The URL can be used to link to this page

Home My WebLink About2708 HIBISCUS PL - Building Permits% , r � (714) 754-5273 • Fax (714) 754d856 • www.Ci.cOsta-m838.Ce.Us 77 FAIR DRIVE, COSTA MESA, GA 92626 BUILDING PERMIT JobAddress: ZiOS HIBI$C�J$ Suite: LO% 6� Vicinity: PLAN 3 Parce� Humber. TPfd00110 Applicant: Address: Owner: Address PHILIPP, ROLAND 1565 W MAC ARTHUR COSTA MESA, CA STARDARD PACIFIC HOMES 1565 W MAC ARTHUR COSTA MESA, CA Contrector. OWN ER-BU I LD ER Address: Zoning: Phone: 714-668-4300 Zip: 92626 Phone: 714-668-4300 Zip: 92626 Phone: ISSUED BY: Status: ISSUED Applied: 12/29/2000 Issued: 01/17/2001 Zip: License: 0 Arch : BASSENIAN LAGONI Eng: Address: 2031 ORCHARD DR Address: STE 100 Phone: 949-553-9100 Phone: NEWPORT BEACH, CA 2ip: 92660 License: License: SCOPE OF PERMIT CONSTRUCT NEW SFR PLAN 3 FOR STANDARD PACIFIC HOMES: 2972SF LIVING, 579SF GARAGE, 20SF COVERED ENTRY, 133SF PATIO. 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 MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING NOTES: Existinq: 0 Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY Calc Valuation: szss,szz.ze Claim Valuation: so.00 PLANNING & ZONING LeR 0- 0 Right Left 0• 0 Right Pro osed: 0 0- 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, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order tor the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlone end final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaae�ae �aroo7 WORKERS' COMPENSATION DECLARA710N: � _ I hereby aflirm under penalry of perjury one of the tollowing tleclarelions: ❑ I have antl will maintain e cehificete ol consent to sell-Insure tor workers' compensatlon, as provitled for by section 3700 0l the Labor Code, for the peAormence af Ihe work tor which this permil is issuetl. ❑ I have antl will meintain workers' compensation insurance, es requlretl by secUon 3700 ot t�e Lebor Cotle, for the peAormance of t�e work tor which this pertnit is issued. My workars' compensation Insurance carner and pollcy number ere: Carrier: Policy Numher: (Tbis sectlon need not be comp/eted il ihe permit is velued ef one hundred dollers (S 100) or Iess.J ❑ I certity that in the peAortnance ol the work for whic� this pertnit is issueQ 1 shall not employ any person in any manner so as to �ecome subject to t�e workers' compensetion laws ot Calilornia, entl egree thet II I shoultl Decome subject to t�e workers' compensation provisions of Section 3700 ot the Labor Code, I shell tort�wlih comply wlth these provisions. Applicant Slgnatura: Date: WARNING�. FAILURE TO SECURE WOiiKERS' CAMPENSATION CAVERAOE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CFIMINAL PENALTIES ANO GVIL FWES UP TOONE HUNDRED T/KK)SAND DIXIARE �E100,000). IN AODfTI W TO THE COST OF CAMPENSATION, DPM4GES AS PROVIDED FOR IN SECiION 3�O60F THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES. LICENSED CONTRAC70qS DECLARATION: I hereby aflirm that I am Ilcansed under provislons of Chapter 9(commencing with Section 7000) of Dlvislon 3 ot the Business and Professions Code, and my license Is In tull force and ettecL Lic. N Class a ContrectoYs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I herety ettirm Ihat there is a consiruction lending egency for the perlormance ol the work for w�ich ihis pertnit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lendefs Atldress: Signature: Data: OWNER-BUILOER OECLARATIONS: I hereby aRirm t�at under penalry ol perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Buslneu entl Protesslons Cotle: Any ciry or counry which requires a pertnit to consiruct, alter, improve, demalish, or repair any siructure, prior to its issuance, also raquires the applicaN tor such permit to file a signetl statement thel he or she Is Ilcansed pursuant ro t�e pmvislons of Ihe Contractors tJcense Lew (Chapter 9(commencing with Sectlon 7000) of Dlvislon 3 of the Business end Professions Cotle) or Ihat he or she is ezempt thereirom end ihe basis lor ihe alleged ezemption. Any violetian of Section 7031.5 by any epplicant for e pertnit subjects the epplicant to e civil penalty of not more than five hundretl dollars ($500).): ❑ I, as owner of the pmperry, or my employees with wages as their sole compensation, WILL DO THE WORK, end the structure is not intandetl or otteretl tor sale (Sec. 7044, Business end Professions Cotle: The Contrectors License Lew does nm apply to an owner oi properry who builds or improves Iheraon, end who tloes such work himself or herselt or through his or her own employeas, provi0ed ihat such improvements are not intended or ottered for sale. If, however, Ihe building or improvemeM Is soltl within ona year oi completion, Ihe owner-builder will have the burden of proving that he or she did not build or improve lor purpose ot sale.). � I, as owner of lhe pmperry• am E%CWSIVELV CONTRACTING WITH LICENSED CONTHACTORS to con5irut� the pmject (Sec. 7044, Busin855 and Professions �� Code: The contrecrors License Law tloes not aDPly to en owner ol property who builds or ImD�a�es Ihereon, end who contracis for such pmject with e coniractor(s) license pursuant to the Coniractors License Laws.). ❑ I am eze p=u er c.