0AApo -----• ❑ Residential Number of UNITS — 5 new units ❑ Commercial Square FOOTAGE — ❑ Industrial Square FOOTAGE — ❑ Industrial Square FOOTAGE — ❑ Other Square FOOTAGE — NOTES: 2406-68 ON-LINE • Southww 1 Inspection and'ref ng, Inc. • 10826 South Norwalk Blvd., Santa Fe Springs,-CA 90670FOSIo (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 - tliV `�t-, SWITJo 3 n-aatg REGISTERED INSPECTORS'S DAILY REPORT MIS 1 ci TYPE OF ' 21einforced Concrete ❑ Structural Steel Assembly INSPECTION ❑ Post Tensioned Concrete 0 Fire Proofing 0 Other REQUIRED 0 Reinforced Ivlasonry 0 Asphalt _ Job Address ' ,3A ,..,kO ` City Job Name` Per�mt N$� 00-7_.37 Issued By -T�CT� Iu-`1 NJ(--1 QSCDE�sG� D"t' Type of Structure \ Architect (1. 1-4.a.) ytCSCs ctJ c..-q-L, iiei Material Description(type,grade.source) Engineer Contractor () _ ` -Trit ` G -c LK _ Inspector(s)Name1 \ Y� `L�� /• C Subcontractgr.(K-�Jt'AS- C.S/'i C'K/' C `��S c}-� l� dam) l�TESTS PERFORMEDJTLfN�4]' �£�' TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES c ^`cILfa-t.- 5. 25 S Ac A- —l-a-1 L INSPECTION SUMMARY— LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED,NUMBER,TYPE&IDENT.NO'S OF TEST SAMPLES TAKEN: STRUCT.CONNECTIONS(WELD MADE H.T.BOLTS TORQUED)CHECKED,ETC. NOTE—c> PR£•(£aT at SrEcs— rex(,.scF.c4J-(£mT m. (,,Ce OwCD rislj� k.V To rQSflOA tM � ...IN Na-4 eTo,c .- T s. csrh. c 'r�y 5-co .s L -cep s cn.E.rg' eC1 l l B 'taco > t...s.t-a s1TE • S,CNg ' o0ea. . r,n..orpr nc hs,E..) vsS-sl?4At.LE,S Ars >e.•— f—gTAT ctImi t t.5 A-P4s> Atpu�e--'n31.--C Cct e•S -Sot•-s a Epos N.-i- /144 1/4-- �'Lt - t-1-T Crt-4aiZ lX 4rQct)t- wA»en. on L-17 to. t, I l.C/•Q .4- C. - ro-en- �c> Ar�>.L.,,. ^te -j __s_T,'_4C:, , TEsr_s — Sar • RaicEiC t Alam& t_osht7 e# 1 • CERTIFICATION OF COMPLIANCE CONTINUED ON NEXT PAGE 0 PAGE - / OF I HEREBY CERTIFY TH•T I HAVE OBSERVED TO THE CST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED TIME IN TIME OUT REG.HOURS O.T.HOURS CYLINDERS I WORK UNLE S O .ERL ISE NOTED.I PAYE FOUND THIS'WORK TO COMPLY PATH THE APPROVED PLANS, SPECIFICAT I .,AND •PPLICAELE SECTIONS OF THE GOVERNING BUILDING LAWS. 0760 ((Q0 D@�9 Al! inspections based on a minimum of 4 hours and over 4 hours-8 hour __ 40 SOFet minimum. In addition,any inspection extending past noon hour will be an 8 SIGNATURE OF REGISTERED INSFECTOR hour minimum. Approved by .. SPECIALTY NO. AGENCY Project Superintendent \VHITE - OFFICE COPY.CANARY - ACCOUNTING COPY.PINK - INSPECTOR'S COPY.GOLDENROD - JOB SITE COPY • 4-.iiiL ..y' CITY OF COSTA MESA s x ' �, BUILDING DIVISION i .I DEVELOPMENT SERVICES DEPARTMENT P98-00503 PERMIT PERMIT NUMBER �� (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 132 MONTE VISTA AV Status: ISSUED \ Suite No Applied: 06/24/1998 Issued: 06/24/1998 Vicinity: Parcel Nunmber: TPN98053 Applicant CERNICH, ERIC Address: • - Phone:' - Zip: Owner. MONTE;VISTA PROPERTIES • _ " Address // ' / v . �y2 _ �C. '�V - Phone: - , V�, // Zip: • /� / \ /-- Contractor. /7,(7 1i.'/ /' Address: - .12-„7 - / / i ,-- Phone:- • - : :Zip: . _ e: , -...-License _• /_ ' ' - - - _ ArchlEng: / _ - ,! . ' Address: _ ., i / Phone: N N - / Zip: / i - .