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Home My WebLink About2172 BISCAYNE SPRINGS - Building PermitsCITY OF COSTA MESA BYILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 � PERMIT NUMBER: BC08-00093 PERMIT TYPE: B_COMBO � Y�� STATUS: ISSUED Sub Type: RES_ALT ,, ,�� DATE ISSUED: 04130/2008 �{� � __ ISSUED BY: f� �..4y:.--' -`�3 , - JOB ADDRESS: 2172 APN: 93786007 Vicinity: LOWERUNIT Const Type: V-B SCOPE OF WORK: FIRE �PRINGS CM: = Suite/Unit ..;;k zoning � Pnmary Occ R 2 SQ'FT �!0 ` ''„Val FRAMING, DRYWALL, $120,000.00 � ELEC7. - 12 FIXTURES, 35,OUTLETS .6PSWITCHES & SERVICE-REPLACEMENT/200 AMP g,� �' `_ PLUMB. - 1 BATHTUB, 1,bISHWASHER, -t KITCHEN SINK, 1 WATER HEATER & GAS REFIPE OF ENTIRE UNIT. ._ . ,� MECH. - 1 FURNACE, 1;FACTORY�FIREPLACE 1 HOOD W/DUCT &'1 VENT FAN � `-. � ; � 3 � '': _ . .<< ' OWNER: KOLDINGER)MARJORIEfSTOVACCTR" Address: %DAVENPORT,WILLIAM �'h-t7Y� �,.r� �`�.Unit COSTAME`SA, CA - � r>,?.. _ - ,�' . ..) Phone: ` `� - r ,,�. City/State/Zip: 2172�BISCAYNE SPRINGS � �- � � r"� �;'. ', ' : ._ , . _., _ APPLICANT: ERROL UNV�R '� �:�. . � : ,.- ' � : .. Address: . . . � .... , � � ' ` :,�, 4 �,. ��.��.. ,:; Unit: : Phone: 949 294-1354 ::,;: � l City/State/zZip: .. . : . . . _ . M �_ ;, � � � : CONTRnCTOR: DEVINE DESIGN,,;� -° License No. ; 861282 Phone: 949 916-7611��, ��_FS Address: 23172 ALCALDE DRIVESUITE;FUnrt ��:.' Cell: �� + - City/State: LAGUNA'HILLS,CA . , ��'ZipCode 92653 ARCHITECT: F ` License No. , �PHONE: ENGINEER: SHUCRI YqGHI ;'; �;� - . License No.43205 �. � - _ ,..- PHONE:714-997-9120 .��-. . .�, - ... . . . _ . .,�_ COMBINTATION PERMIT FEE�$UMMARY ; . _ Building Plan Check: . $718.74 ::` � ^ ' Building Fees: �:, $1 105:75 .,. ` — ,. Electrical Fees: ? $10675 ':" Mechanical Fees: �«+;�$67.05 ` ., " � � Y �'�`"' � Plumbing Fees: $72 50�'.:-i - � � SMIPResidential: $�2.00 ��-"` '� " ` SMIP Commercial: $0.00 � `�`'t'r?�'� TOTAL FEES: $2,082.79 ' " "Refer lo fee receipls for all (ees paid for projec� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and �related regulations. (Ord. No. 92-28, § 1, 12-21-92) �� EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectians and final approval must be obtained. Failure to oblain inspections and final approval will result in the expi2tion of this pertnil. CO�E �. INSPECPONTYPE 1618 Fixed System Final Fire prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Fac�ory Fire Place 203 FinalSign 204 Final Demolition D�l IN1111RL5 CODEi INSPEG710NTYPE 206 Final Mechan"rcal 208 Final Plumbing 210 Final Elec�ncal 212 220 222 250 Final Fire Prevenlion Final Planning Approval Final Site Final Building/Occupancy � IN7IiIRL i. rc _j :-: � WORKERS' COMPENSA710N DECLARATION: I hereby aKrm untler penalry of perjury one of the following declarations: ❑ I have and will maintain a certifcale of consent to self-Insure for workers' compensation, as provided for by seclion 3700 of Ihe labor Cotle, for the p Aormance of [he work !or which this pertnit is issuetl. �I have and will maintain vrorkers compensati0n insu2nce, as requiretl by C sect'an 3700 ot the Labor Code, for lhe pertortnance of the work for which this permi[ is issued. My workers' compensation InSurance carrier and policy number are: �Carriei: S�il4�� 1�- c9n 2 (This se[Aon nee0 iro1 be rompleted4fheperm� is v-a7luetl al one hunemd d�llars (5100) oi less ) �� (yOt��(9�� Zfb/ Policy�Number: ❑ I certify that in the performance of lhe work for which this permit is issued, I 6hall no[ employ any person in any manner so as to become subjecl lo lhe workers' compensation laws of California, and agree that if I should become subject to the vrorkers' compensation provisions of Section 3700 of the Lab r C de, I all f with comply with these provisions. �,-C%1�6�s-- �P- �-a� AppliranP55ignaWre ___Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrtn that I am licensed under provisions o( Chapter 9(commencing vnth Section 7000) of Division 3 of ine Business antl Professions Code, and my license is in full force and eflect. � =��. # D 86 i a� a ��as5 ��.�--, �/ =3 c�--o s Comracloi s SignaWre Dale CONSTRUCTION LENDING AGENCY: ❑ I hereby affrtn that there is a construction lending agency for the peAortnance of the v.ork fa v.hich this pertnit is issued. (Sec. 3097, Gvil Code�. Lender's Name: Lender's Address: Signature Date OW NER-BUILDER DECLARATIONS: I hereby aKrm that under penal[y o( perjury lhat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe (ollowing reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or county which requires a permit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires [he applicant for such permi[ to file a signed statement ihat he or she is licensed pursuant to lhe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or Ihat he or she is exemp[ iherefrom and ihe basis for the alleged exemption. Any violation of Section 7031.5 by any appliwnt for a permit subjects the applicant to a civil penalty of not more than fve hundred dollars ($500).): � I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe structure is not intended or offeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License law tloes not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, ihe builtlinq or improvement is sold within one year of completioq