� SignaWre: Owner ID venfied by tlrivefs Ilcense. ❑ No Business antl Professions Code for Ihis reason: . � � Date: ��.� 0� DriveYs License No. xpires: Veritication of Ownership Dy (cypa ot tlocumenL i.e. � property tax �ill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION: ❑ I hereby certiy Ihat no eacavation live (5) or more feet In depih inlo which a person is requiretl �o tlescend, will be made in connection with work euthodzed by Ihis permit, and that no building siructure, sceMolding, talsework, or tlemolition or dismantling ihereof, will be more t�an �hirty-six (36) feet high. (Chep. 32, Gry 2, Ar12, Sec. 341, lltle B, Califomle Atlministretive Code). ❑ As owner-builder, I will not employ enyone to do wurk which woultl require e permit from Ihe Division of Industrial Safety, es notetl ebove, unless such peraon hes e permit to do such work from the division. SignaWre: Date: Division of Industrial Sa(ery Pertnit Number: CEHTIFlCATE OF COMPLIANCE AND AUTTfORVATION OF ENTAY: I certity untler penalty of perjury that I have reaA �his application antl slate Ihet the inlormation given is correct. I egree to compty with ell state laws end ciry ortlinances rela�ing to builtling conswction, and authorize represeniatives of the City ol Coste Mesa to emer upon Ihe above-described properry tor inspection purposes. I agree not to occupy or allow occupancy o( any buildinq authodzed by this permit until tinal inspection. ��9 ��e �a ��,5 � n c z� cii�a AnNOr Authorizetl A plicant D te cooe ", iNsvecnoxTrve 1616 Fixetl System Final Pire PrevenUon 1266 Pool Spa Final 200 Finel Re-Rool 207 Finel BIocWRetelning Well 202 Final Factory Fire Plete 203 Final Sign 204 Finel Demolition PdIE 1IffII19Si cooe� wsrecnoNrrve 2oe Finai Mechanicai 20B Final PlumCing 210 Finel Electncal 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupancy QAIE It�llLB ItS NEWPORT-MESA UNIFIED SCHOO� DISTRICT CER7IFICATE OF COMPLIANCE OF OEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 � ) Ciry of Costa Mesa ( ) City of Newport Beach ( ) County of Orange Applicant STANDARD PACIFIC Address: ALTON PARKWAY, IRVINE, CA 92618 Telephone Number: 949-789-1600 TrecUParcel and Lot Number(s): Location of Project: 2708 HIBISCUS, COSTA MESA, CA Number of Square Feet of: Residential Space Commercial and Industrial Space 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 z $ .30 _ Motel Bank _ Neighborhood Shops _ RacqueUHealth _ Hotel Medical Office Office Park Total Total 371� District Receipt No. Plan Check No. B00-02064 468.48 Preschool Auto Repair Hospital Large Office Office Bldg. Restaurant Fast Food i his certi�ies that the above-named Developer/Applicant has paid school faapty fees in compBance with Government Code sections 53080 and 65995. The Building Pemiils for this square footage in Mis proposed development may now be issued by your jurisdictlon. Checks are to be made payable to Newport-Mesa Unified School District. gy; BONNIE KUBOTA Authorizad Reprcxntative The above representation as to square footage is We. App6cant agrees that ii it is later determined that such representa0ons are not true, then this cerfificate shall automadcally terminate and the appropriate CitylCounty shall be notified. JAN 23 2881/11:29 AN/5 62475.36 I L o ( '7 � � ��/� RCPTH:�1-B814812 Date: � / 9v--��..