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Home My WebLink About2103 CANYON DR - Building PermitsI j - (714) 754-5273 • Fax (774) 754-4856 • www.ci.crosta-mesa.�1�LDING PERMIT 77 FAIR DRNE, COSTA MESA, CA 92626 Job Address: 2103 CANYON CI Suite: Vicinity: Primary Occ: R3 Dwellings/ Cong Res <70 Type of Construction: V-N Parcel Number: TPN00422 Zoning: Applicant: MALLON, CHARLIE Address: 320 N HALSTEAD ST SUITE 100 PASADENA,CA Phone: 949-230-7030 Zip: 97107 Owner: UNITED PACIFIC DEVELOPMENT Adtlress 3111 N TUSTIN AV SUITE 220 Phone: 714-974-5111 ORANGE, CA 2ip: 92865 Contractor. PACIFIC RIM COMMUNITIES BUILDERS INC, Address: 320 N HALSTEAD ST SUITE 100 Phone: 62635t-3600 PASADENA,CA Zip: 91107 License: 860453 Arch : Address: Zip: FOUNDATION ONLY FOR S.F.D. Plan Check: $96.49 Permit: $593.75 SMIP Res: $4.50 SMIP Cam: $0.00 Other: $0.00 Inspection: $0.00 Phone: License; Eng: Address: SCOPE OF PERMIT FEE SUMMARY Total: $694.74 � PLANNING & ZONING SETBACKS 1 MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: o ISSUED BY: Status: ISSUED Applied: 02/21/2006 Issued: 02212006 Phone: License: Calc Valuation: Sas,000.00 Claim Valuation: 5as,000.00 Rear 0- 0 Left 0- 0 Right 0- 0 Rear 0- 0 Left 0- 0 Right 0- 0 Re uired: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § i, 12-21-g2) EXDIRATION: This permit snall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandorted for a period of 180 days. INSPECTIONS: In ortler for the work authorized unde� ihis permit to be considered legal, such work must comply wlth all applicable codes, and all requlred Inapeetiona end final approval musl be obtained. Failure to obtain inspeclions and final approval will result in the expiration ot this permit. I FOR INSPECTIONS CALL: (714) 7545626 taaasa 1�'w� WORKERS'COMPENSAnON DECLARAnON: I herehy affirm under penalry oi perjury one ol Ihe lollowing declarations: � ❑ � have entl will maintain a ceniticate of wnsent to selbinsure tor workers' wmpensation, es pravideA for 6y section 3700 oi the Lebor Code, tor the peAortnance oi Ihe work tor w�ich IhiS pertnit is issued. �_l—`.have and will maintain orkers' compensation' urence, fls required 6y sec�ion 3700 ot the Lebor Cotle, iw the pertortnance of Ihe work for whiU this pertnit is issue0, > My workars' c� nsa n Ins e certier oli number are: . i � P cy Cartier: l ` _ ' / Z ,� � S � (Shis�sec(ion e�otbeco IefedAfhe ��ry�NumDer p pertnit is valued at one hundred dollars ($100) or less.) ❑� I certify that in ihe peAo nce ot t�e work for which t�is it is issuetl, I shall not employ any person in eny manner so as to become subject to the workers' compensation laws of C mia, e t�at it I s�oul ma sub�ect to the workers' wmpensetion provislons at Section 3700 ot the LaDor Code, I shall forthwith comply with these pravi o s. \��7 -7 / A�PrP�a�fSignature:� ��V�,� . �Dete: � � � � � / � 0-Y� WAWJINOv�FA1LURE-TO SECURE WORKERS' COMPENSATIIXJ Q�VERAOE IS UNIAWFUL rW0 SHALL SUBJECT PN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO IXJE HUNDRED TFKK.6AND DOLLARE (5100,000). IN ADDITION TO THE CQST OF COMPENSAPON, DAMAGES FS PROVIDED FOR IN SECf10N �OB OF THE LABOR COOE, INTEREST, AND ATTOFiNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: 7000) ot and PrS�t�ssions Code, end my license is in tull CONSTRUCTON LENDING AGENCY: ❑ I hereby aHirm ihat there is a construction lentling agency for ihe performance of ihe work for which this permit is issue0. (Sec. 3097, Civil Cotle). Lentlels Name: Lenders Address: Signature: OWNER-BUILDER DECLARATIONS: Date: 1 hereby aflirm Ihat under penelty of perjury t�at I em E%EMPT FROM THE CONTHAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which raquires a pertnit to consiruct alter, improve, demolish, or repair any sWcture, pnor to its issuance, elso requires ihe applicaN tor such permit b file a signed statement Ihet he or she is licensetl pursuent to the provislons ol the Comrecmre LJcense Lew (Chepter 9(wmmencing with Section 7000) oi Divislon 3 of tha eusiness and Profeulons Code) or that he or she is exempl Iherelrom end the basls for the allegetl exemption. Any violation ot Seciion 7037.5 by eny applicant tor e pertnit sub�ects the epplicant to e civll peneity ol not more then five huntlretl tlollers ($500).