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Home My WebLink About225 MONTE VISTA AVE - Building Permits;�': y�.' i � i CITY OF COSTA MESA � BYILDING DIV/SION � �• 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BC07-00156 �: :� :. PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: SFD_NEW DATE ISSUED: 05/08/2008 ISSUED BY: RMD �oe ao�Ress: 225 MONTE VISTA AV.CM , � Suite/Unit: . APN: 11910232 , Zoning: �. - . - � � Vicinity: - Primary 0cc: .R3/tJ1 "� ConstType: V-N `��, SQ'FT:- " 4223 - . Valuation: $341,681.28 SCOPE OF WORK: CONSTRUCT NEW3;510 SQ. FT. 2 STORY SINGLE FAMILY 4 BDRM/3 BATH HOME WITH 1 FAU < 100 K BTU, 1 COOLING/HEAT, 2.F,ACSORY F,IREPLACE, 1 HOOD W/DUCT 8 MECH EXHAUST; 4 FENT FANS, ELECTRICAL FOR A 3510 SF SFD, 2 LIGHT FIXT, 4`OUTLETS�, 1 SWITHCH FOR GARAGE, 1 BACKFLOW IRRIGATION�, 4 BATHTUB, 1 DISHWASHER, 1 � ' _ . - � . . . . GAS (1-4) OUTLE7S, 1 ADDITIONAL:GAS OUTLET, 1, GAS SVC, 1 LAUNDRY TUB/WAHSER,� 1�PRESSURE REGULATOR, 1 SEWER CONNECT, 2 KITCHEN SINKS, 4 WASH BASINS, 4 WATER CLOSETS, 1 WATER HE9TER,.1 WATER SVC. 1ST FLR - 1,739 SQ. FT, 2ND FLR'-'1,771 SQ:.FT, ATTACHED GARAGE - 546 SQ. FT. AND FRONT PORCH y 167 SQ. FT. REF: G07-00024, ZA-07-47, PM-06-258 . � � '. ` ,r - t ... , .,- . . � .. OWNER: 227 MONTE�VISTA LLG �- Address: 227 MONTE VISTA - ;, Unit: Phone: � " , , � City/State/Zip:� COSTA MESA,.CA � - _ i � ... ,.;i , . APPLICANT: NANCI GLASS �� . - Address: - � - � - -.. � � ' Unit: : Phone: 714-9g7-19B8 ., � City/State/zZip: - � CONTRACTOR: NICHOCSON CONSTRUCTION CO. �icense No. 660295 Phone: 714-997-1998 .. �- , Address: � 1421 WANDA RDUnit: ORANGE Cell: �' -- � - City/State: SUITE 160. ZipCode 92867 ARCHITECT: PETE VOLBEDA.' �'�, ENGINEER: � � - License No.C13077 -- - . License No. �. � COMBINTATION PERMIT FEE SUMMARY Building Plan Check: . $1,526.82 Building Fees: � $2,348.95 Electrical Fees: $296.30- Mechanical Fees: $113.15 Plumbing Fees: $26120 SMIP Residential: $34.17 SMIP Commercial: $0.00 TOTAL FEES: $4,580.59 •'Reter to fee receipts tor all tees paitl for proJect PHONE:909-373-1150 PHONE: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California slatutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requered inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. co� ixsrecnoN me 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 FinalRe-Roo( 201 Final elock/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolitiqn onh inmu�s cooe� ixsvecnoxTrve 206 Final Methanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevenlion 220 Final Planning ApOroval 222 FinalSite 250 Final Building/Occupancy on� ixTmni i � +' ,If� WORKERS' COMPENSATION DECLARATION� I hereby affrm untler penalty of p3�ury one ot the owing tleclarations: ❑ I have and will maintain a certificate of consent to self-Insure for vrorkers' compensation, as provided for by section 3700 of the Labor Code, for the �performance of the work tor which this permit is issuetl. ��❑'' I have and will maintain workers' compensation insurance, as required by sectbn 3700 of Ihe Labor Code, fw the performance of the wark fw which this permi� is issued. My warkers' compensation Insurance carrier and policy number are: cCarrier.- ST3�1F— �U1J� (This sM.on neetl not be mmpdeo�� he permrt is valued af one huntl�etl Collars (5100) oi less.) Polic N mber. �� \ \� 3 � �'�� ❑.I ceAiry that in the pertormance of ihe work for which lhis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation 18ws of Cali/omia, and agree that if I shoultl become subject to the workers' compensation provisions of Section 3700 of the�r Code, I shall (orth i h omply with these provisions. o S -'8-O� ppliranCs$ignaWre CDale� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLP.WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37� OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirtn that I am licensed under provisions of Chapter 9(commencing wi�h Section 7000) of Division 3 o� Ihe Business and Pro(essions Code, and my license is in full force and effect. (Cicr,#.. ��5 �Class�# � l s -g�OR' CnntraGoieS�gnamref- ' Dete=> CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn Ihat there is a consWc[ion lending agency, fw ihe performance of the work for wfiich ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Address: Date OWNER-BUILDER DECLARATIONS: I hereby aKrm ihat under penalry of perjury [hat I am EXEMPT FROM THE CONTRACTORS LICENSE LA�N lor the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to cons�mct, al[er, improve, demolish, or repair any slrucNre, prior to its issuance, also requires the applicant (or such pertnit to file a signed statement lhat he or she is licensed pur5uant to the provisions of Ihe Contractors License Law (Chapter 9(comme�cing with Section 7000) o! Division 3 of the Business and ProfeSsions Code) or ihat he or she is exempt therefrom an0 Ihe basis for the alleged exempiion. Any violation o( Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally 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 [he structure is not in[ended or oflered for sale (Sec. 7044, Busiqess antl Professions Code: The Contrectors License Law does not apply to an owner of property who builds or improves ihereon, and who does such worK himself or herself or through his or her own employees, provided ihat such improvements are not intended or oRered for sale. If, however, Ihe building or improvement is sold within one year of comple[ioq lhe ovmer-builder wiU have Ihe burden o( proving Iha[ 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 constnut the prqect (Sec. 7044, Business and Professions Code: The contractas License Law dces not apply to an ovmer of property who builtls or impmves thereon, and who contracts for such project with a contractar(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. 8usiness and Professions Cotle for lhis reason: SignaWre 305]-n6(3/0]) Owner ID verifetl by dri� a ❑ Yes ❑ No P , Driver's License No. Expires: Veri(ca[ion o( Ownership by (rype of document, i.e. - pro0erty tax bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or mwe feet in depth in[o v.fiich a person is required to tlescend, will be made in connection with work authorized by Ihis pertnit, and that no building structure, scaHdding, falsework, ar demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sea 341, TUe 8, Califomia Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit fmm the Division of Industrial Safety, as noted above, unless such person has a permit to do such work fmm [he division. ApPlicanfs Siqnature Division of Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant neetl ro fle and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceptions, Ihat a Business Plan be (led with �he Cos[a Mesa Fire Department by every business which has at any one time during a reported year a quantiry of hazartlous matenals equal to or greater than a weight o( 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaNre and pressure). 2. Does or will the applicant or present or future building occupant need b fle a registration form for acu[ely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires regisiration with �he Costa Mesa Fire Department by each business which at any one time has on hantl a quantity of acutely hazartlous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperalure antl pressure). 3. Ooes or will the applicant or presenl or (uture building occupant need to prepare an RMPP (Risk Management and Prevention Pmgram for aculely hazardous materials)? ❑ Yes ❑ No (Sec�ion 25534 of the California Health and Safery CoOe provides lhat lhe Cosla Mesa Fire Department may require lhe preparation, certification and filing vnth the Fire Department of an RMPP by businesses which are requiretl lo register acutely hazardous materials wilh the Fire Department. 4. If an RMPP is presently required, has Section 25534 ot lhe California Heal[h and Sa(ety Cotle been fully complietl wi[h? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the vrork which is lhe subject o( this application a permit for such construclion or modification from ihe South Coast Air Quality Management DisMct or from any other air pollution con[rol tlistrict or agency? ❑ Ves ❑ No (Section 658502 of ihe Califomia Govemmen[ Code requires ihat the requestetl in(ortna[ion be fumished on application5 �a rwn-residential builtling permits). 