� i�11�% ApplkeM T% INSULATION CERTIFICATE IC-1 2708 HIBISCUS COSTA MESA City ORANGE 15882 68 Counry Trect No LOT Description of Installation 1 ROOF Material Brand Name Thickness (inches) Termal Resistance (R-Value) 2 CEILING BattorBlanketType BATT BrendName OWENS CORNING Thickness (inches) 6 1/4" Thermal Resistance (R-Value) R-19 Loose Fill Type Brand Contractor's min installed weight square ft Ib Minimum thickness inches ManuFacturer's mshalled weight per square foot fo achieve Thermal Resistance (R-Value) 3 EXTERIOR WALL Frame Tvoe A. Cavity Insulation Material BATT Thickness (inches) 3 1/2" 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) Brand Name Thermal Resistance (R-Value) Declaration I hereby certity that the above insulation was installed in the building and the above location in conformance with the current Energy Efficiency Stenderds tor residential buildings (Title 24, part 6, Califronia Code of Regulations) as indicated on the Certificate of Compliance, where applicable. � 7/27/Oi PARAGON INSULATION Item #s Signature, Date Installing Subcontractor (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 Installing Subcontractor (Co. Name) OR Generel Contrect (Co. Name) OR Owner Property Address � Owner Contractor CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION ��-Oz065/ 1�� i Sc�S Lo fN�-�� State Contractor License Number Classification I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 15, and Appendix 15 of the latest adopted edition of the Uniform Building Code, and the installation instructions of the manufacturer. I further certiiy that I am the owner of the property. (Owner-Builder permittee only). ❑ I further certify that I am: ❑ Owner of sole proprietorship company ❑ �ull partner of the company [�i �Limited partner of the company ❑ Officer of the corporation I certify that as a� authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a Division for acceptance. copy of this Certification to the above listed owner, after submittal of form to the Building c�y/�J '(�/� , V � � �� I �rC�f�am��—� /L Address ^ Received by Building Division ��/7�//17 �%r "F �� Z�/� Initial Date 0990�a6MWfiN0 White�BuildingDiv.;Caury-Cmvxlor;Pink-O+mer <— �� /��s� - Printed or Typed Name ELLINGSON, BEN From: SANTORO,SUSAN Sent: Thursday, August 23, 2001 7:19 AM To: ELLINGSON, BEN; OOSTERHOF, SYLVIA Cc: GUEVARA, MICHAEL; MUNOZ, ERNESTO Subject: C of O Standard Pacific Ben/Sylvia: Engineering approves fnal 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 RETROS, 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 pool and rec area: 2704 Hibiscus 2706 Hibiscus 2708 Hibiscus 2710 Hibiscus Mel a «��G r.eei�eei . �T.0 /O-G$OL-oZ .. �. � FIl\'�AI. GRA�?ING CERTIFICATION Projat Addt�ss: l Co 4- I�DA�uS Lol Number. �� T�''�� 7 �t !� � 9 �v��.C-'I t5m� z Permil 1Vumber. �. � — �� 3 z- e By CIVI�. �IflCCt: I certify ro�he sa[isfaaory compleaon of grading in accordance with the appmved plans, specificariotu, local and state codes. All drainage devices requirad by the grading permit, grading plan and grading ordinapa have been installed. �equa�.provisions have ban made for drainage of surface water from eachbuilding siu._ ` The minimums are; - . � 1% Fall from atructures within 5 feet from extevior walls. 1% Fall for asphalc surfaces and landscaped areas. ' 0.59E Fall for concrete surfaces W approved disposal areas. The final monuments as shown on the rccorded tract map w�ere sa. All final grading eicvd- � tions are within ± 1/IU of the designed elcvation � Supervising Cipil Engineer Reg, No. 394�8 (Signawro) �: ,. . . Date 9-1 �-o / _ - , '�, . � ' . . . ;::r, QROfESSlpN ��Q�O GORY A. C�C � � No. 39178 E�.12,71-01 * �l4 � �Of CAUFO` ,� : c�rn�.m a.a cTna Contimtnu.s bupeclion & hlnteriab� Testing ��W�S� ��a��a��av�� InspeCtion fi Testing, InC. IOS'_C South Norwalk Blvd., Santa �e Springs. CA 90670 (562) 941-2990 • (714) 52GS=l41 Fr\;C (�62) 916-0026 Au�ust��,�001 Ciry of Costa Mesa Departmen[ of Building and Safery 77 Fair Dr. Costa btesa. CA 92626 Re: Final inspection for the (Mesa Vzrde Collection) � Harbor & Adams, Costa Mesa, CA. Standard Pacific Homes. Lot # Pennit � 6 B00-02029 7 B00-020�1 8 B00-020» PoolBldg.600-02039 Lot � � Permit ; B00-020�6 B00-020�7 B00-020�8 Lot � Permit iS 12 B00-02059 13 B00-02061 66 B00-02062 Lot t? Permit # 67 B00-02063 68 B00-02064 69 B00-02069 Dear Sir Southwest Inspection and Testin� was retained by [he Owner ro provide special inspection and materials restine in the areas that «ere required by section 1701 of the Uniform Buildins Code, approved project drawings and specifications, this work was wimessed by the following inspectors. Rein(orced cancrece insoection was done bv the follo��ine: ��ir. Eric Svauch (OCE��IA 0�98) Mr.Scott Bald QCBO �055178) �fr. Bam• Ben Ron (ICBO �036896-J9) S9c Ron Scoggins (ICBO OSd6897-39) � StressinE of'/:" Post Tensianed Tendons �ras done bv the follorvins: �1c Pat Brennun (OCE�\iA 0317) �Ir. Jay Dresner (1C80 OS»301-89) �Ic Ken Rodgers (ICBO 0846897-89) All work was done