�-�/� / License: _.. , - , ' �v .SCOPE OF PERMIT - % PLUMBING FIXT. FOR NEW SFR. 1 BATHTUB,-1 DISHWASHER,,-91tE - % ,Co a12bc, - 1 Sr MAI4ER, 1 GAS SYS,-1 GAS SERVICE, 1 WASHER, 11ANDSCAPE , IRRIGATION SYS, 1 SEWER CONNECTION,2 SHOWERS, 1 KIT.SINK, C 7 ' • 2 WASH BASINS, 1 WASH BASIN SET,3 TOILETS,1 WATER HEATER, 1 / , ' ' WATER SERVICE.SAN-DIST FEES PAID - --- ' � FEE SUMMARY -;: AMT`_ QTY AMT QTY - , ' AMT QTY ISSUE FEE- 'N' $22.00, Laundry Tub/Washer-" $8.75 1 Sump Pump , , $0.00 0 Backflow irrigation • x$0.00�';0 Landscapeirrigation % "$13.25 " 1 Swimming Pool : $0.00 0 Backflow Prevent& $0.00 -'0 , • P-Trap ' .$0.00 '0 ' . Trap Primer $0.00 0 Bathtub $8.75 1`�'; Pressure Regulator „$0.00 •-0 - Urinal " /" / -_ $0.00 0 Clarifier System $0.00 , 0 y Process Piping(per 10 ft) „ $0.00 0 -. . - - -- Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $8.75 , ;1Receptors `' 2, $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 '0„ - Septic Tank $0.00 - 0 Wash Basin/ / $17.50 2 Dishwasher $8.75 1 ' - Sewer Cap for Demo $0.00 0 Wash Basin Set $8.75 1 Drain,Floor $0.00 0 ''Sewer Connect $22.00 1 ' Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0, -. Sewer Private Line / '-$0.00 0 Water Closet(Toilet) $26.25 3 Drain,Roof $0.00 0 'Shower $17.50 - 2 • Water Heater/vent $11.00 1 Drinking Fountain $0.00 0 - - Sink,bar , . . $0.00 0 , ' Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial . $0.00 0 ' Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor " .$0.00. 0 Water Service $8.75 1 Gas(1-4 outlets) $5.50 1 Sink,kitchen $8.75 1 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $8.75 1 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $205.00 • COMMENTS I SPECIAL CONDITIONS EXPIRATION: 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 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 required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5628 DECl AR/LTIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: . 1 ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and w0 maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance Carrier and policy number are: Canter: Policy Number. (This section need not be completed li N:permit is valued of one hundred dollars($100)or less.) 419 I certify that in the perfo ••-nos o the work for w this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of :item! nd :'ree that I ould become subject to the workers'compensation provisions of Section['z 700 of the Labor e,I shall forthwith �1 comply with these pr• sloes. ( ' Applicant Signature: / � L • Date: � �j Lf WARNING:FAILURE TO SECUR !•RKERS•ODMPENSATION COVERA E IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAES AND VIL FINES UP TO ONE HUNDRED THOUSAND DOLIARE(S103.000).IN AOORION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Lic.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he Or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044.Business and Professions Code;The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement Is sold within one year of completion,the owner-builder will have the burden o1 proving that he or she did not build or Improve for purpose of sale.). ❑ I,as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The co. • tors cense Law d•:s not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pu - ant L th/ ontractors apse Laws.). I em e : pt u •er "c. Business and Professions Code for this reason: " Ignature: i M� - . (� . W Date: a Y(9 / Owner ID ve-11911r47tl lierrn.se. es 0 No Drivers License No. Expires: Verification of Ownership by(type of dotal ent,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made In connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature end pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health end Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application aparm t for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LL i No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 if a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (if'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE • •MPU E AND AUTH•' • •TION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I at :e to .