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Home My WebLink About2704 HIBISCUS PL - Building Permits. �, , ,. c (714) 754-5273 • F2x (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT n FAIFi DRIVE, GOSIA MCJA, GA yZti2ti JobAddress: 2704 HIB�$CU$ Suite: L0� � Vicinity: PLAN 3 Parcel Number: TPN00108 Applicant Address: Owner: Address PHILIPP, ROLAND 1565 W MAC ARTHUR COSTA MESA, CA STANDARp PACIFIC HOMES 1565 W MAC ARTHUR COSTA MESA,CA Contracmr: OWNER-BUILDER Address: Zoning: Phone: 714-668-4300 Zip: 92626 Phone: 714-668-4300 Zip: 92626 Phone: ISSUED BY: StaWs: ISSUED Applied: 12/28/2000 Issued: 01/03/2001 Zip: License: 0 Arch : BASSENIAN LAGONI Eng: Address: 2031 ORCHARD DR Atldress: STE 100 Phone: 949-553-9100 Phone: NEWPORT BEACH, CA Zip: 92660 License: License: SCOPE OF PERMIT CONSTRUCT NEW SFR FLAN 3 FOR STANDARD PACIFIC HOMES: 2972SF LIVING, 579SF GARAGE, 20SSF COVERED ENTRY,133SF PAT10. REF: B00-01537 Plan Check: $316.19 Permit: $1,945.75 SMIP Res: $26.99 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $2,288.93 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : o NOTES: Rear 0- 0 Rear 0-0 Required: 0 FEE SUMMARY Calc Valuation: S2ss,ezz.ze Claim Valuation: $o.00 PLANNING & ZONING Left 0-0 Right Left 0-0 Right Pr000sed: 0 ,� � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) 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 ot 180 days. . INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepectlona and final eppro�al must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 / za+e�+s (arool � f� WORKERS' COMPENSATION DECLARATION: � I hereby aHirtn under penally of perjury one oi the lollowing declaratlons: ❑ I have enC will meintein e certifiwte of consent to self-Insure br workers' compensetion, es pravitletl for by section 3700 of Ihe Labor Code, for the pertormence of Ihe work lor which this pertni� is i55uetl. � ❑ I heve entl will maintaln workers' compensation insurence, as reqNretl by section 3700 of the Labor Cotle, for the pertormance oi the work for which t�is pertnit�.djssued. My workers' compansation Insurance wrder end pollcy number are: Cerrier: Policy Number: (Thls secflon need not be comp/eted il the permit is velued ef one hundred dollers ($100) ar less.) ❑ I certity Ihet in the pertortnance of the work for which this pertnit Is issueq I shell not employ eny person in any manner so es to bacome subject to the workers' compensatlon lawa of Califomla, entl agrae that II I shoultl become subJect to the workere' compensation provlslons of Sectlon 3700 ot the Lebor CaCe, I ahell torthwit� comply with these provisions. Applicant Signeture: Date: WhHNINO: FMLURE TO SECURE WORKERS' Q�MPENSATION COVERAGE IS UNLAWFUL AND SHALL SUflIEGT AN EMPLOYER TO CRIMINPL PENALTIES AND GVIL FlNES UP TOONE HUNDRED TMOUSAND DOIURE (5100,0OO�.IN ADDRION TO THE CQST OF COMPENSATION, OAMAGES A$ PFiOVIDED FOR IN SECTION 3N80F THE IABOR WOE, INTEREST. AND ATiORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hera�y eNirm that I am Ilcensed untler provisions of Chapter 9(commancing with Section 7000) oi Division 3 0l the Business end Prolessions Code, and my license Is In lull force and eftecf. Lic. a Glass a Contractor's Slgne�ure: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm thal there is a constmction lending agency for t�e peAormance of lhe work tor whlch this permit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lendefs Atldress: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I hereGy aNirm that under penalry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any Gy or counry which requires a permit to construct, elter, improve, demolish, or repair any structure, prior to Its issuance, elso requires the applicant for such pertnit to fila e signed stetement lhat he or she is Iicensed pursuent Io the provl5ions of Ihe Contractore LicenSe Lew (Chepter 9(commencing with Sectlon 7000) ot DlWslon 3 of ihe Business and Pmfessions Code) or t�at he or she is exempt therelrom antl t�e basls for Ihe alleged exemption. Any violation oi Section 7031.5 by eny epplicant for a pertnit subjects ihe eppllcant to e civil penalry of no1 more than tive hundred dollere ($500).): ❑ I, es owner ol the property, or my employees with weges es thelr sole compensation, WILL DO THE WORK, end the siructure is not intentletl or ottereC lor sele (Sec. 7044, Business and Professions Code: The Contractors License Law tices not apply to an owner of propeny who builtls or