in conformance with the Structural Engineers' recommenda[ions, approved drawings and/or revisions, project specifications and applicable workmanship provisions of ehe Uniform Buildin� Code. If you should have any funher questions, please do not hesitate to call us. Sincerelv, G zven . Godl Presidznt / SLG/IRW:kIy Reviewed By: lan f Principal Engineer FOR INSPECTION AND TESTING ONLY, NO DESIGN RESPONSIBILITY EXPRESSED OR IMPLIED. (�ia) �sa-sz�s • Fax (��a) �sa-aess • www.d.costa-mesa.ca.us n Fnia oaive, wsrn mesn, cn szbzb MECHANICAL PERMIT JobAddress: 2708 HIBISCUS Suite No Viciniry: PLAN 3 Parcel Number: TPN00110 Applicant: PHILIPP, ROLAND Address: 1565 W MAC ARTHUR COSTA MESA, CA owner: STARDARD PACIFIC HOMES Addrese Contractor: Address: Arch / Eng : Address: 1565 W MAC ARTHUR COSTA MESA, CA OWNER-BUILDER Phone: 714-668-4300 Zip: 92626 Phone: 714-668-4300 Zip: 92626 Phone: Zip: License: 0 Phone: 2ip: License: Status: ISSUED Applied: 12/29/2000 Issued: 01112/2001 ISSUED BY: �� v� SCOPE OF PERMIT CONSTRUCT NEW SFR PLAN 3 FOR STANDARD PACIFIC HOMES: 2972SF LIVING, 579SF GARAGE, 20SF COVERED ENTRY, 733SF PATIO. 2 FAU < 100K BTU, 1 FACTORY FIREPLACE, 1 HOOD W/MECH EXHAUST, 1 VENT FANISINGLE DUCT, 2 COMPRESSORS UP TO 3 HP/ t00K BTU. REF:B00-02069 ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k 6TU Gas Piping Faclory Fireplace Hood w/Mech Exh�ust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10tl00cfm Floor Furnace Floor or Suspend Heater 523.50 $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 80.00 $0.00 $0.00 so.00 $0.00 $0.00 Quantity FEE SUMMARY Repair I Alt Absorbtion Unit Repair I Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercial I ncinerator Domestic Incinerator Compressors / Absorption Svstems Uplo3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 75 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantiry $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 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E111.05 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92•2B, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order For the work authorized under this permit to be considered legal, such work must comply with all applicable cotles, and all requlred Inspectlone and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 , zaas-as �aroo� WORKERS'COMPENSAnON DECLAHAnON: I hereby aflirm under penalry of perjury one oi the lollowing tleclarations: ❑ I have entl will maintein e certificate ol consent ro self-Insure far workars' compensetlon, es provitletl for 6y sectlon 3700 of the Lebor Cade, for Ihe peAartnence oi the work lor which t�is permlt Is issuetl. ❑ I have arW will maintain workers' campensation inwrenca, as requiretl by section 3700 0l Ne Lebor Code, for Ne pertoimance of Ne work lor whkh Nis pertnit I5 issued. My workers' compensetlon Insurance cerner antl policy number are: Carner: Policy Number: (This secfion need nol be canpleted i! 1he permif is velued et one hundred dWlars ($100) or less.) ❑ I certily that in tha peAormance ol the work tor which Ihis pertnit Is iuued, I shell not employ eny person in eny menner so as to become su�ject to Ihe workers' compensetlon laws ot Calilomla, end egree thei if I should 6acome subject to the workers' compensetion provlslons ot Section 3700 oF the Lebor Cotle, I shell lorthwlth comply with Ihese provislons. Applicanl Signeture: Dete: WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION CAVEPAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CflIMINAI PENALTES AND GVIL FINES UP TOIXJE HUN�RED THOUSAND DOLLARE (5100,000), IN ADDITIIXJ TO TME COST OF COMPENSATION, OAMAGES AS PROVIDED WR IN SECTION 3108 OF THE LABOR CODE, INrEREST, AND ATTOfiNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm that I am Ilcensetl under provislons of Chapter 9(commencing with Secllon 7000) of Divislon 3 of ihe Business and Professions Code, end my license Is In full force entl ettecL Lic. x Class q Contractors Signeture: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirtn t�et there is a construction lentling egency for Ihe peAortnance ot the work for which this pertnit Is issued. (Sec. 3097, CiWI Code). Lentlefs Neme: LentleYs Adtlreu: Signature: Date: OWNER-BUILDER DECLARATONS: I hareby eilirm Ihat untler penfllry of perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, 8usineu antl Protesslons Cotle: Any clry or counry which requires e permit to construct, alter, improve, tlemUlsh, or repair any atructure, pdor to its