-amply all state la ; •rid city ordinances relating to building construction,and authorize representatives of the City of CCC000yyya Mesa to enter upon the ave-de dbed• ope • inspection r c,•ses.I agre of to occupy or allow occupancy of any building authorized by t is pgrtnit_unti 111 al lDsoehion. l� r/:�` (, Slg lure Of Legal Owners )/''' //�J /Date t L/Y"fi/LO r„c Gym./ $. c wud•h b. A445�•� LLC And/Or Author ed Applicant wog" 4 S Date COOS INSPFennti TYPF DATE K�=ALS pow INSPECTION TYPE MTh . BEMIS 1616 Fixed System Final Fire Prevention 206 Final Mechanical . c� 1266' Pool Spa Final . 208 Final Plumbing 19-O-1 a 200 Final Re-Roof • 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention • 202 Final Factory Fire Place220 Final Planning Approval i. 203 Final Sign 222 Final Site • 204 Final Demolition 250 Final Building/Occupancy 24464a �� CITY OF COSTA MESA 'r+e� BUILDING DIVISION u DEVELOPMENT SERVICES DEPARTMENT M98-00261 PERMIT PERMIT NUMBER (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Oil Job Address: 132 MONTE VISTA AV Status: ISSUED Suite No Applied: 06/24/1998 Issued: 06/24/1998 Vicinity: Parcel Nunmber: TPN98053 Applicant: CERNICH, ERIC Address: -- Phone: - - -_ • - Zip: . _ Owner: MONTE VISTA•PROPERTIES Address: /�/-iii � �A, ` / /A ' / : - 7:1-,o)/// \ A „i - Phone:. -_ _ - , .,,v i/'V I. N / :Zip• ;;i . - ' \ Contractor: / i • /, ,-7-,//,z-- % Ii-�� Address: //' ^' 'v��. •,i,. / / _. >r;•• / i3'' / i//� Phone' _ •, c /% Zip' ILS. �= A /„d/ /, y, /;y, License: , I Arch/Eng ,., /,' . / . . -' r, Address ;i , _ i, / Zip: s' ., ,. License: / di: Z {I - SCOPE OF PERMIT -• , t / /1 ;FAIL:A/C"UNIT,FACTORY FIRE PLACE, HOOD. &A FAN: . "' FEE SUMMARY n, .Quantity` ,Ir,'.•' `,_--- _ /' ` //,, - - - ' Quantity ISSUE'FEEt ' '.v, - $22.00 -- -_ ' -- Repair(Alt Absorbtion Unit $0.00 0 ) ; Inst FAU<100 k,BTU $13.25 ' - - -• -- • Repair/'AIt.Refrigeration Unit $0.00 '0 /.". : Inst FAU.>100 k I3TU -'', ' $0.00 Ventillation'System ' ' $0:00 .• 0 / Repair'/Alt, Cooling/Heat/;' $0.00.• 0 Evapdrative,Cooler - - $0.00 0 / Inst/Rep.,Recess Wall Htr" $0.00 0 Commercial•Incinerator c $0.00' 0' Refrig Sys;<100 k.BTU ' �'' $13.25 1 Domestic Incinerator 7, $0.00 :0 Refrig Sysk>100 BTU i '�A` $0.00 0 • ,aCompressors/Absorption Systems �i - Gas Piping v`. • - ' - $0.00 0 , -' :iUp_to 3 hp/100 k BTU // $0.00 •0 Factory Fireplace , . ,•'-i$9.50 1 .r-;,3 To.15 hp/500 k BTU - 7/ , - $0.00, 0 Hood w/Meth-Exhaust -r• .��$9 50 1 , .!1 / 5Td 30hp/1,000 k BTU . $0.00;� 0 VAV Box •, •$0:00 0." ,;: 6., '30-To50 hp/1,750 k BTU' $0.00 0 Vent Fan/Single-Dud $6:50 j/' / - ` . ' 'Over 50 hp/Over 1,750 BTU // .00/'$0 0 Appliance - -$0.00 0 •- _ ' ' •'Boilers Fire Dampers $0.00 0 `.• - ,` �'' Up to 3 hp_ - - $0.00 0 Smoke Dampers $0.00 0 ' ` ' . . •3 To 15 hp $0.00 0 Inst or Relocate Appl Vent ' $0.00 ..0 - , - 15 to 30 hp . ' $0.00 0 Air Handlers< 10000dm ;.