improves ihereon, antl who tloes such work himself ar herseli or through his or her own employees, provitletl that such improvements are not Intendetl or oMerad for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the �urtlen of proving Ihat he or she ditl not build or improve for puryose ot sale.). � I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Prolessions Code: The contrectors License Law does not epply to an owner ol property w�o builtls or improves thereon, entl who contracts tor such project wlth e coNrector(s) license pursuant to the Coniractors License Laws.). ❑ I am aae t und ec Business end Prolessions Code for �his reason: Signe�ure: Date: Owner ID verilied by dnver's license. 0 Ves No Dnver's License No. Ezp res: Vediication ot Ownership by (rype oi tlaumem, i.e. - properry tax bill or daed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cartity ihat no excavation tive (5) or more feet In depih into which a person is required to descend, will be made in connection with work euthonzeA by �his pertnit, antl that no building structure, scaHolding, falsework, or tlemolition or dismantling thereol, will Ge more then ihirty-six (36) feet high. (Chap. 32, Grp 2, AN 2, Sec. 341, Title B, Califomla Adminisiretiva Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require e permit trom Ihe Division of Industnel Safery, es noted ebove, unleu such persOn has e permit to do such work from the division. SignaNra: Date: Division of Indusirial Safety Pertnii Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTAV: I certify under penalry of perjury that I have read this epplication and state Ihet the inlormation given Is correct. I agree to comply with all state laws and ciry ordinances relatinp to building construction, and euthonze representatives of the Ciry ol Caste Mesa to entar upon the ebove-descnbed property for inspection purposes. I egree not to occupy or allow occupancy of eny builtling authorize0 by ihis permit until final inspection. � naN f Le I wr�er, ) \ And/Or Authonz d Appliwnt CQOE I. INSPECTIONTYPE QAIE IMRIALS 1616 Fiaetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Ra-Root 201 Final BIocWReteining Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolitian COOE I INSVECTION TYVE 206 Finel Mechanical 208 Finel Plumbing 210 Finel Eledncal 212 Finel Fire Prevention 220 Finel Plannin9 Approval 222 Final Site 250 Final Building/Occupancy PA1E �� . NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 To: ( X) City of Costa Mesa ( ) City of NewpoR Beach ( ) County of Orange Applicant STANDARD PACIFIC Address: 15326 ALTON PARKWAY. IRVINE. CA 92618 Telephone Numbe�: 949-7 9-7 600 TracUParcel and Lot Number(s): Location of Project: Number of Square Feet of: Residential Space Commercial and Industrial Space 2704 HIBISCUS, COSTA MESA, CA CommerciaUlndustrial Projed is: (Check One) Warehouse R8D Movie Theater Mini-storage Heavy IndUstrial Regional Shops Light Industrial This project is exempt because 2972 SF x $1.84 x$.30 _ Motel Bank _ Neighborhood Shops _ RacqueVHealth _ Hatel _ MedicalOffice _ Office Park Total Total 3�r��- District Receipt No. Plan Check No. 800-02062 $5468.48 Preschool Auto Repair Hospital Large Office Office Bldg. Restaurant Fast Food i his certifies that the above-named Developer/Applicant has paid school faadty fees in comp6ance with Government Code sections 53080 and 65995. The Building Pemiils fot this square footage in this proposed development may now be issued by your jurisdic8on. Checks are to be made payable to NewpoA-Mesa Unified School District. BONNIE KUBOTA ey: Autla�¢ed Reprexrqative The above representation as W square footage is true. Appdcant agrees fhat if it is later determined Mat such representa0ons are not true, then this certificate shall automaticalty terminate and the appropriate City/County shall be notified. axn ed 2801/11:29 qq/f 62475.36 RCFTq:pl-B271i25 Date: ' � Z� �' ��/—�,Q �i.�.