�: ❑ 1, as owner ol the properry, or my emplayees with wages es l�elr sole compensation, WILL DO 7HE WORK, and Ihe structure is not in�ended or ottered for sale (Sec. 7044, Business and Professlons Code: The Conirectors License Lew does not apply lo en owner of propeny who builds or improves thereon, and who does such work himsalt or harsetl or through his or her own employees, provided that such improvemenis are not intendatl or oNeretl for sale. 11, however, the 6uiltling or improvement is sold within one year of completion, ihe ownerbuilder will heve the burtlen of proving that he or she did not builtl or improve for purpose ol sale.). ❑ I, as owner ot Ihe property, em E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct I�e project (Sec. 7044, Business antl Professions Cotle: The contractors License Lew tloes not epDly �o an owner ol pwpeny who bulltls or Improves thereon, end who comracts tor such pwject with e contractor(s) license pursuant ta tha Conlractors License Laws.). ❑ I am eaempt untler sec. Business end Prolessions Cotle br �his reason: Signature: Date: Owner ID verilied by dnvefs license. ❑ Ves ❑ No Driver's License No. Venfication of Owners�ip by (typo of documenL I.e. � property tea blll or deed): Expires: DIVISION OF INDUSTRIAL SAFETV PERMI7 CER7IFICATION: ❑ I hereby certity Ihet no eacavetion five (5) or more feat In aepth Into which e person is required to descend, will be metle In connedion with work euthonzed by �his pertnit, antl ihat no builtling structure, scattoltling, lalsework, or demolition or disman0ing ihereoi, will be more lhan �hirry-six (36) teet high. (C�ap. 32, Gry 2, An 2, Sec. 341, Titla B, Calitomia Atlminlstretive Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require e permit from t�e Division of Intlustriel Setety, as noted ebove, unless such person has e permit to tlo such work from Ihe division. Signature: Date: Division of Indu5tn81 Selaty Permi� Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cenity under penalry of perjury that I have read t�is application and state that the infortnation given is correa. 1 agree to comply with all stete laws antl ciry ordinances rela�ing m building consiruc�ion, antl euthonza representatives ot the Ciry of Costa Mesa to enter upon the above-d�scnbed propeny lor inspection purposes. I egree noI to occupy or ellow occupancy of eny builtling authorizetl by this pertnit uniil tinal inspection. CODE �. MSPECTIONTYVE '� 1616 Fixetl System Final Fire Preven�ion 12fi6 Pool Spa Finel 200 Finel Re�Roof 201 Final Blwk/Reteining Well 202 203 204 Final Factory Fire Place Finel Sign Finel Domoliiion 1�7.11� i( - CO�E 1 INSPECTION TYPE 206 Final Mechanical 20B Final Plumhing 210 Final Electncal 212 Final Fire Prevention 220 222 zsa Final Planning Approval Final Site Final Building/Occupancy .�� uIC nl.t4� ; . � (774) 754-5273 • Fax (714) 754-4g56 • www.ci.costa-mesag}p�DING PERMIT 77 FAIF DRIVE, COSTA MESA, GA 92626 Job Address: 2103 CqNYON CI Suite: Vicinity: Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construclion: V-N Parcel Number: TPN00422 Zoning: Applicant: MALLON, CHARLIE Address: 3111 N TUSTIN AV SUITE 220 ORANGE,CA Phone: 714-637-3298 Zip: 92865 Owner: UNITED PACIFIC DEVELOPMENT Address 3111 N TUSTIN AV SUITE 22p Phone: 714-974-5111 ORANGE, CA Zip: 92865 Contractor PACIFIC RIM COMMUNITIES BUILDERS INC Address: 3111 N TUSTIN AV STE 220 Phone: 714-6373298 ORANGE,CA Zip: 92865 License: 680027 Arch : Address: Zip: FOUNDATION ONLY FOR S.F.D. Plan Check: $96.49 Permit: $593.75 SMIP Res: $4.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Phone: License: Eng: Address: SCOPE OF PERMIT FEE SUMMARY Total: $694.74 ' PLANNING & ZONING SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: o ISSUED BY: Status: ISSUED Applied: 02/21/2006 Issued: 0221/2006 Phone: License: Calc Valuation: sa5,000.00 Claim Valuation: $as,000.00 Rear 0- 0 Lefl 0- 0 Right 0- 0 Rear 0- 0 Left 0- 0 Right 0- 0 Reauired: 0 Pronosed: 0 NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Cali(omia statutes and related regula�ions. (Ord. No. 92-28, § 1, 7241-g2) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the Work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspeetlona and final approval musi be obtained. Failure to obtain inspections arM tinal approval will result 'rn the ezpiretion ot fhis permit. FOR INSPECTIONS CALL: (714) 7545626 �wo-aa �vw� WORKERS' COMPENSATION OECLARATION: 1 hereby eNirm undar penalry ot perjury one of [Te fotlowing tleclaratlons: ❑ I heve entl wlll maintain a certificate of consent to self-Insure br woMers' compensation, as provitled tor by section 3700 0l Ihe Labor Code, for the pedormance of ihe work far which this peRnit is i55ue0. �] I have and will maintaln workers' compensation insurance, as requireA Dy section 3700 of the Lebor Cotle, br ihe pertormanca of the work for which this pertnit is issuetl. My worker�s' m7p�en ation Insuranc rner and policy number are: T�� Garner: T'fG'�' � Policy