6. Will any part of the facility to be constructed under ihis permit be within 1000 (ee[ from the outer boundaries of a school? ❑ Yes ❑ No Qf yes", the faciliry must meet the requirement of Sections 25534 and 42303 of Ihe California Health and Safely Cotle�. 7. If a pertnit from the South Coasl Air Quality Management District or other air polNtion control district or agency is required !or the work which is the subject ot this application, have all of the disdosures prescnbed by Califomia Health and Safery Code Section 42303 been made? � Yes ❑ No 8. Qf yes", attach certificate of compliance (rom the appropriate air polWtion con[rol offcer). CERTIFICATE OF COMPLIANCE: I certify that untler penalry of perjury the information qiven above is correct. I agree to comply with all state laws antl city ordinances regartling Hazardous Materials and Emissions. . CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penally of perjury that I have read this application and state thal the information given is correcL I agree to comply vnth all state laws and city ordinances relating to building construction, and authonze representatives of the City of Costa Mesa to enter upon the above-tlescribed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorizetl by this permit until fnal inspeclion. r Signature oi Legal Owner�s) �ale `�'l ca.-ti � Q� D� S— �- O� fMtllw:Au��onzetlApOhcanl �^Oale�= • � �,'rr. i.. :JS�'tiY..4`:: NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTiFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 7600 AND AB 181 r��_nti_�n:��•PG�":�4it�p� _.. . '-- -'-�� _ - � [!f.��"x==a,:,._ �.. . � �ncM„y. ,. . � �l�' 6841 To: (✓) GiIY of Costa Mesa Distrid Receipt No.�To/ v,� ( ) City of Newport Beach Q,/�� ( ) County of Orange Plan Check No!-/W% - �v/�p Applicant �IC,�O! C[l� C(}�'_C�LI)��f1� Address: ��-1 �-� � � � 1Q•-�0i4 � #" � ln D �I�v �- . Ci4 �_� o� Telephone Number: �! ��-`, �Q�— � TracUParcel and Lot Number(s): Location of Project: Number of Square Feet of: Residential Space Commercial and Industrial Space Commercia�lndustrial Project is: (Check One) Warehouse R8D Movie Theater Mini-storage Heavy IndusUial Regional Shops Light Industrial This project is exempt because �35i o ai.ea x E .30 Total lv. Y-'J 0 . � Total �� Motel G,�,� , MAY � sT00B D Bank : ��;• �; _ .: — Neighborhood Shops +-�.: = � , .,.4 ,i�j — RacqueUHealth �S,f _ Hotel _ Medical Office Office Park Preschool Auto Repair Hospital Large Office Office Bidg. Restaurant Fast Food This certifles that the above-named Deyeloper/Applicant has paid school facilily fees in comp6ance with Government Code sections 53080 and 65995. The Building PemiLs for this square footage in this proposed development may now be issued by your jurisdic6on. Checks are to be made payable to Newport-Mesa Unified schnni flistriet The above represeniation as W square footage is We. Appticant agrees that ii it is later determined that such representa6ons are not true, then this certificate shall automaticalN terminate and the appropriate City/Counly shall be natlAed. Date: � L1::�:.L:� ✓ "� -"�� CITY OF COSTA MESA t�,�ytpMFq BUILDING DIVIS/ON t � 77 FAIR DRIVE, COSTA MESA, CA 92626 • p14) 754-5273 • Faz p14) 754-4856 • www.ci.costa-mesa.ca.us � . .,,•x• �•,, � FOR INSPECTIONS CALL: (714) 754-5626 "rm,�mEo �'' PERMIT NUMBER: E09-00048 PERMIT TYPE ELEC APN: 11910232 JOB ADDRESS: 225 MONTE VISTA AV CM STATUS: DATE ISSUED: ISSUED BY Suite/Unitr�. ISSUED 02/19/2D09 BJK Vicindy: MODEL HOME , . � � � � SCOPE OF WORK: PIGGYBACK TEMPORARY POWER FOR MODEL HOME. 1,�� .� �ZjQ�'C,� \ � OWNER: 227 MONTE VISTA LLC _ .-Address: 227 MONTE VISTA Unit: �. PHONE: � �� , City/State/Zip: COSTA MESA, CA APPLICANT: GLASS, NANCI - � PHONE: 714-997•1998 , � � r - ' CONTRACTOR: NICHOLSON CONSTRUCTION CO. Address: 1421 WAN�A RDUnit: ORANGE � - - City/State: SUITE�.160 , ZipCode: 92867 .:� � ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $54.00 Reinspection Fee $0.00 TOTAL FEES $54:00 Address: 742'I WANDA RD Unit:ORANGE City/State/zZip: SUITE 160 . . License No. 660295.' � . . PHONE: 714-997•1998 � . CELL NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. FaiWre to obtain inspections and fnal approval will result in the expiration of this permit. COUE N. INSPECTION TVPE 1616 Fixed System Final Fire Preventian 1266 Pool Spa Final 200 FinalRe-Roof 201 Final BIocWRe�aining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition DATE INT11AL5 COOEp INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 FinalPlanningAppmval 222 Final Site 250 Final Building/Occupancy DATE INTITALS �!'