�� 114012 Appikem INSULATION CERTIFICATE IC-7 27D4 HIBISCUS ORANGE Description of Installation 15882 COSTA MESA City 1 ROOF Material Brand Name Thickness (inches) Termal Resistance (F2-Value) m 2 CEILING BattorBlanketType BATT BrandName OWENS CORNING Thickness (inches) 6 1l4" Thermal Resistance (R-Value) R-19 Loose Fill Type Brand Contractor's min installed weight square ft Ib Minimum thickness inches Manufacturer's installetl weight per square foot to achieve Thermal Resistance (R-Value) 3 EXTERIOR WALL Frame Type A. Cavity Insulation Material BATT Thickness (inches) 3 1/7' B. Ezterior Foam Sheathing Material Thickness (inches) 4 FLOOR OVER GARAGE AREA Material BATT Thickness (inches) 6 1/4" 5 SLAB FLOOR/PERIMETER Material Thickness (inches) 6 FOUNDATION WALL Material Thickness (inches) Brand Name OWENS CORNING Thermal Resistance (R-Value) R-13 Brand Name Thermal Resistance (R-Value) Brand Name OWENS CORNING Thermal Resistance ( R-Value) R-19 Brand Name Thermal Resistance (R-Value) Brend Name Thermal Resistance (R-Value) Declaration I hereby certify that the above insulation was installed in the building and the above location in conformance with the curreni Energy Efliciency Standerds for residential buildings (TiUe 24, part 6, Califronia Code of Regulations) as indicated on the Certifcate of Compliance, where applicable. 07/27/01 PARAGON INSULATION Item #s Signature, Date Installing Subconiractor (Co. Name) OR General Contract (Co. Name) OR Owner Item #s Signature, Date Installing Subcontractor (Co. Name) OR General Contract (Co. Name) OR Owner Item #s Signature, Date Instailing Subcontractor (Co. Name) OR � General Contract (Co. Name) OR Owner EtLINGSON, BEN From: SANTORO,SUSAN Sent: Thursday, August 23, 2001 7:19 AM To: ELLINGSON, BEN; OOSTERHOF, SYLVIA Cc: GUEVAR,4, MICHAEL; MUNOZ, ERNESTO Subject: C of O Standard Pacifc Ben/Sylvia: Engineering approves final C of O for Standard Pacific Homes, Tract No. 15882, Phase 1, Lots 6-13 & 66-69 only. Further approval will be required for any remaining lots. Susan PETROS, EDWARD From: LEE, MEL Sent: Wednesday, September 12, 2001 2:00 PM To: PETROS, EDWARD Cc: BOUWENS-KILLEEN, WILLA Subject: Standard Pacific Phase 1 On 9/12/01 I signed off the remaining Phase 1 units for Standard Pacific, as well as the pooi and rec area: 2704 Hibiscus 2706 Hibiscus 2708 Hibiscus 2710 Hibiscus Mel � � . . .._ . � • . �. . . . ...,..�. �.,. � ��..u.�., r. �1�001 ' � - � 7�A1 !o-C$o L-oz � . . � . FINAL GRA.i?ING CERT1FlCATION Projal Address: �� 4S A�D►a'MS Lol Piumber. 6G Tt�� i � ti!� 6 9 �v��+.L'1 �SP�� z Piermil Number: � � — �� 3 Z— By Civil Engineer: I cenify ro[he saasfaaory ccmplecion of grading ;n accondance w�ith the approved pians, spxificarions, locai and scate codes. All d�ainage devices required by the grading pertnit, . � grading plan and grading ondinana have been installed. �equa�e, provisions have ban made for drainage of surface water from each buAding siie. `! The minimums are: . � Z�i Fail from sWctures within 5 feet from exterior wails. 1% Fail for asphaic surfaces and landscaped areas. � p.5� Faii for concrcte surfaces to apptoved disposal areas. The final monuments as shpwn on the cecorded tract map w�ere set. All final grading,eleva- tions are within ± 1/10 of the designed elevaqon ' Supervising Civil Engineer Reg. No. 39g-�� (Signamm) . , pam 9-I�-o/ ; ,; - . z ;:�, "�` E7�.12.i41-01 .rrn�aa n.,,a cTr�a P� �K� r j .^.r F� R �; ��, � � ; � �• � . � Ciry of Costa Mesa Department of Building and Safery 77 Fair Dr. Costa blesa, CA 92626 Corttimme�s brspection & ,Llnteritrls Testing :� ..>. .�. .. : , �_��.�+�'\ I OS2( South Norwalk Blvd. Santa Fe Springs, CA 90670 (�62) 9�1-2990 • (71�1) 526-3441 FAX (562) 9�6-0036 Au�us[ 22, Z001 Rz: Final inspection for the (ylesa Verde Collection) (� Harbor & Adams, Costa Mesa, CA. Standard Pacific Homes. Lot = Permit � 6 B00-02029 7 B00-020�1 8 B00-02055 PoolBlds. B00-02039 Lot# Permit� 9 B00-020�6 10 B00-020�7 ll B00-02058 Lot = Permit T Lot � Permit 's 12 B00-020�9 67 B00-03063 13 B00-02061 63 B00-0206d 66 B00-02062 69 B00-02069 Dear Sir Southwest Inspec[ion and Testine was retained by the Owner to provide special inspection and materials cestin� in the areas that were required b� section 1701 of the Uniform Building Codz, approved projec[ drawin_s and specifications, [his work was wimessed by the following inspectors. Reinforced concrete insnec[ion was done bv the followinE: Nlr. Eric Strauch (OCEMA 0�98) Mr.Scott Bald QCBO �0» 178) \4r. Bam Ben Ron (IC60 5036396-49) titr. Ron Scog�ins QCBO 0846897-89) � Stressinz of'/:" Post Tensioned Tendons was done bv the followinp: �9r. Pat Brennan (OCE�IA 0317) Mr. Ja}� Dresnzr (ICBO 0855301-89) h9c Ken Rodgers QCBO 08J6897-89) All work was done in conformance with the Structural En�ineers' recommendations, approved drawinos and/or revisions, project specifications and applicable worl:manship provisions of the Uniform Buildin� Code. Ifyou should have any fuaher questions, please do not hesitate ro call