Num�er. ��Z J (This secfion need n t Oe comp/eted i/ fhe permif is va�ued ef wre hundred doller5 ($100J oi le5s.) ❑ � certiry thet in me ve rmence of the work for which t�is permit is IssueQ I shell not employ eny pers0� in any mannar so es to become subject to ihe worNers' compensation laws ol alifo ntl agree jhat if I s become suD�ect ro the workers' compensation provisions of Section 3700 0l Ihe Lebor Cotle, I shall fonhwith comply with Ihesa pr v 1 s. � Applicam Signeture: �� Date: Z' 2� . � WARNING FAI WRE TO SECUPE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHA�L SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND pVIL FINES UP TOONE HUNDREO 7l10USMlD DOLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAh1AGE5 /S PROVIOED WR IN SECTION 3]O60F THE LABOR CO�E, IMEREST, AND ATTORNEI"S FEES. UCENSEU CONTRACTORS DECLARATON: I hereby aRirm Ihat I am licensed under rovisio of C/q�-�e�r 9(c�ommenci wiM Section 7000) of Division 3 of the Businesf�am} Pro�essions Code, and my licensa is in full 10rCe Bntl BttBCL Lla k_��% � / E-11 /1 C185S k ��i ContraciorsSignaWre: � - Date: Z' 7.f _ D6 CONSTRUC710N LENDING AGENCY: Q I hereby ettirtn that there is a conswction lending agency for ihe peRormance ol the work br which this pertnit is issued. (Sec 3097, Civil Cotle�. Lendefs Name: Lentler's Adtlress: 5ignature: Date: OWNEA-BUiLDER DECLARA710NS: I hereby eMirtn Ihe� under pe�alty of perjury ihat I em E%EMP7 FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professlons GWe: Any ciry or counry which requires a permit to consimct, alter, improve, demolis�, or repair any stmaure, prior to its issuance, also wquires the applicant for such permit to Ille e signed stetament ihat he or she is Ilcensed pursuant to the provisions ot the Contractors Licensa Law (Chapter 9(commendng wl�h Sectlon 7000) ot Divislon 3 ot the Business and Prolessions Code) or thet he or she is exempt iherefrom and t�e basis br t�e alleged exemption. Any violetion of Section 7031.5 6y any applicant for e permit subjacts the epplicam to e cWif panafly M not more than tiva huntlred tlollers ($S00).): Q I, as owner ol ihe pmperty, or my employees with wages as Iheir sola compensation, WILL DO 7HE WOfiK, and the sWcture Is noI Intendetl or ofleretl tor sale (Sec. 7044, Business and Professions Cotle: The Contrac�ors License Law tloes not apply to en owner of Dropeny who builds or Improves thereon, antl who tloes such work himself or herself or Ihrouqh his or �er own employees, O�ovitled thet such improvements ara not intended or offered for sale. It, however, the building or improvement is sold within one year of completion, the owneo-builtler will have ihe burden of proving tha� he or she did not build or improve tor puryose of sale.). p I, a5 owner of the pro0erty, am E%CLUSiVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe prolec� (Sec. 704d, Business and Professions Code: The contrectors Licensa Lew does not apply to en owner ol pmpeny who builtls or impmves thereon, and who contrects for such pmject with a contractor(s) license pu�suant to the Contractors License Laws.). [] I em exempl untler sec. SignaWro: Owner ID venlied by tlrivers license. ❑ Ves ❑ No Business and Professions Code tor this reason: Veriliwtion ol Ownership by (type oi document, i.e. - properry taz bill or tleed): Drivers License No. Oate. Eapires: D�V1510N OF INDUSTRIAL SAFETY PERMIT CER71FlCA710N: [] I hereby certify that no excavation five (5) or more feet in depih into which a person is requiretl to descend, will be mede in connection with work eu�horized by Ihis permit, antl ihat no huiltling simcWre, scallolding, talsework, or demolition or disman0ing thereof, will Ge more ihan Ihirty-si: (38) feet high. (Chap. 32, Gry �. Art 2, Sec. 341, Title 8, Cellfornia Atlministrative Cotle). ❑ As owner6uilder, I will not employ anyone to tlo work which would require a permi� fwm the Division of Intlustrial Sefety, es noted ebova, unless such person hes e permit to do such work from the division. SignaNre: Date: Di�ision of Intlustriel Safety Permit Number: CEAnFlCA7E Oi COMPLIANCE AND AU7HORIZA710N OF ENTHY: I cenify untler penalry of Derjury ihat I have read �his application antl state t�at �he infortnation given is coRect. I egree to comply with ell s�ate laws and ciiy oftlinances releting m builtling conswction, antl autho�ze represeniatives of Ihe City of Costa Mesa ro eNer upon the qyuve�tlescribed property tor inspection pwposes. I agree not to occupy or allow occupancy of any building authorizetl by t0is permit until finel inspection. igna eg r(s) An Or Au honzetl�Cpplicant COUE �. MSPECTIONTYPE � 1616 Fixetl System Pinal Fire Prevention 12&6 Pool Spe Final 200 Final Re-Root 201 FInaI8locWRetaining Wal1 202 Flnal Factory Fire Placa pp� Final Sign 204 Final Demolition Daie Z•' 'LI - DC Data f�jF �$ fQQ[! INSPECTIONTYPE 206 Final Mechanical 208 Firel Plum ' 1 < i 270 Fin I ectncal 212 Fin Fire PrevBnuo 220 Fina lannirvg� proval 22 Final e 250 FinelBuilding/Occupancy D�IE II�lELS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Jobnddress: 2103 CANYON CI Suite No Vicini�y: Parcel Number. Applican�: MALLON, CHARLIE Address: MECHANICAL PERMIT Phone: 949-230-7030 Zip: Owner: UNITED PACIFIC DEVELOPMENT Address: 3711 N TUSTIN AV SUITE 220 ' Phone: 714-974-5171 ORANGE, CA � Zip: 92865 Comractor: PACIFIC RIM COMMUNITIES BUILDERS INC Address: 320 N HA�STEAD ST SUITE 100 Phane: 626-3513600 PASADENA, CA Zip: 91107 License: 860453 Status: ISSUED Applied: 03/O6/2006 Issued: 02/27/2007 � : ��/ . � J ' SCOPE OF PERMIT PLAN I: NEW 2,354 S.F. S.F.D. WlATTACHED 442 S.F. GARAGE, AND 110 S.F. PATIO. WORK TO INCLUDE: 1,004 S.F. 1ST FLOOR AND 1,350 S.F. 2ND FLOOR. 4 BEDROOMS AND 4 BATHRqOMS. REF.: BOS-00104 !v1ECHANICAL TO INCLUDE: 1 FAU < 100K BTU, 1 REPAIR/ALT COOLING/HEAT, 1 GAS PIPING, 1 FACTORY FIREPLACE, 1 HOOD W/MECH EXHAUST, 1 COMPRESSOR/ABSORPTION SYSTEM UP TO 3 HP AND 4 VENT FANS. -� . � ISSUE FEE Insl FAU <100 k BTU Ins� FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <700 k BTU Re(riq Sys >100 k 8TU Gas Piping Factory Fireplace Hood w/Mech Exhausi VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 70000cfm AirHandlers> t0000cfm Floor Furnace Floor or Suspend Heater 523.50 514.80 50.00 $13.70 50.00 50.00 50.00 56.15 510.65 510.65 $0.00 $29.00 50.00 $0.00 50.00 50.00 50.00 $0.00 $0.00 50.00 Quantity FEE SUMMARY - Repair / Alt Absorbtion Unit Repair / All Refrigeralion Unit Ventillation System Evaporative Cooler Com me rci a l I nci neretor Domestic Incinerator Compressors / Absorotion Svstems .Upto3hp/t00kBTU 3 To'15 hp / 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp ! 1,750 k BTU Over 50 hplOver 1,750 BTU Boilers Upto3hp 3 TO 15 hp '15to30hp . 30 to 50 hp Over 50 hp Other Mechanical Fee Invesligation Fee Plan Check Fee Reinspection Fee Quantity 50.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $1470 1 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 50.00 - ' TOTAL CALCULATED FEES $123.15 COMMENTS / SPECIAL CONDITIONS NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable co� requlred Inepeetione and final epprovel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this FOR INSPECTIONS CALL: (714) 7gq-5626 � 24d8d8 (fl�00) all WORKERS' COMPENSA710N DECLARATON: I hereby eHirm untler penalry of perjury one ol the following deGarations: ❑ I heve and will maintain a certiticate oi consent to selt-Insure for workers' compensation, es provitled for by section 3700 0l the Lebor Coda, for the pedortnence of ihe �� work for which Ihis permit is issued. will n Insurence, as raquiretl by sec�lon 3700 of Ihe lebor Code, for the peAortnanca ot the work for whiU Ihis pertnit Is issuetl. and policy number are: o�� a�: (g� � �--� � veluetl et one hundred dollers ($f 00) or less.) ❑ I certity Ihet in the perto ance e work for which this permit is issued, I shell not employ eny person in any menner so as to become subiect to the workers' compensation lews at G oml , a e re that It I shoWdy come subJect b Ihe workers' compensation provislons of Sectlon 3700 of ihe Labor Code, I shall torihwith camplyiwith thesa � y o � �' � J T� P / ai� eWr�e° ��.'.- eg�y,. V E70 SEWRE WORKERS' COMPENSATION GOVEqAGE IS UNUWiUL M'D SNALL SU8IECT AN E�O''p IMINAL PENALTIES AND CML FlNES UP TO IXJE HUNORED AND OOILAflE (b100,000�, IN AODITIdJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED F-0R IN SECTION 3]O60F THE IABOR CODE, IMEPEST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECIARATION: 7000) of Protessions Cade, and my Ilcense is in lull CONSTRUCTION LENUING AGENCY: ❑ I hereby eHirtn Ihet thera is a construction lending agency for Ihe pedormance of the work tor which Ihis pertnit is issuetl. (Sec. 3097, Civil Cotle). Lenders Name: Lenders AAtlress: SignaNre: OWNER-BUILUER DECLARATIONS: Date: I hereby affirtn thet under penelry of Oerjury Ihat I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor ihe following reasan (Sec. 7031.5, Business end Protessions Code: Any cily or counry which reqWres a permit to consiruct alter, improve, tlemolish, or repair any structure, prior to its issuence, also requires ihe epDllcent lor such permit to file e slgned sletement that he or she is Ilcensed pursuent to ihe provislons of Ihe