$OAQ;';0' - 30 to 50 hp; , $0.00 0 Air Handlers> 10000cfm -. -$0.00 0' , / ` ' , --• Over 50.hp . $0.00 0 Floor Furnace $0.00' - 0 Other Mechanical Fee , Floor or Suspend Heater $0.00 0 - • Investigation Fee, ', . - $0.00 ' Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $74.00 COMMENTS/SPECIAL CONDITIONS EXPIRATION: 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 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 required Inspections end final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. j FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. O I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carder and policy number are: . Cartier: Policy Number: s section need not be complete• he permit Is valued at one•.ndred dollars($100)or less.) I certify that in the pa••rmanc' of the work for whic• I s permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws • Callfomi-,and agree that if . • Id become ubJect to the workers'compensation provisions of Section 3700 of the bor Code,I shall forthwith comply with these p ovislons. /L/1"-C1" (C Ij 8 V 13) pplicent Signature: / / L/1"-C1"�'- Date: WARNING:FAILURE TO S • •• ERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENAL IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOC ARE($100.000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): O I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of p perty, am EXCLUSIVELY C• RACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code:The tracto License Law1.oes not a•• • an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license p suant a Contractor. (cense /f�I I am a empt u sec. usiness and Professions Code for this reason: 11 "l Signature: "AAA, Date: ��f/a L{' 1 llY 1 Owner ID edfied by ddv: Icens: of es 0 N Driver's License No. IExpiress: Verification of Owners ip by(type of doc en6 i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health end Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 if an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or wit the applicant or present or future building occupant require for the work which is the subject of this application apereit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? j�Yes L i No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safely Code). 7 if a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICA F CO LANCE AND A ORATION OF ENTRY:I certify under penalty of perjury that I have read this application and state at the information given is cored:I ree to ply with all st aws and city ordin ces relating to building construction,and authorize representatives of the City of to Mesa to enter upon the above- scribed p rty for ins n purposes.I agree /to,occupy^ or allow occupancy of any building authorized by tpis permit yntil fn spedion. (D� SI re eL gal Owne << f`/Y/) O/(fc`r!' �a e nn /� (Soa3�:�"u, ntt fro LAnNO hodrr PPlicant Na //��7p/J._ l Data ranF 1 INSPECmoNTYPE DAM/' �LS iiEA IN"s__PECTIDILME DA¢ 1616 Fixed System Final Fire Prevention 206 Final Mechanical J5?