us. Sincerelv. Przsident Reviewed By: lan R. WaddelT�� Principal Engineer FOR INSPECTION AND TESTING ONLY, NO DESIGN RESPONSIBILITY EXPRESSED OR IMPLIED. (714) 754-5273 • Fau (714) 754-4856 • www.Ci.cosla-mesa.ca.uS 77 FAIR DRIVE, GOSTA MESA, GA 92626 MECHANICAL PERMIT Job Address: Suite No Vicinity: 2704 HIBISCUS PLAN 3 Parcel Number: TPN00108 Appliwnt: PHILIPP, ROLAND Address: 1565 W MAC ARTHUR COSTA MESA, CA Owner: STANDARD PACIFIC HOMES Address: 1565 W MAC ARTHUR COSTA MESA, CA Contrector: OWN ER-BU I LD ER Address: Arch I Eng : Address: ISSUED BY: Phone: 714�68-4300 Zip: 92626 Phone: 714-668-4300 Zip: 92626 Phone: Zip: License: 0 Phone: Zip: License: Status: ISSUED Applied: 12/28/2000 Issued: 01/12/2001 SCOPE OF PERMIT CONSTRUCT NEW SFR PLAN 3 FOR STANDARD PACIFIC HOMES: 2972SF LIVING, 579SF GARAGE, 20SSF COVERED ENTRY, 133SF PATIO. 2 FAU < t00K BTU, 1 FAGTORY FIREPLACE, 1 HOOD W/MECH EXHAUST, 1 VENT FAN/SINGLE DUCT, 2 COMPRESSORS UP TO 3 HP/100K BTU. REF: B00-02062 ISSUE FEE Inst FAU <700 k BTU inst FAU >100 k BTU Repair/Alt CoolinglHeat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relorate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000ctm Floor Furnace Floor or Suspentl Heater $23.50 $29.60 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.65 $10.65 $0.00 $7.25 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 Quanlity FEE SUMMARY Repair I Alt Absorbtion Unit Repair I Alt Refrigeretion Unit Ventillation System Evaporetive Cooler Commercial I ncinerator Domeslic Incinerator Compressors / Absomtion Systems Upto3hp/100kBTU 3 To 15 hp I 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp I 1,750 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 Investigalion Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $29.40 2 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E117.05 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inapectlons and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244fii61fi/00) WORKERS'COMPENSAnON DECLARATON: � I hereby attirm under penelry of perjury one of Ihe following tleclaratlons: ❑ I have antl wlll maintain a cenillcaie of consent to self-Insure for workars' compensation, es provitled for by section 3700 oi ihe Lebor Code, for the pertortnence of the work for which Ihis permit is issuetl. ❑ I have antl will meintain workers' compensatlon insurence, as requiretl by section 3700 of Ihe Labor Cotle, tor the pedortnance of Ne work lor wNch ihis pertnit I5 Igsued. My workers' compensatlon Insuranca cerder end poliry numbar ere: Cartier. Policy Number. (This secfion neetl nof be comp/eted i/ the permit Is velued et one huntlretl dollers ($100) or less.) ❑ I certify that in the pertormance ol the work for which ihis pertnit is issuetl, I shall nol employ eny person in any manner so as to becoma subjecl to ihe workers' compensation laws oi Califomla, end egree Ihat if I should become sub�ect to the workers' compensation provislons ot Section 3700 of the Lebar Cotle, I shell tort�wi�h cromply with Ihese provisions. ApDlicant Signature: Date: WARNING: FAILURE TO SEWRE WOiil(ERS' CqAPENSAiION O�VEMGE IS UMAWM AND SHALL SUBIEGT rW EMPLOYER TO CfUMINPI PENALTIES M1D CML FlNES UP TOONE MUNDRED TFIIXISW D DOLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSqT10N, UAMAGES A$ PROVIDED FOR M SECiION 3]W OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTqACTORS DECLARATION: I hereby attirtn Ihat I am Ilcensed under provlslons of C�epter 9(commencing with Section 7000) of Division 3 oi the Business and Profeulons Coda, entl my Ilcense Is in full brce end eMect. Lic. q Clau» Contractors Signeture: Date: CONSTRUC710N LENDING AGENCV: ❑ I hereby aHirm Ihet ihere is e consimction lantling eqency br ihe peAormance of the work br which this pertnit is issuetl. (Sec. 3097, Civil Catle). Lendefs Name: Lenders Address: Signemre: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirtn the� untler penalry ot per�ury ihat I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protesslons Code: Any city or counry which requlres e permit to constmct, alter, improve, demolish, or repair any stmcture, pdor to its Issuance, also requlres ihe ep0licant for such permit to lila e signed sletement that he or she Is Ilcensed pursuant to the pravislons oi the Contractors License Law (Chapter 9(commencing wit� Sectlon 7000) of Divislon 3 of ihe Business antl Professlons Code) or Ihet he or she Is evempt thereirom end the besis for tha allaqed e:emption. Any