�7� ,:^.,.'1 WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certifcate of consent to self-Insure for workers' compensation, as provided tor by section 3700 of the Labor Cotle, for Ihe ( �peAormance of lhe work for which this permit is issued. �( �'(.Ijave and will maintain workers' compensation insurance, as required by � sectbn 3700 of the Labor Code, for the perfortnance of the vrork for which this permi[ is issuetl. My workers' compensation Insurance carner and policy number are: Carner._��- Fi NJ � � :�(ihis sepan nee0 rw1 be mmplepte0 dQ(he peim4 ?u valuetl al one hunered da�lars (Sf00� wless ) Policy_Number �� 1 1 � J �� ❑ I certi(y tha[ in the peAormance of the vrork for which lhis permit is issued, I shall nol employ any person in any manner so as [o become subject [o the workers' compensation laws o( Califomia, antl agree lhat i! I should become subject to the workers' compensation provisions of Section 3700 of [he Labor Code, I shall (orthwiih comply wi�h these provisions. L'� �,.,,, �� a- i 9-0 � ApplicdnPs SignaWre Oate � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, antl my license is in full force and eRect. �ic: #� S c�ass u> �c� o, �C1�� ' `�-1 1`-� 1 Canlraclor's.SignaWre Date C� .�5 CONSTRUCTION LENDING AGENCY: ❑ I hereby affrtn Ihat there is a wnsWclion lending agency for the pedortnance o( the �ark fa which ihis permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: Daie OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Pmfessions Code: Any city or counry which requires a permil to constmct, alter, improve, demolish, or repair any siruc[ure, prior to i[s issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to Ihe provisions of Ihe Contractors License Law (Chap[er 9(commencing with Section 7000) o( Division 3 of the Business and Professions Code) or that he or she is exempt [herefrom and Ihe 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 fve hundred tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and [he structure is not intended or offeretl 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, provitled that such improvements are not intended or oftered for sale. If, however, the building or improvement is sold within one year of completion, Ihe ovmer-builder will have the burden of 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 CON7RACTORS to construct the project (Sec. 7044, Business and Professbns Code: The contractas License Law dces not appty to an owner of pmperty who Duilds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: SignaWre 3�5>-a6 (3l�)) Owner ID verified by drivei s license. ❑ Yes ❑ No Driver's License No. Expires: Veri(ca�ion ot Ovmership by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certify that no excava[ion frve (5) or more feet in depth into which a person is requiretl to descen4 vnll be made in connectbn with work authorized by [his pertnit, and Ihat no building s[ructure, scaf(Wding, talsework, or tlemolition or tlismaniling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2. M 2, Sec. 341, Title 8, Cali(omia Atlministrative Code). ❑ As ovmer-builtler, I will not employ anyone lo tlo work which would require a permit from the Division o( Industrial Safety, as noted above, unless such person has a permit to do such work (rom the division. Apolicanfs SlgnaWre oate Division of Industrial Safety Permit Number HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to fle and certify a Business Plan (or emergency response [o release or [hrea[ened release of a hazardous material? ❑ Yes ❑ No (Section 25505 ot the Calitornia Health antl Safety Code requires, with some excep[ions, tha[ a Business Plan be filed with the Costa Mesa Fire Department by every 6usiness which has at any one time during a reported year a quantity of hazartlous materials equal to or greater than a weigM o( 500 pountls, or a volume of 55 gallons, or 200 cubic feet o( compressed gas at standard temperaWre and pressure). 