`.,Z9 -q 1266 Pool Spa Final 208 Final Plumbing ' 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval • 203 Final Sign 222 Final Site 204 Final Demolition - 250 Final Building/Occupancy 2448-48 �'t`� { CITY OF COSTA MESA a;. y"! � BUILDING DIVISION pi "^' 'i DEVELOPMENT SERVICES DEPARTMENT B98-00713 PERMIT PERMIT NUMBER (714)754-5273 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 926266 Job Address: 132 MONTE VISTA AV Status: ISSUED C 1't`i/ Suite: Applied: 04/15/1998 Vicinity: Issued: 06/24/1998 Parcel Nunmber: TPN98053 Zoning: Applicant: MONTE VISTA PROPERTIES Address: 3525 E COAST HWY •UNIT 155 Phone: CORONA DEL MAR, CA Zip: 92625 Owner LLC .,'d- . ' - Address 3535 E COAST Hwy,. - SUITE 1557-: ' Phone: 714 6244375, CORONA:DELMAR', ,�, Zip: 926.25 ' ' - �� VA Contractor: /DAVID L.,ARNESON - �� 'y�. ,A Address: %%5530 SAN JUAN DR%';-'" - / / - ,\,„� / 7 Phone: •Vii✓/ ORANGE,-CA��• Zip: 92869 'k A'• - „. . , i ,, ./././ :w License: C13354 � �• _ \ • Arch"/Eng':<%,DAVIDL ARNESON y Address: . 5530 SAN JUAN DR - ' ' /, . Phone: . - i.. ORANGE,CA - . -- Zip: 92869- � ' - • ^ d• . ,License: LC13354 l . SCOPE OF PERMIT ' ' --' - . NEW SINGLE FAMILY DWELLING WITH ATTACHED GARAGE. 1752 SQ. FT.LIVING SPACE.420 SQ. FT.-ATACHED GARAGE. REF PC# 1423-98A. • PARK FEES PAID UNDER ACTIVITY PK-98-05 -. - - •- -- - TRIP FEES PAID UNDER ACTIVITY TI-98-0 • V • - - !'/- ' — FEE SUMMARY / ' - Plan Check: $186.43 -, / Calc Valuation:. 151,818.00 Permit - $1,147.25 Claimed Valuation: • - so.00, SMIP Res: , $15.18 SMIP,Corri:" • $0:00 ' , `Other: " $0.00,\ ,_ - ' Inspection: $0.00 •; - , '`H' `, . K - 'A , . Total: $1,348.86 • t'! - PLANNING'S,ZONING - - ` / / • SETBACKS - - - _ - MAIN STRUCTURE Front 0--0 Rear - -0-0 ,Left 0-0 - Right /0-0 ACCESSORY Front 0-0 Rear 0-0 , , .. , Left , ...0-0 /Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: EXPIRATION: 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 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 required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. • FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: . , ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Cartier: Policy Number: is section need not be completed If •: •:Trail is valued at• :hundred dollars($100)or less.) iii I certify that in the perfo : ce of e work for w•this permit is issued, I shall not employ any person in any manner so as to become ubject to the workers' compensation laws of C. omla : d agree that I, -squid be me subject to the workers'compensation provisions of Sect! n 3700 of the La r Code,I shall forthwith comply with these pro Ions.\apC2,r/ A pllcant Signature: 4,0R Date: LTLA/N(/!/ WARNING:FAILURE TO SE RE W•'/ • •ERS' •' •ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P TES D OWL FINES UP TO ONE HUNDRED THOUSAND DOLLARS(S100,.•-, ADDmON TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lie.a Class If Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If.however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of •• pr.•.rty, am E CLUSIVEL CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code:The • tracto- License ,.w does not/poly to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pu .uant to e Contra srs License . s.). 4I am ex: pt und; sec. I Business and Professions Code for this reason: C9(b(y� II nature: Date: Owner ID yen ie•by di •"s liven • es ■ No Drivers License No. pares: Verification of Ownership by(type of doc ment,i.e.