vlolatian ot Sectlon 7037.5 by eny epplicant tor e Dermit subjects the epplicant to e civil penelty ol not more then five huntlretl tlollars ($500).): ❑ I, as owner of ihe property, or my employees with weges es lheir sole compensalion, WILL DO TME WORK, and the struclura is not Intentled or oMeretl br sale (Sec. 7044, Business entl Protesslons Code: The Contrectore License Lew does not apply to an owner of property who builtls or impmves theraon, end who Coes such work himseN or herself or through hls or her own employees, provitletl �hat such improvemanis ere not intendetl or oNered for sale. If, however, Ihe bulitling or Improvament Is sold within ono yoer of complelion, the owner-builder will have Ihe burden oi proving ihat he or she ditl not buiitl or Improve lor puryase ot sele.). � I, a5 owner ol ihe property, am El(GLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conSiruCt Ihe prolect (Sec. 7044, Busine5b Bnd Prolesslons Cotle: The contractors License Lew does not epply to en owner oi property who builds or impmves thereon, entl who wntrads for such pro�ect with e contrector(s) license pursuant to the Conlrectors License Laws.). ❑ I am exe und Signewre: �� 8�_� Owner ID venfietl by tlriveYs license. ❑ Yes Business and Prolessions Code for this reason: Date: Z- Orivers License No. Expires: Vedflcelion 01 Ownership by (type o� tlocument, i.e. - pmperty tax blll or deed): OIVISION OF INDUS7RIAL SAFETV PERMR CERTIFICATION: ❑ I hereDy certify t�et no exwvetlon five (5) or more faet in depih into which e Derson is required to descend, will be mede in connection wlth woAc euthorized by this pertnii, and ihat no Duiltling slrucNre, scaXolding, falsework, or demolilion or dismantling Ihereoi, will De more than ihirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Celltomia Atlminisirative Cotle). ❑ As owner-Duiltler, I will not employ enyone to do work which would require e pertnit trom t�e Division of Industnel Sefery, as noted ebove, unless suc� person hes e pertnit ta do such wark tram the tliNsion. Signature: Date: Division of Industnel Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AIJTIiORVJ1T10N OF ENTBV: I certily under penalry of peryury that I have read �his applicalion end stete �het the Infortne�ion given is correcc I agree to comply with ell state lews end ciry ortllnances relating to bullding construction, entl euthorize representetives of ihe Ciry ol Costa Mese to enter upon the ebove-descnbetl pro0erty for inspection purposes. I egree not to acupy or ellow occupancy ot any building authonzed by t�is permit unlil tinel inspedion. e�� a��w��5�— I z.3 0 � e�e Antl/Or Authod ed Ap� plicent �� ate CODE t. INSFECTIONTYPE QAIE 1�LS 1616 Fixetl System Flnal Fire Prevention 1266 200 201 202 203 204 Pool Spe Finel Finel Re-Roof Final Blak/Retaining Wall Final Fectory Fire Place Final Sign Final Demolition COUE� INSPECf10NTYPE 206 Final Mechanical 20B Final Plumbing 210 Final ElecMcal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.cosla•mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 PLUMBING PERMIT Job Address: 2704 HIBISCUS Suite No Vicinity: PLAN 3 Parcel Nunmber: 7PN00108 Applicant: Address: Owner: Address Contractor. Address: Arch / Eng : Address: PHILIPP. ROLAND 1565 W MAC ARTHUR COSTA MESA, CA STANDARD PACIFIC HOMES 1565 W MAC ARTHUR COSTA MESA, CA OWNER-BUILDER Phone: 714-668-4300 Zip: 92626 Phone: 714�68-4300 Zip: 92626 Phone: Zip: License: 0 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: 12/282000 I ssued: 01 /12/2001 SCOPE OF PERMIT CONSTRUCT NEW SFR PLAN 3 FOR STANDARD PACIFIC HOMES: 2972SF LIVING, 579SF GARAGE, 20SSF COVERED ENTRY, 133SF PATIO. 3 BATHTUBS,•1 DISHWASHER, 7 EXPANSION TANK, 1 GAS OUTLET (1-4), 2 GAS OUTLETS (OVER 4), 1 LAUNDRY TUB/WASHER, 1 PRESSURE REGULATOR, 1 SEWER CONNECT, 1 SHOWER, 1 KITCHEN SINK, 1 SERVICE/MOP SINK, 1 WASH BASIN, 2 WASH BASIN SETS, 3 WATER CLOSETS, 1 WATER HEATERNENT, 1 WATER SERVICE. REF:B00-02062 ISSUE FEE Backflow irrigation Backflow Prevenler Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) AMT $23.50 $0.00 $0.00 $29.40 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $9.80 $0.00 $6.15 $2.20 $0.00 $0.00 $0.00 QTY NOTICE: The work aUthorized by this FEE SUMMARY AMT Laundry Tub / Washer $9.80 Landscape Irrigalion $0.00 P-Trap $0.00 Pressure Regulator $9.80 Process Piping (per tU ft) $0.00 Receptors $0.00 Septic Tank $0.00 SewerCapforDemo $0.00 Sewer Connect $24.65 Sewer Private Line $0.00 Shower $9.80 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen •$9.80 Sink, service/mop $9.80 Spa (private) $0.00 Spa (pubfic) $0.00 QTY 1 0 0 1 0 0 0 0 1 0 1 0 0 0 1 7 0 0 SumpPump Swimming Pool Trap Primer Urinal Vacuum B�Vcr 8ktlow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping Qnst 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 $9.80 $19.60 $0.00 $29.40 $12.30 $0.00 $0.00 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 1 2 0 3 1 0 0 1 0 shall comply with all applicable handicap access req5i��i &ilts'�Ri��I�d�lal�1�S�'�a�d related EXPIRATION: This permit shall automatically ex P ' in 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, end all requlred inspectlons and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaae�ae Ifl�oo) WORKERS' COMPENSA710N DECLARA710N: � I hereby effirtn untler penalry of perjury one ot the following dedaretions: ❑ I have end will maintain a certificate of consent to self-Insure br workers' compensation, as provided for by saction 3700 of the Labor Code, for the peAortnence oi the work lor which this permit is issued. ❑ I heva enG will meinWin workers' compensation insurance, as required by section 3700 oF tha Labor Code, tor tha peRortnance of the work for w�ich Ihis pertnit Is issued. My workers' compensation Insuranca carrier and policy number ere: Carner: PoliCy Number: (Triis secfion need nof be completetl i/ the permit is velued ef one huntlred dollers ($f 00) or less.) ❑ I certih/ t�et in the pertormance ot lhe work tor which this permit is issuetl, I shall not employ any person in eny manner so as to become subject to the workers' compensetion laws oi Celifomla, and agree thet If I shoultl becoma subject to ihe workers' compensetlon provislons oi Section 3700 of the Labor Code, I shell forthwith comply with these provislons. Applicent Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRE� THOUSAND DOLLARE (5100,000), IN ADDITIIXJ TO THE CQST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECiION 3]W OF THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES. LICENSEDCONTRACTORS DECLARATION: I hereby aHirtn ihat I am Ilcensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 oi the Business antl Professions Code, and my license Is In tull forte end eflea. Lic. N Cless tt Contracmrs Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aflirm thet there is a construction landing agency for ihe performance of the work for which ihis permit is issuetl. (Sec. 309�, Civil Code). Lender's Neme: Lender's Address: Signeture: Date: OWNER-BUILDEP DECLARA710NS: I hereby eflirtn Ihel under penalry of perjury thet 1 am E%EMPT FROM THE CONTRAC70RS LICENSE LAW for the followinq reason (Sec. 7031.5, Business end Professlons Cotle: Any ciry or counry which requires a permit to cons�ruct, elter, improve, demolish, or repair any structura, pnor lo its issuance, also requires the applican� for such pertnit to tile a signetl statement thet he or she is licensed pursuent to the provisions of the Contracrors License Lew (Chepter B(commencing with Sectlon 7000) oi DlWsion 3 of the Business and Professions Code) or ihat he or she is eaempt therefrom and t�e basis for ihe elleged exemption. Any violetion of Section 7031.5 hy any epplicent for a permit subjects the epplicant to e civil penalry of not more then five hundred tlollers ($500).): ❑ I, as owner of Ihe properry, or my employees with wages es thelr sole compensation, WILL DO THE WORK, and ihe siructure is not intentled or oflered tor sele (Sec. 7044, Business antl Professions Code: The Coniractors License Law does not apply to an owner of property who builtls or improves ihereon, and who does such work himself or herself or Ihrough his or her own employees, provitled that such improvemenis ere not intendetl or oNered for sale. If, however, the buildinq or improvement is sold within one year ot completioq Ihe owner-builtler wi0 heve Ihe burdan oi proving that he or she did nol build or improve for purpose of sale.). � I, es owner ol the property, am EXCLUSIVELY CONTRACTING WITH LICENSE� CONTRACTORS to COnstrucl Ihe project (Sec. 7044, BuSiness and Professlons Code: The contrectors Licanse law does not apply to en owner of property who builds or improves Ihereon, entl who contracis lor such project with a contractor(s) IICenSe pur5uan� �o ihe Con�rectors License Laws.). ❑ I em e: t un . eusiness end Professions Code for this reeson: Signeture: �f�� Date: Owner ID verifiad by dnver's license. ❑ s ❑ No Drivefs License No. Ezpires: Venficelion of Ownership by (Iype ot document, i.e. - properry lez blll or daed): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION: ❑ I hareby cenity Ihat no excava�ion five (5) or more feet In depih into which a person is required to descend, will be made in conneciion with work euthodzed by Ihis pertnit, and ihat no building sirucNre, scallolding, talsework, or demolition or dismantling thereof, will De more than thirty-six (36) teet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title B, Calitornia Adminis[rative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit irom the Division of Industnel Safery, as notetl above, unleu such person �as a permit to do such work irom the division. Signature: Dale: Division of Indusirial Sefery Permit Numher: CERTIFlCATE OP COMPLIANCE AND AUTHORIZATION OF ENTRV: I certity under penalty oF perjury that I have read t�is application antl state t�at ihe iniormatlon given is correct I agree to comply with all state laws end ciry ortlinances relating to building constmction, antl auihodze representatives of the Ciry ot Costa Mesa to enter upon the above-described properry for inspection purposes. 1 e9ree not to occupy or allow occupancy of eny 6uiltling authorized by this pertnit until final inspection. COOE�, INSPECTIONTYVE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Finel 200 Final RB-Roof 201 Finel BIocWReteining Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demalition QBjf INTRIALS COOE� INSPECTIONTYVE 206 Final Mechenical 208 Final Plumbing 210 Final Eleciricel 272 Flnel Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupancy �E �� ' 4f1L (��a) �54-52�3 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIH UHNt, GU51 A MtSA, cn szozo Job Address: Suite No Viciniry: Parcel Nunmber: ELECTRICAL PERMIT 2704 HIBISCUS PLAN 3 TPN00108 npp�icant: PHILIPP, ROLAND Address: 1565 W MAC AR7HUR COSTA MESA, CA Owner: STANDARD PACIFIC HOMES Address 1565 W MAC ARTHUR COSTA MESA, CA Contractor: OWN ER-BU I LDER 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 Swilches Non Res Appl Res Appl Service to 2ooa Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Molors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ISSUED BY: Phone: 714-6fi8-4300 Zip: 92626 Phone: 714-668-4300 Zip: 92626 Phone: Zip: License: 0 Status: ISSUED Applied: 12/28/2000 Issued: 01/12/2001 SCOPE OF PERMIT CONSTRUCT NEW SFR PLAN 3 FOR STANDARD PACIFIC HOMES: 2972SF LIVING, 579SF GAR4GE, 20SSF COVERED ENTRY, 133SF PATIO. 1 NEW RES (1 UNIT), 2 LIGHT FIXTURES, 3 OUTLETS, 2 SWITCHES, 1 MOTOR TO 1 HP. REF: B00-02062 $23.50 $0.00 $0.00 $166.43 $0.00 $0.00 $2.20 $3.30 $220 $0.00 $0.00 $o.00 $0.00 $0.00 $4.75 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantiry 2972 0 0 2 3 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway/100ft Standing Section Misc Eleclncal Equipment Transformers up to 1 kva/kw ................up to 10 kvalkw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Sland Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E202.38 COMMENTS / SPECIAL CONDITIONS Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this parmit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void it 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 permii lo be considered legal, such work musl comply with all applicable codes, and all required Inepections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 2448d8 (B/00) WOHKERS' COMPENSATION DECLARATION: I hereby affirm under penaly oi perlury ona of the foliowing declarations: ❑ I heve entl will maintein e certificete oi consent to self-Insure tor workers' compensation, as provided for by section 3�00 0l the Lebor Code, lor Ihe peAormence of the work for which this permit is issued. ❑ I have antl will malntain workers' compensatlon insurence, as required by section 3700 oi the Wbor Code, for the peAormence oi the work tor which this pertnit Is Issuetl. My workere' compensatlon Insurence cerrier and policy number are: Cerrier: Policy Number: (This section need not be campleted i! fhe permif is veluetl at one hundred dolla�s ($100) ar less.) ❑ I certity that in the peAormance ot Ihe work for which this pertnit is issued, I shall not employ any person in any manner so as to becoma subject b Ihe workers' compensetian laws of CalHornla, entl egree thet N I should become subjact to the workers' compensation provislons of Section 3700 of ihe Lebor Code, I shall forthwith comply