issuance, elso requires ihe applicant tor such pertnit to file e signetl stetement Ihet he or she Is Iicensetl pureuant to the provisions of the Cantrectors License Lew (Chepter 9(commencing with Section 7000) of Dlvision 3 of the Business end Professians Cotle) or Ihat he or she is exampt thereirom end ihe besis for the ellegeA exemption. Any violation oi Section 7037.5 by eny epplicent for a pertnit subjects the epplicant to e clvil penalry of nol more Ihen flve hundred tlollars ($500).): ❑ I, es owner oi Ihe property, or my employees with wages as thalr sole compensation, WILL DO 7HE WORK, end the swcWre is not intentled or oHeretl Por aele (Sec. 7044, Business entl Professlons Code: The Contractors License Lew does not epply to an owner of proparty who builds or improves ihereon, end who tloes such work himself or herself or ihrough his or her own employeas, provided ihet such Impravements ere not Intended or oHered tor sele. If, however, ihe builtling or Improvement Is soltl within one year of completion, the owner-builder will have the burden of proving thet he or she tlid not build or improve tor purpase of sale.). � I, as owner of tha property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolecl (Sec. 7044, Business and Professlons Code: Tha con[raaors License Law does not appry m an owner ol property who bulltls or Improves ihereon, end who contrects for such project with a contrector(s) license pursuant to tha Contractore License Laws.). ❑ I em exempl under%� c. Signature: ��4±� Owner ID ventietl by Cnvefs IltenSe. ❑ Yes No Business and Prolessions Cotle for ihis reeson: Dale: Dnver's Licensa No. Evpires: Venficailon oi Ownership hy (rype ol tlocument, i.e. - property tax bill or tlaetl): DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICA710N: ❑ I hereby certify that no excavaiion live (5) or more feet in depih into which e person Is required to tlascend, will be made in connec�ion wilh work euthorized by �his pertnit, and that no building structure, scattoltling, falsework, or tlemolition or tlismantling thereol, will be more ihan Ihirty-six (38) teet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Tltle 8, Celifomla Adminisiretive Gode). ❑ As owner-builaer, I will not employ anyone to do work which would require e permit trom the Division of Industrial Safery, es notetl above, unless such person hes e permit lo do such work Irom the division. Signature: Date: Division af Intlustrial Selery Pertnit Number: CERTFICATE OF COMPLIANCE AND AUiHORVA710N OF EMAV: I certify under penalry of perjury that I �ave read this application and stete t�at the Iniormatlon given Is correct I agree Io comply with all stete lews anC ciry ordinances reletinp to builtling construciion, and euthorize representatives ol the Ciry ot Coste Mesa to enter upon Ihe ebove-descn6ed praperty lor inspec�ion purposes. I agree not to acupy or ellow occupency ot eny building authorized by ihis permil until final inspection. i n ure L I wn s, Daie '� 9 � � � � Z3 AI And/OrAuthonzad Applicant ��—. ate CODE I, INSPECTONTYPE QdIE 1NIIIL�LS 1616 fizetl System Flnel Fire Prevention 1266 Pool Spe Final 200 Final RB-Root 201 FIneI BIocWReteining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition COUE I INSPECTION TYPE 206 Finel Mechaniwl 20B Final Plumbing 210 Finel Electncal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy al.11_O/ � (7ta) 754-5273 • Farz (77a) 754-asss • vnvw.ci.costa-mesa.ca.us 7/ hAIH UMIVt, GVA I H MCJA, GH tlLtiLO Job Address: Suite No Vici�ity: 2708 HIBISCUS PLAN 3 Parcel Nunmber: TPN00110 Applicant: PHILIPP, ROLAND Address: 1565 W MAC ARTHUR COSTA MESA, CA Owner: Address �ontractor: Address: Arch / Eng : Address: ISSUE FEE BackFlow irrigation Backflow Preventer Bathtub Clarifer System Gonnect Qce,Soda,e[c) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (t-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas ServiGe Interceptofs (Grease, C PLUMBING PERMIT STARDARD PACIFIC HOMES 1565 W MAC ARTHUR COSTA MESA,CA OWNER-BUILDER Phone: 714-668-0300 Zip: 92626 Phone: 714-6684300 Zip: 92626 Phone: Zip: License: 0 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: 72/29/2000 Issued: 01/12/2001 SCOPE OF PERMIT CONS7RUCT NEW SFR PLAN 3 FOR STANDARD PACIFIC HOMES: 2972SF LIVING, 579SF GARAGE, 20SF COVERED ENTRY, 133SF PATIO. 