Contrectors License Law (Chepter 9(commencing with Section 7000) of Divislon 3 of the Business and Protessions Code) or Ihet he or she Is exemD� therefram and the basis for the elleged exemptlon. Any vloletion a� Sectlon 7031.5 by any epplicant lor a pertnit subjects the applicant to a civil penalry of not more than five hundred dollars (5500).): ❑ I, es ownar ot iha property, or my employees with wages as iheir sole compensalion, WILL DO TXE WORK, and the structure is not in[entlea or oHerad for sele (Sec. 7044, Business and Professions Cotle: The Contractors License Lew does not applY to an owner of property who builds or improves thereon, and who does such work himselt ar herself ar ihrough his or her own employees, provided that such improvements ere nat intentled or oNered far sele. It, however, the building or improvement is sold within one year ot completion, the ownerbuilder will have the burden ol provinp that he or she ditl not build or improve for purpose of saleJ. ' ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business and Pmfeulons Code: The conirectors License Lew tloes not epply to an owner of propeny wha builds or Impmves Ihereon, end wha contrects tor such project wlth e contractor(s) license pursuant to Ihe Coniractors License Lews.). � I em B:empt under sec. eu5ineu end Pmfessions Cotle tor this re05on: Signature: Dete: Owner ID venlied by ddvefs license. ❑ Ve5 ❑ No Ddvefs Liten50 No. Verification of Ownership by (lype ol tlocumen4l.e. - property tax bill or dead): Expires: DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION: ❑ I hereDy certify Ihet no ezcavatlon five (5) or more feet in depth into which a person Is required to descentl, will be matla in connection with work authorized by Ihis permit, antl that no building strucNre, scaHolding, lalsework, or demolition or dismentling ihereot, will be more than thirry-six (36) feet high. (Chep. 32, Gry 2, Art 2, Sec. 347, Title 8, Califomia Atlministrative Code). ❑ As owner-builtler, I will nat emplay enyane to do work which woultl require e permit trom the Division al Intlustrial Safery, es noted ebove, unless such person has a pertnit to tlo such work Irom ihe division. Signature: Date: Division ot Industnal Safety Pertnit Number: CERTIFICATE OF COMPLIANCE AND AU7}fORIZATION OF EMRV: I certity untler penalry ot perjury that I have read Ihis applicetion end state the� �he Intormetlon given is cortect. I ree to wmply wl�h all stete lews and ciry ordinances relating to building wnswction, and euthonze representatives ot the Ciry oi Costa Mesa to enter upon Ihe ebove-des�nbed property tor inspectian purposes. I egree not to occupy or ellow occupanry of eny builtling authorized by this pertnit until finel inspection. COOE I. INSPECTONTYPE 1616 Fixetl System Final Fire Preventlon 1266 Pool Spa Final 200 Finel Re-Roof 201 Final BIOCWRetaining Wall 202 203 204 Final Faciory Fire Place Finel Sign Final Demolicion BAIE U�9l8 CODEt INSGECTIONTYPE 206 Finel Mechanical 20B Finel Plumbing 270 Finel Electrical 212 Final Flre Preventlon 220 Final Plenning Approval 222 Final Sita 250 Final Building/Occupflncy � i (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��MBING PERMIT » FAIFi DRIVE, COSTA MESA, CA 92626 Job Address: Suile No Viciniry: Parcel Nunmber Applicant: Address: Owner. Address CoMraclor. Address: 2103 CANYON CI MALLON, CHARLIE Phone: 949-230-7030 Zip: UNITED PACIFIC DEVELOPMENT 3111 N TUSTIN AV SUITE 220 Phone: 714-974-5111 ORANGE, CA Zip: 92865 PACIFIC RIM COMMUNITIES BUILDERS INC 320 N HALSTEAD ST � SUITE 100 Phone: 626-351-3600 PASADENA, CA Zip: 91707 License: 860453 Status: ISSUED Applied: 03/O6/2006 Issued: 02/27/2007 SCOPE OF PERMIT PLAN I: NEW 2,354 S.F. S.F.D. W/ATTACHED 442 S.F. GARAGE, AND 110 S.F. PATIO. WORK TO INCLUDE: 1,004 S.F. 1ST FLOOR AND 1,350 S.F. 2ND FLOOR. 4 BEDROOMS AND 4 BATHROOMS. REF.: BO5-00704 PLUMBING TO INCLUDE: 3 BATFiTUBS, 1 DISHWASHER, 1 GAS (1-4 OUTLETS), 1 GAS SERVICE, 1 LAUNDRY TUBM/ASHER, 1 IANDSCAPE IRRIGATION, 7 SEWER CONNECTION, 1 SHOWER, 1 KITCHEN SINK, 3 WASH BASINS, 4 WASTE AND VENT SYSTEMS, 3 WATER CLOSETS, 1 WATER HEATER, AND 1 WATER SERVICE. ISSUE FEE Backflow i«igation 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 oullets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT 523.50 50.00 50.00 $29.40 50.00 50.00 $0.00 $9.80 $0.00 $D.00 $0.00 $0.00 50.00 $0.00 56.15 50.00 50.00 59.80 50.00 $0.00 Qn FEE SUMMARY AMT Laundry Tub / Washer 89.80 Landscape Irrigation $14.80 P-Trap 50.00 Pressure Regulator . $0.00 Process Piping (per 10 fl) 50.00 Receptors S0.00 Septic Tank . $0.00 Sewer Cap for Demo 50.00 Sewer