with these provisians. Applicant Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION WVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVEF TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDPED iliOUSAND DOLLARE ($100,000), IN ADDITION T01HE COST OF COMPENSATION, OAMAGES AS PROVIDED WR IN SEGTION 3]O6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am Ilcensad under provisions oi Chapter 9(commencing with Section 7000) of Division 3 ot the Business antl Protesslons Code, entl my license Is In full torce and eflecL Lic. q Class q Contractofs Signature: Date: CONSTRUCTION LENOING AGENCV: ❑ I hereby aflirtn that there is a consiruction lending agency for the peAormance ot the work tor which this permit is issue0. (Sec. 3097, Civil Cotle). Lenders Name: LentleYs Atldress: SignaNre: Date: OWNER-BUILDER DECLAflAT10NS: I hereby affirtn thet under penally of perjury ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reasan (Sec. 7031.5, Business entl Professlons Code: Any ciry or county which requires e permit to construct, altar, improve, tlemolish, or repair any structure, Prior to its issuence, also requires ihe epplicant tor such pertnit m file a signetl statement ihat he or she Is licensetl pursuent to ihe provisions of the Contradors License Lew (Chapter 9(commencing with Section 7000) of DiWsion 3 of the Business entl Professions Cotle) or thal ha or she is exempt therefrom and ihe basis for Ihe ellegatl exemption. Any violetion of Sectlon 7031.5 by eny epplicent for a pertnit subjects the applicant to a civil penalry oi not more than five hundrad dollars ($500).): ❑ I, as owner oi the property, or my amployeas with weges as their sole compensation, WILL DO THE WORK, and the structure is not Intended or oHered for sele (Sec. 7044, Business and Professions Coda: The Contractors License Lew does not apply to an owner of property who builds or improves ihereon, end who does such work himself or herselt or ihrough his or her own employees, provided Ihat such improvements are not in�entled o� offered for sale. It, however, ihe building or improvement is sold within one year ol completion, tha owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). � I, as owner of the propeny, am E%CLUSIVELV CONTRACTING WITH LICENSED CON7RAC70RS to construct the proiect (Sec. 7044, Business entl Professions Cotle: The contradors License Law does not epply to en owner of pmpeny who huilds or improves Ihareon, end who contrects tor such project wlih e coniractor(s) license pursuant to t�e Contractors License Laws.). ❑ I am exemp er s Business antl Pmtessions Code for Ihis reason: Signeture: � Dete: Owner ID venfied by driver's license. ❑ Ves No Driver's License No. Expires: Verification oi Ownership 6y (type of tlocumenL i.e. - property tex bill ar tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: ❑ I hereby certity Ihet no excavetion five (5) or more teet in tlepih into which e person is required to descend, will be metle in connectlon with work eu�horizeC by ihls pertniL and that no builtling simcNre, scattolding, telsework, or demolition or dismantling ihereoi, will be more then thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Celitomia Adminisirative Gode). ❑ As ownervbuilder, I will not amploy enyone ro do work which woultl require a pertnit from tha Division of Industnel Setety, es notatl ebove, unless such person has e pertnit lo da such work from �he tlivision. SignaNre: Date: Division ot Industrial Satety Pertnit Numbar: CER7IFlCATE OF COMPLIANCE AND AUTHORIZATION OF EN7RY: I cenity under penalty of perjury that I have read this epplication end state thet Ihe iMortnation given is correc�. I egree to comply with ell state lews and ciry ortlinances relating to building cons�ruction, and authorize representetives of Ihe Clry of Coste Mesa to enter upon the aDove-described properry tor inspection puryoses. I agree not to occupy or allow occupancy of any building euthonzed by this permit until finel inspection. -�,ig7e�r;Gf I�pal er(s)^ I Z3 �' Date v �� ! AnNOr A thorized Appli t � Date COOE �, INSPECTIONTYVE 1616 Fiaed Sysiem Final Fire Prevention 1266 Pool Spa Finel 200 Finel Re-Rool 201 Final B1ocWReteining Well 202 Final Feciory Fire Place 203 Final Sign 204 Final Demolition pAIF. INfInAtS COOE 1 INSPECTION TYVE 206 Final Mechanical 208 Final Plumbing 210 Final Electricel 212 Final Fire Prevention 220 Final Plenning Approval 222 Final Si�e 250 Final Building/Occupancy PA� It�Li