3 BATHTUBS, t DISHWASHER, 1 EXPANSION TANK, 1 GAS OUTLET (1-4), 2 GAS OUTLETS (OVER 4), 1 LAUNDRY TUBNJASHER, 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 HEATER/VENT, 1 WATER SERVICE. REF: B00-D2064 AMT $23.50 $0.00 $0.00 $29.40 $0.00 $0.00 $0.00 $9.80 $0.00 $0.00 $O.DO $0.00 $9.80 $0.00 $6.15 $2.20 $0.00 $0.00 $0.00 QTY NOTICE: The work authorized by this 0 0 3 0 0 0 1 0 0 0 0 1 0 1 2 0 � 0 FEE SUMMARY AMT Laundry Tub / Washer $9.80 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $9.80 Process Piping (per 70 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $24.65 Sewer Private Line $0.00 Shower $9.8p Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kilchen $9.80 Sink, service/mop $9.80 Spa (private) $0.00 Spa (public) $0.00� Qn 1 0 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 �0 SumpPump Swimming Pool Trep Primer Urinal Vacuum Brkr Bkflow(1•4) VacUUm Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 redi��€�'��igti�S��Ro�rr�f�d�tat�b�5�'�{id related EXPIRATION: This permit shall automatically ex � p in 1 BO days, or if work is suspended or abandoned for a period ot t 80 days. INSPECTIONS: In order for the work authorized undar this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this pertnit. FOR INSP�CTIONS CALL: (714) 7545626 zaes-as �s�oo� WORKERS'COMPENSAnON DEGLARAnON: _ I hereby aHirm untler penalty ol perJury one of the following declarations: ❑ 1 heve entl will maimein a certificate ol consent to setl-Insure br workers' compensetion, as provided for by section 3700 ot the Lebor Code, for Ihe peAarmance of ihe work lor which t�is permit Is issuetl. ❑ I heve end will maintaln workers' compensation Insurence, as requiretl Dy section 3700 of Ne LaEor Code, for Ne perfortnance ot Ihe work for which Ihis pertnit I5 ltwed. My workers' compensatlon Insurance wrner end policy number ere: Carrier: Policy Number: (This section need not be complefed I! fhe permit is veluetl el one hundred dollare ($100) or less.) ❑ I certiy that in Ihe Oerformence af t�e work lor which Ihis pertnit is issued, I shall not employ eny person in any manner so es ta become sublect to the workers' compensation laws oi Celitomia, end egree Ihet If I s�ould become suDject to the workers' compensatlon proNsions oi Section 3700 0l the LeDor Cotle, I shell totlhwith comply with Ihese provlsions. Appiicant Signetura: Date: WARNING: FAILUPE TO SECURE WORKERS' COMPENSATION CAVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THIXISAND DOLLARE (5100,000), IN ADDITION TO THE CQST OF COMPENSATION, DAMFGES A$ PROVIDED FOR IN SECTION 3108 OF THE UBOP COOE, INTEREST. AND NTTORNEI"5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby eNirm t�at I em Ilcensed under provisions of Chapter 9(commancing with Section 7000) of Division 3 of the Business entl Professions Code, entl my Ilcense Is in full forca and ettecL Lic. N Class N Gontractors SlgneNre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirtn that there is a wnstruction lending egency tor the pertormance of the work for which this permit is issued. (Sec. 3097. Civll Cotle). Lentlers Name: Lendefs Atltlress: Signamre: Date: OWNER-BUILDER DECLARATONS: I hereby ettirm that under penelry af per�ury Ihet I am E%EMPT FROM THE COHTHACTORS IICENSE LAW for the tollowing reeson (Sec. 7031.5, Business end Protesslons Code: Any ciry or counry which requires e permit to consWct alter, impmve, demolish, or repair any siructure, pdor to its issuance, elso requires Ihe flpplicant tor such pertnit b tile e si8netl stetement ihat he or she Is Iicensetl pursuent ta tha pmvisions ot the Contradore License Law (Chepter 9(commenGng with Section 7000) of Dlvision 3 of t�e Business end Professions Cotle) or ihat he or sha is exempt therefrom antl the basis for the alleged exempiion. Any Nolation of Section 7031.5 by eny applicant lor e permit subjects the epplicant to e civil penelry of not more ihan live hundred dollers ($500).): ❑ I, es owner of the D�aPerry, or my employaes with wages as thelr sole wmpensation, WILL DO TME WORK, anA the sWcture Is not intendetl or oHeretl tor sale (Sec. 7044, Business antl Professions Cotle: The Contractors License Law does not apply to an owner of properry who builds or improves thereon, and who does such work himself or herselt or t�muqh his or her awn employees, provitletl that such impmvements ere not Intended or oHeretl tor sale. II, however, Ihe bullding or improvement is �sold within one year of completion, the ownerbuilder will have ihe burden of proving ihat he or she did no� build or Improve tor purpose of sale.). I, as owner of Ne pmperty, em E%CLUSIVELV CONTAACTING WITH LICENSED CONTRACTORS to canstmct the pro�ect (Sec. 7040, Business