Connect $24.65 Sewer Private Line � 50.00 Shower 89.80 Sink, bar 50.00 Sink, commercial 50.00 Sink, Floor - 50.00 Sink, kiichen S9.80 Sink, service/mop 50.00 Spa (private) 50.00 Spa (public) 50.00 an 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 COMMENTS / SPECIAL CONDITIONS Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) WaterHeater/vent ' Water Piping (Insl or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 $0.00 50.00 $0.00 50.00 50,00 $29.40 50.00 $39.20 529.40 $12.30 50.00 50.00 $9.80 50.00 $0.00 50.00 50.00 $0.00 TOTAL CALCULATED FEES: 5267.60 QTY 0 0 0 0 0 0 3 0 4 3 1 0 0 1 0 NOTICE: The work authorized by ihis 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 euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetiona end finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permi FOR INSPECTIONS CALL: (714) 7545626 � �w�„� WORKERS' COMPENSA710N DECLARATON: I hereby aNirm under penelty of perjury one oi the tollowing declarations: ❑ I have and will maintain e certificale of consent to sel4lnsure for workers' com0ensetion, es provided for by section 3700 of the Lebor Code, for Ihe peAormence ot the �..wojk tor which this permit is issuetl. flnd will mei tain w rkere' compensation msur ce, as required by sectlon 3700 oi the Lebor Catle, for t�e peRormance of the work lor which this pertnll is issuetl. rker ' nsatio I�n1suran ner an ic number ere: Lj �J U/� � � � f� � Y `e.� Number.: � = I �) C.� / � � �eed nof com leted d fhe permit is valued et one hundred dollers ($100) ar less.) ❑ I cenify that in t�e pertorman of Ihe work for which ihis pertnit is iss eQ I shall not employ any person in any manner so as to become su6ject to the workers' compensation lews oi Calito , and ag��e.tt�� at if I should become sq� t to t�e workere' compensation pmWsions ol Sactlon 3700 ot the Lebor Code, I shall tort�with compl�h�ihese�oTio . . � J� :� ^ - / /� O � ce t S nature� �- �� i. �� Date �— �� R . RE TO SECURE W RS' COMPENSATION COVERAGE IS UNLAWFUL AND SFIAIL SU9IECT M! EM�CRIMjW11 PENALTIES AND GVIL FlNES UP TOONE HUNDRED THOUSAND OOLLARE (5100,000). IN ADDITION TO THE WST OF COMPENSATION, OPMAGES AS PROVIDED FOR M SEGTION 31080F THE UBOF CODE, IMEREST, AND ATTORNEY'S fEES. LICENSED CONTRACTORS DECLARATION: 7000) of Division CONSTRUC710N LENDING AGENCY: Code, end my license is in full ❑ I hereby afOrtn that ihere is a consiruction lentlinq egenty for the pertormance ol the work tor which this pertnit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lentlers Atldreu: Signature: OWNER-BUILDER DECLAFiATONS: Dale: I hereby affirtn thet under penalry of perJury that I am EXEMPT FROM THE CONTI7ACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Protesslons Code: Any ciry or wunry whicA requires e permit to consiruct, alter, improve, demolish, or repair any structure, pnor lo its issuance, elso requires the epD��t for such pertnit to tile a signetl statament that he or sha Is licensetl pursuant to the pmvisions of the Contrecbrs License Lew (Chepter 9(commencing with Sectlon 7000) oi Division 3 of Ihe Business end Professions Cade) or Ihat he ar she is exempt therefrom and the basis tor the allegetl e:emptlon. Any violetion oi Section 7031.5 by eny applicant tor e pertnit subjects the applicant to e civil penelty ot not more ihan five hundred dollars ($500).): 0 I, as owner of the properry, or my employees with wages as Iheir sole compensetion, WILL DO THE WORK, antl ihe swcWre is not intentletl or oHeretl tor sale (Sec. 7044, Business and Professions Code: The Contrectors License Law dces not epply to an owner of property who builds or improves thereon, antl who does such work himself or hereelf or ihrough his or her own employaes, provided that such improvements ere nat intentletl or oHeretl for sele. If, however, t�e bulltling or Improvement is soltl within one year of completion, the owner-buitder will have ihe burden of proving ihat he or she did not build or improve for purpase of sele.). ' ❑ I, as ownar of the propeny, am E%CWSIVELY CONTAACTING WITH LICENSED CON7RAC70RS to construct t�e project (Sec. 7044, eusiness and Pwfesslons Code: The conlractors License Law does not apply to fln owner ot property who builds or improves thereon, end who contracis tor such pro�ect with a contractor(s) license pursuanl lo ihe Contractors License Laws.). ❑ I em exempt under sec. Business antl Professions Code lor this reason: Signature: Date: Owner ID veritietl by tlnver's license. ❑ Ves ❑ No Drivers License No. Expires: Venlication of Ownership by (rype oi document i.e. - properry tan Cill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hareby