-properly tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no buildin structure,scaffolding,falsework.or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Cellfoml Ail Inistratl ..Code). As owner-build I WI of em/nyone to•• •rk which would require a permit from the Division of Industrial Safety,as noted above,unless such per on has a permit to do ch from t :division. Date: (49b9 t(/ Ignature: Division of Indus. afely Permit Number: Ar HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 NO (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Flre Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department, 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a_pennit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Alr Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made. ❑Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE - CO PLIANC' D AUTHORIZATIO. OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I a• =e to c ply wit ' state laws and ci. •rdinances relating to building construction,end authorize representatives of the City of Costa sa to enter upon the abpve-d.- ribed ' perty for, spection purpose agree A to or allow occupancy of any building authorized by this until fi al spedi . `1�J1/'�/A • //i.•�y/ • egal Owne s /( C lT[I/Df ate And/• Authorize•'Appr -nt AAI ! r 4 l/"�1�� l Z. ( Date CODE L INTIONSPECTPILE DATE ISE g7ggE1 INSPECTIgNTYPE DATE MALE 1616 Fixed System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final • - 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 FiAnal Site 7 /__7 L / • 204 Final Demolition 250 Anal Building/Occupancy ( ' , 2446-49 Insulation Certificate n 132- Mv'n u cfA Uos -a 14 vS^ Number and Street City CNAC61....- county Subdivision Lot Number Description of Installation ROOF Material 5iCJ< ), 5 (; I341 rand Name n s Thickness(inches) Cl 1/2 11 Thermal Resistance(R-Value) td RD CEILING �ll Batt or Blanket Type /STI Brand Name Q L -�tA 5 W \�t t vh Thickness(inches) Ot 1j1 (f Thermal Resistance(R-Value) (2 -7R b 0 Loose Fill Type Brand Name Contractor's minimum installed weight/ft` lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) EXTERIOR WALL � / i Material '- 't sl 555 jv15-vLL C640Brand Name O LA-Al-4,5 CoUl- Thickness(inches) 3 ''5 it Thermal Resistance(R-Value) a- 13 RAISED FLOOR u1 Material ! 5 SS ^ .. . 4)and Name b t y e vv5 Thickness(inches) 1',,(/1 Thermal Resistance(R-Value) l2- SLAB FLOOR Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Tide 24 of the California Administrative Code. /149Y1 ))\1514"602 All C-0 757 4/41 g er• Cont:actor(Build ; License Number Si;nature and Title Date stiller) License Number /2 -(4- 4V Signarure an t e Date Compliance Forms January 1, 1995 i tP4-980-55 L3y,-1- ,547z3 _PN -qbb- 54 - TS.s' 1 = PRIWZL *' YARD AIM". . T. IEt STORY erre) Aad 17 I ASsodaas IMMO:TES [Lett AICIUhaYrae i , `1_. b &Parts .:"I I'.1 -Ltoe r I t— ( ! 2-CAE Wr>41' I .' OSP - 4 1 lira S.NDSCAM Yea.Ie�eIST SGfrM14Nrata -to NI TYPtnw1. f MIqsRu1 "IlTRASH ENCLOSURE EiAu �\ PER CITY SiFW.• -,-- T P I 1�_ B _ NI /' 1Q F-' P/J-G�-53 1 N in -1 . I LANDSDAPo ARS r I .:;. »� r � --- e{y1GC �... .iS:l!V_A``: DYwL la Noi6E5.. ( I ESitELLISCp FISVI I f.'. I'` TA" IDX .r PAVED 2 174ge052AD:" I I nw. 4 - g'-G LI CO aunt ' 1t 1 I PAR Pt% LL gLR. 1. .12-C...... KI 3TA L1121 0 I �ry1 1 —� • I DRIVB At9LE LOC ITEM� le-4:41 e1i �,. w- SKeeLLIS.119 rya�p �k1i.'49i l• ransT lI ti ^/dJ�.tl:l� I PFJ 9QQ-51 -- T::da f le.is? pPrxtY UN!.CXI6ZUli � 18.5' P2R ..Ct]R Ad9 zgewauK - , }---�=Jl 1- EanA.gWK Mr*7 Twig .., t -s1QNTE VISTA A✓E__ L SITE PLAN "I CAM G ras..3 rfd —: IF`-11.0. SCALE r.L,SJ '1 i-e8 - 1 3-2' . plaww CAA JOE 110 95-i:C Owner. Monte ruts Progenies.LLC �1 /, 7575 E.Coast Highway 1155 /3Lt / I et N SHEET Corona Del Mar,CA 92625 (7 14) exa-A»s '/ �r Artnicecc David Arneson /q0/ t l�j �C`' gil■ • 5570 SanJuan Dme Orange CA.92669