antl Profeulons Cada: The contrectors License Lew does not epply ta en awner ot praperry who �uiltls or Improves ihereon, end who contrects tor such proJect with e contrectar(s) license pursuanl Io Ihe CantraclorSlJcense LewS.). ❑ I am ez� und^er se� Signature: �s Owner ID verllied by driver's Ilcense. ❑ Yes Bu5ine55 end Prolessions Cotle for t�is reason: Date: Driver'S LiCense No. Expires: Venficatian of Ownership 6y (type ol document, i.e. - property tax bill ar deed): DIVISION OF INUUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby canity that no excavetlon Bve (5) or more feet in depth into which a parson is required to tlescend, wlll be matle In connectlon wllh work authodzetl by this permit, and Ihat no huilding sWCNre, scaHoltling, felsework, or tlemolition or dismantling thereof, will ba more then t�irry-sl: (38) feet high. (Chep. 3.2, Grp 2, An 2, Sec. 341, Tltle 8, Celifornia Adminisiretive Code). ❑ As owner-builder, I will not employ enyone to do work which would require e permi� from the Division of Industnel Sefety, es no�etl above, unless such person hes e permit to do such work from the division. SignaWre: Date: Division of Industrial Safery Pertnit NumOer. CERTIFlCATE OF COMPLIANCE AND AUT}10RIZA710N OF ENTHV: I certify untler penalry ot Derjury that I have read this epplicatlon enG state that the infarmation given is correct. 1 agree to wmply with ell stete laws antl ciry ordinences rela�ing �o building construction, end eu�hodze representaiives ot Ihe Ciry oi Cwta Mesa to enfar upon the eDove-described properry tor inspection purposes. I agree no� to occupy or ellow occupency of eny building authonzed by this permit until tinel inspection. 51 Nre Le I n � Antl/Or Authorized Applicent FODE �, INSPECTIONTYPE 1616 Fixetl System Flnal Fire Preventbn 1266 Pool Spa Final 200 Finel Re-Rool 201 FIneI BIocWReteining Well 202 203 204 Final Factory Fire Place Finel Sign Finel Demolition Q�jF INf1iIRL5 COOE 1 INSPECTION TYVE 208 Final MeUanical 208 Final Plumbing 210 Flnal Elecirical 212 Finel Fire Prevention 220 Final Planning Apprwal 222 Final Site 250 Final Building/Occupancy Q� �i$ ` ► � 1 (714) 754-5273 • Fa�c (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: ELECTRICAL PERMIT 2708 HIBISCUS PLAN 3 TPN00110 Applicant: PHILIPP, ROLAND Address: 1565 W MAC AR7HUR COSTA MESA, CA owner: STARDARD PACIFIC HOMES Address 1565 W MAC AR7HUR COSTA MESA,CA Contractor: OWN ER-BU I L(�ER Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ISSUED BY: Phone: 714-668-4300 Zip: 92626 _ Phone: 714-668-4300 Zip: 92626 Phone: Zip: License: 0 Status: ISSUED Applied: 12/29/2000 Issued: O5/12/2001 SCOPE OF PERMIT CONSTRUCT NEW SFR PLAN 3 FOR STANDARD PACI IC HOMES: 2972SF LIVING, 579SF GARAGE, 20SF COVERED ENTRY, 133SF PATIO. 1 NEW RES (1 UNIT), 2 LIGHT FIXTURES, 3 OUTLETS, 2 SWITCHES, 1 MOTOR TO 1 HP. REF: B00-02064 $23.50 $0.00 $0.00 $166.43 $0.00 $0.00 $2.20 $3.30 $2.20 $0.00 $0.00 $0.00 $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 a 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Bnsway/t00ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (�nech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation 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 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $202.38 COMMENTS / SPECIAL CONDITIONS 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 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 consideYed legal, such work must comply with all applicable codes, and all required 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 2446�48 (&00) WORKERS'COMPENSAnON OECLARATION: _ I hereby ettirm under penalry of perjury one of the tollowing declaretions: ❑ I have end will maimain a cenificete of consent to self-Insure tor workers' compensetion, as provided for by section 3700 of ihe Lebor Code, tor the paAormance of the work for which thls permit is issuetl. " � " ❑ I have end wiil maintain workers' compensation insurence, es require� by section 3700 of the Labor Code, for ihe petlormance of the work for which this peimit I5 issuetl. My workers' compensation Insurance carrier end policy number are: Carrier: � Policy Number. (Triis section need nat be completed il the permit is veluetl at one hundred dollars ($100) or less.) ❑ I certity ihat in ihe peAormence of ihe work for which this permit is issued, I shell not employ eny person in any menner so es to become subject to the workers' compensation laws oi Calitomia, end agree thet ii I should become subject