cenity that no excavation five (5) or more feet in depih into which a person is requiretl to descend, will be made In connection with work euthorized by this permit, and ihat no huilding structure, scattolding, falsework, or demolition or dismantling ihereof, will be more than thirty-sis (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle e, Celifornia Atlminislretive Code). ❑ As owner�buiitler, I will not employ anyone to do work which would require a permit fmm the Division of Intlusirial Safey, es noted ebova, unless such persan has e pertnit to do such work from ihe division. Signature: Date: Division ol Industnal Satery Permit Number. ICERTFlCA7E OF COMPLIANCE AND AUT}1081ZATION OF ENTFiY: I cehity untler penalry ot perjury ihat I have read this epplication end state Ihat the infortnation given is I correct I egree to comply with ell steta lews and ciry ordinances relating ro building consiruction, end euthonze representetives of ihe Ciry of Gosta Mesa Io enter upon Ne ebove-descnbeQpropeny for inspection puryoses. I agree noi m occupy or ellow occupancy ot eny building authorized by this pertnit until final inspection. LODE �. INSPECTIONTYPE 1616 Fiaetl System Flnel Fire Prevention 1266 Paol Spe Flnal 200 Finel RB-Rooi 201 Finel BIocWReteining Well 202 Finel Fectory Fire Plece 203 Final Sign 204 Flnal Demolllion �jE INTffULS 3- COUEA INSPECTIONTVPE 206 Final Mechanical 20B FInalPlumbing P/�- ( 210 Finel Electrlcel 212 Finel Fire Preventlon 220 Flnel Plenning Approvel 222 Final Slte 250 Finel Bullding/Occupency � � �e •n. dobAddress: 2103 CANYON CI Status: ISSUED Suite No Applied: 03/O6/2006 Viciniry: Issued: 02/27I2007 Parcel Nunmber: Applicant: MALLON, CHARLIE Address: Phone: 714-230-7030 2ip Owner: UNITED PACIFIC DEVELOPMENT Addr�ss 3111 N TUSTIN AV . - � SUITE 220 . � Phone: 714-974-5111 ORANGE, CA . � Zip: 92865 Contraqor: PACIFIC RIM COMMUNITIES BUILDERS INC Address: 320 N HALSTEAD ST SUITE 700� Phone:'6263513600 PASADENA, CA Zip: 91107 : License:860453, ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighling Fixts Recept Outlets Switches Non Res Appl Res Appl Service l0 200a Service to 1000a Service over 1000a Motors l0 1hp Motors l0 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication tlrops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ISSUED BY: SCOPE OF PERMIT PLAN I: NEW 2,354 S.F. S.F.D. W/ATTACHED 442 S.F. GARAGE, AND 110 S.F. PATIO. WORK TO INCLUDE: 1,004 S.F. 1ST FLOOR AND 1,350 S.F. 2ND FLOOR. 4 BEDROOMS AND 4 BATHROOMS. REF.: 605-00104 . ELECTRICAL TO INCLUDE: 2,354 S.F. S.F.D., 1 LIGHT FIXTURE, 1 OUTLET AND 1 SWITCH IN THEATTACHED GARAGE. . . . - ' - � $23.50 $0.00 $0.00 $131.82 $0.00 $0.00 $1.10 $1.10 51.10 50.00 So.00 $0.00 50.00 50.00 50.00 $0.00 $0.00 $D.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 Quantity 2354 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY � Temp Dist System / Lighlinq - - Busway/100f1 - Standing Section � Misc Electrical Equipment Transformers up to 1 kva/kw ..........:.....up to 10 kva/kw ...:.............up to 50 kva/kw . ...:..:......_..up to 100 kvalkw . � � ' .......'...:......over 100 kva/kw - � Low Voltage Equipmenl Low Volt Wiring System / Ckt Misc. Conduit � -� �- Misc. Conductor Circus ( gen or ride) Cirws (mech ride or lighls) Christmas Tree Sland � Fireworks Stand Other Eleclrical 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 50.00 0 50.00 0 50.00 0 30.00 0 so.00 0 so.00 0 50.00 0 $0.00 0 50.00 . 0 50.00 0 50.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $156.62 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall allomatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abend� tor 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 applicabl co s, and all required Inspectiona end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of his permit. FOR INSPECTIONS CALL: (714) 7545626 264&d8 (&00) WORKERS' COMPENSATION DECLARA710N: I herab;� aflirm untler penalry of perjury one of Ihe tollowing declarations: ❑ I heve and will maintain a certificate of consent to selFlnsure for workers' compensation, as providetl for by saction 3700 of ihe Labor Code, for ihe pertortnance of the ,�.r �w,o�rk for which ihis permit is issued. 1p�ry,yqave and w'll rr�aintain workers' com sation insurance, as redulred by section 3700 of Ihe Labor Cotle, For ihe perfortnance of the work for which Ihis permit is issuetl. �l�131y�work 5' o pensa9pahsuran errier and policy number era: �� e � olicy Number. 