2. Does or will the applicant or present or future building occupant need to fle a registration form for awtely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Depahment by each business which al any one time has on hand a quantiry of awtely hazartlous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic teet o( compressed gas at siandard IemperaWre and pressure). 3. Does or will the applicant or present or future builtling occupant need to prepare an RMPP (Risk Management and Prevention Program (or acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Code pmvides that the Costa Mesa Fire Department may require the preparation, certifica[ion and fling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials vrith the Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 of Ihe California Health antl Safety Cotle been fully complied with? ❑ Yes ❑ No 5. Does or will Ihe applicanl or presenl or future building occupant require (or the work which is the subject of this application a permit (or such construction or modifcation from Ihe South Coast Air Quality Management District or from any other air pollulion control tlistrict or agency? ❑ Yes ❑ No (Sectbn 658502 of Ihe Califomia Govemment Code requires that the reques[ed infortnation be furnished on applications !a non-residential building permits). 6. Will any part of the tacility ro be cons[ruc[etl under [his permit be within 7000 feet from �he outer boundaries of a school? ❑ Yes ❑ No Qf "yes", lhe facility musl 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 polWtion control disVic[ or agency is required for the work which is [he subject of this application, have all of lhe tlisclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of peryury the information given above is correcL I agree to comply with all state laws antl ciry ordinances regarding Hazardous Materials and Emissions. SignaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I ceAi(y under penalry of perjury that 1 have read ihis application and state Ihat the information given is correcl I agree to comply with all state laws and city ordinances relating to building construction, and authonze representatives of the City of Costa Mesa to enter upon the above-described pmperty for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this peimit un�il fnal inspection. Signawre o� L er(s� oa�e �1 � .-.-�'_ �— 1 `� —O°I AnalorAulhorixetlApplicaN 1 pate. z December 21, 2006 To: CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICES DEPARTMENT Building Safety Division Code Enforcement Communications County C1erk County Planning and Dev. County Registrar of Voters County Tax Assessor Engineering Division (2) ESRI 8�.� �d.►n9 Comcast Cable Newport-Mesa Unified School. Dist.(2) Pacific Bell Police Dept. - Pfanning 8� Research Services Sanitary District Engineer Sanitation Division Office So California Edison Company Southern California Gas Fire Admin. - Training Officer Fire Admin. — Chip Dill (Station 5) Fire Prevention Irvine Ranch Water District Mesa Consolidated Water District State Board of Equalization U. S. Post O�ce - AIS U. S. Post O�ce, Adams Thomas Brothers File (2) The City of Costa Mesa would like to inform you of the following address change: OLD ADDRESS 227 Monte Vista Avenue NEW ADDRESSES 225 Monte Vista Avenue 227 Monte Vista Avenue 2464 Norse Avenue 2466 Norse Avenue Your cooperation in this matter is appreciated. Sinc rely, Wen hih Associate Planner A. P. NO 119-102-32 cc: Kimberly Brandt, Development Services Vi Pham, Administrative Services/MIS Joe Cefalia Jared Cefalia 1312 Dover Drive 228 Del Mar Avenue Newport Beach, California 92660 Costa Mesa, California 92627 Building Division Q14) 754-5273 • CoOe Enbrcement (714) 754-5623 • Planning Division (714) 75a-52a5 FN( (714) 754-0856 • TDD (714) 754-52aa • wnw.u.cos�a-mesa.ca.us Nor� -�uv ►, � � rn Q� � Me � 60L0 S wmiw n : umenw�cn� nro r¢ou� sa rt a.n r�vm FOR�ALLVSTREE I JICINITY MAP =�E4 PARCEL 2 m _ �� 127 FT_PL / �we-et '— - � �� /, � � J � PARCEL 3 a J t- -- -- --- '�-1 � w,� rn o Z2�' � � � PARCEL 4 � ��. � .,., . „� s � F T P L -- -- --- 2ne Pu �ivaoie �iaa � tiUJ S.i. LOl � SIIE- 6281 SF Tobl Living Area = 29J2 S.f. L07 COKRACE= PS � Carage Ama = 466 S.L I � � Tr SI7E PLAN rxc �/is . i n-a r