to the workers' compansatlon provlsions of Sectlon 3700 of t�a Lebor Code, I shall forihwllh comply with these provisions. Ap0licant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' WMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND DOLLARE (E100,OW), IN ADOITIqJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR CODE, INiEREST, P.N� ATTORNEV'S PEES. LICENSED CONTRACTORS DECLARATION: I herehy attirm Ihat I em licensed under provisions oi Chapter 9(commencing with Sectlon 7000) of Divislon 3 of ihe Business end Professions Code, and my license is In tull force end ettect Lic. q Class N Contracrors Signature: Dete: CONS7RUC710N LENDING AGENCY: � ❑ I hareby a%irtn that there is a consiruction lending agency for t�e peAormance of iha work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lentler's Adtlress: Signature: Da�e: OWNER-BUILDER DECLARA710NS: I hereby affirtn thet under penalry of perjury ihet I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW tor Ihe following reeson (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires e permit lo construct, alter, improve, demolish, or repair any strucWre, pnor to its issuance, elso requires the aDD�� or such permit b tile a signed s[etament that he or she Is licensetl pursuent to the provisions of Ihe Contracrore License Lew (Chapter 8(wmmendng with Sectlon 7000) of DlNslon 3 of ihe Business and Professians Code) or tha� he or she is exempt Iherefrom and ihe basis tor �he allegad exemption. Any violatlon of Section 7031.5 by eny epplicant for e pertnit subjects Iha applicant to a civil penalry oi not more Ihan fiva hundred dollars ($500).): ❑ I, as owner of ihe property, or my employees with wages es their sole compensation, WILL DO THE WORK, an0 ihe structure Is not intentletl or offered tor sele (Sec. 7044, Business antl Professions Code: Tha Coniractors License Law dces not apply �o an owner of properly who builds or improves Ihereon, entl who does such work himself or hersetl or ihrough his or her own employees, providetl ihat such improvements ere not intendetl or oHered for sale. H, however, ihe bullding or improvement Is soltl within one year ot completion, the ownerbuilder will have the 6urden of proving Ihat he or she did not build or improve lor puryose of sele.). � I, as owner of the pmperry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (SecJ044, Business end Professions Code: The conirectors License Law does not epply to an owner ol property who builds or Improves thereon, and who contracts for such prolect with e contractor(s) license pursuant to Ihe Coniractors License Lews.). ❑ I am exemyt unde�r se��____p__� Business end Professions Code for this reason: SignaWre: `�a., _��U �3"� M Date: Owner ID verified by dnvefs license. � Ves� ❑ No Driver5 LiCenSe No. Ezpire5: Venfication ot Ownership by (rype of dceument, i.e. - property tau bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby ceriify that no excavation tive (5) or more feet in depih into which a person is required to descend, will be mede in wnnec�ion wlth work euthorized by ihis permit, and ihat no builtling sWcture, scalloltling, falsework, or demolition or dismanNing thereof, will De more then ihirty-six (36) teet high. (Chap. 32, Grp 2, Atl 2, Sec. 347, 7ule B, Celifomia Atlminisiretiva Code). ❑ As owner-builtler, I will not employ anyone to tlo work which would require e permit from Ihe Division of Intlustnal Sefery, as noted ebove, unless such person hes e permit to do such work from the division. Signature: Data: Division of Industrial Safery Pertnit Number: CERTIFICATE OF COMPLIANCE AND AUTHORRATON OF ENTRY: I certity untler penalry of perjury Ihat I have read this epplication end state Ihat the infortnation given is correct I agree to comply with ell state laws and ciry ordinances relating to Ouilding consiruction, end authorize representelives ot the Clry of Coste Mesa to enter upon the above-tlescnbed properry tor inspection puryoses. I egree not to xcupy or ellow occupency of eny building authonzed by this permit until finel inspectlon. Sig tur iLe I wnqr�s), n� + Z� �1 Dete V � And/Or Authonzetl Applicent ' Data COOE I. INSPECTION TYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final RB-Roof 207 Final BIocWReteininq Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition QA7E � INTRIRLS �j INSPECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Final ElecMcal 212 Finel Fire Preventian 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupency PAIE Iti�lLB