1 is sechon ne nbt be co p/ete u fhe pe�mif is valued at one huntlred dallers ($100) or /essJ ❑ 1 certify that in ihe performan oi the work for which Ihis p it is issuetl, I shell not employ any person in any manner so as to become subject to lhe workers' compensation laws ot Calito , a a it I hould me subject to the workers' compensation provisions of Sedion 3700 of Ihe Lebor Cotle. I shall forthwith comply with ihese provisio . � A 9 Date: d�. l l� WARNINO: FAILURE TO SECURE WORKERS' WMPENSATI N CAVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPL ER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNORED TMOUSANO OOLLARE (5100,000). IN ADDITION TO THE COST OF CAMPENSATION, DPMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CA�E, IMEREST, ANO ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: Section 7000) of Division d�i A.haym„t�slnasy�nd Professions Coda, and my license Is in full CONS7RUCTION LENDING AGENCY: ❑ I hereby aflirtn ihat ihere is a construction lending agency for Ihe perfortnanca of the work for w�ich ihis permit is issued. (Sec. 3097, Civil Cotle). Lender's Neme: Lender's Address: Signature: _ OWNER-BUILDER DECLARATIONS: Date: I hereby aHirtn that under penalry of perjury that I em EXEMPT FROM THE CONTRAC70HS LICENSE LAW for the following reason (Sec. 7037.5, Buslness end Professions Code: Any city or county which requires a Dermit to consWct, alter, improve, tlemolish, or repair any siructure, pnor to its issuance, also requires the applicant for such partnit b tile a signed statemern that he or s�e is Ilcensed pursuant to ihe provisions of the Coniractors License Lew (Chapter 9(wmmencing with Sectlon 7000) of Division 3 of t�e Busineu end Professions Code) or that he or she is exempt therefrom and Ihe basis for the allegetl e:emption. Any violation of Section 7031.5 by any appliwnt for e pertnit subjects Ihe applicant to a civil penaly ot not more ihan fiva huntlred dollars ($500).): ❑ I, es owner of the property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and iha structure is not intentletl or oNered for sale (Sec. 7044, Business and Professions Code: The Contradors License Law does not apply to an owner of pmperty who builds or improves Ihereon, end who does such work himsel� or herseN or through his or her own employeas, provided that such improvements are not intended or oHeretl for sale. If, however, the building or improvement is sold within one year of completion, Ihe owner-builder will have ihe burden of proving Ihat he or she did not build or improve for purpose ot sale.). ' ❑ I, as owner of ihe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consimct the prolect (SecJ044, Business and Professions Cotle: The contradors license Law does not apply to en owner of propeny who builds or Improves thereon, antl who coniracts tor such project with a contrecmqs) license pursuant to ihe Con�rectors License Lews.). ❑ I em exempt under sec. Signature: Owner ID veritied by dnvefs license. ❑ Yes ❑ No Business entl Professions Code tor ihi5 re05on: Ventication of Ownership by (type ot Gocument, i.e. - property tax bill or deetl): Dnvefs License No. Date: Espires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cetlify that no excavation five (5) or more feet in depth into which a person is required to descend, will De matle in connectlon with work au�horizetl by Ihis permit, end ihat no building siructure, scattoltling, falsework, or tlemoli�ion or dismantling ihereof, will be more than thirry-si: (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Ttle 8, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which wouid require e permit from the Divislon of Industnal Safety, as noted above, unless such person has e pertni� to tlo such work irom the tlivision. Signature: Date: Division of Indusinal Safery Pertnit Number: CERTFICATE OF COMPLIANCE AND AUh10RIZA710N OF ENTRV: I ceniy under penalry ot perjury iha� I have read this application and stete Ihet ihe iniormation given is correct I agree to comply with all state lews antl ciry ortlinances releting to building constmc�ion, and emhorize representatives of Ihe Ciry of Costa Mesa to enter upon Ihe ebove-descfibed property for inspection puryoses. I agree not m occupy or allow occupancy of eny building authonzed by this permit umil final inspection. COOE �. INSPECTIONTYPE 7616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 . Final BIocWRetaining Well 202 Final Factory Fire Place 203 204 Final Sign Final Demolition Qe$$ INTRIALS ej .. -1 _ �` T Date COpE♦ INSPECTIONTYPE QOjE �� 206 Finel Mechanical 20B Final Plumbing I/,,,�sI-� 210 Finel Electrical �l -.�y o.�% •� o�+� 212 Finel Fire Preventian 220 Final Plenning Approval 222 Final Si�e 250 Final Building/Occupancy