the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). � ❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to consWct lhe project (Sec. 7044, Business antl Protess"ions Code: The contractors License Law dces not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant tothe Cont2ctors License Laws.). ❑ I am exempt under sec. Business antl Professions Code for this reason: SiqnaWre . Dale ]051-a6(3/01) Owner ID verified by driver's lia � Yes ❑ No Driver's License No. � Expires: Verifcation of Ownership by (rype of documen[, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cert'rfy thal no excavation (ve (5) or more fee[ in dep[h into wfiich a person is required to descend, vnll be made in connection with work authorized by this pertnit, and that no builtling strucWre, scaFfdding, falsev.ork, ar demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 347, Ttle 8, Califomia Administra[ive Code�. ❑ As owner-builder, I will not employ anyone to tlo work which woultl require a permit fmm the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from ihe division. ApPlicanfs Signa�ure Division of Industnal Sa(ety Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release o( a hazardous material? ❑ Yes ❑ No (Section 25505 of ihe Cali(omia Health and Safety Code requires, with some eaceptions, that a Business Plan be filed with lhe Costa Mesa Fire Department by every business which has at any one time during a repoRed year a quantiry of hazardous matenals equal to or greater than a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic tee[ of compressetl gas 2t standard temperature and pressure). 2. Does or will the applicant or present or future building occupant neetl to file a regishation form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of [he Ca�ifomia Health and Safery Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hantl a quantity of acutely hazardous materials equal to or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or vrill Ihe applicant or present or future building occupant neetl to prepare an RMPP (Risk Management antl Prevention Pmgram for acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safery Code provides Ihat [he Cosla Mesa Fire Department may require the preparation, certification and filing with ihe Fire Departmenl of an RMPP by businesses which are required �o register acutely hazardous matenals with the Fire Department. 4. I( an RMPP is presently required, has Section 25534 of the California Healih and Sa(ely Cotle been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subjec� of this appliw�ion a permit for such construction or modificalion from the South Coast Air Qualiry Management District or from any other air polWtion conhol district or agency? ❑ Yes ❑ No (Sectbn 65850.2 of the Califomia Govemmenl Code requires that the requested information be (umishetl on applications for non-resitlential building pertnils). 6. Will any part of Ihe tacility to be constructed under this permit be within 1000 feet from the ou[er boundaries of a school? ❑ Yes ❑ No (If'yes", the facility must meet the requirement of Sections 25534 and 42303 o! the Cali(omia Health and Satery Cotle�. 7. It a permit from [he South Coast Air �uality Managemen[ Dislnct or other air pollution convol district or agency is required for the vrork which is the subject of this application, have all of ihe disclosures prescribed by California Health and Safety Code Seclion 42303 been made? ❑ Yes ❑ No 8. (It'yes", attach certifcate of compliance from the appmpriate air pollution control officer). - . , . ,. CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correcL I agree to coinply with all'state laws and city ordinances regarding Hazardous Materials and Emissions. , . SignaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state Ihat the information given is correcL I agree to compty vnth all state laws antl ciry ordinances relating to building construction, and authorize represenlatives of the Ciry of Costa Mesa to enter upon the above-descnbetl property for inspection purposes. I agree not [o occupy or allow.occupancy of any building authorizea by ihis permit until final inspection. Signature of egal Ovmer�s�_ Dale �-�� y�o-p� An( QlorAulM1onzeEAp0liwnt %�-Da�e ' I CITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • vnvw.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: E07-00781 PERMIT TYPE ELEC �,�� / STATUS: ISSUED � S�a DATE ISSUED. 09/06/2007 Dp.SE i�- ISSUED BY: RMD :. ._,: �. ` ; : : .:. .. JOB ADDRESS: 2172 BISCAYNE S�PRINGS CM R+; '� Suite/Untt Vicinity: COMMON AREA � � . � ?�' � SCOPE OF WORK: ELECTRICAL�PERMIT TO REROUT POWER FROM HOUSE PANEL TO COMMON AREA IN PREPER4TION OF FIRE DAMAGE REPAIR TO 2 CONDO UNITS:` r:;" , T :� " - .. �'s'., � OWNER: KOLDINGER; MARJORIE�STOVALL'TR � � Address:� DAVENPORT, WILLIAM��:UnikCOSTA MESA, CA PHONE: -- � � � - ,-, �CitylState/Zip: , .� 2772 BISCAYNE�SPRINGS ; -, ., .�. . _. , _...._ . , ;.� . . APPLICANT: QUITUGUA',�ANTHONYr -, ' �- Address: 2681�DOW AV � Unit:UNITA =.`.': PHONE: 949-697-4869 - - . City/State/zZip: TUSTIN„CA �-, .. . . . -:... ...... ... _ . . . ._. , ... CONTRACTOR: SERVICE 1ST LIGHTING AND.ELECTRIC � = License No. 877805' Address: 268100WAVUnit: UNITA � ' � " PHONE: � - City/State: TUSTIN CA� � � ; - ZipCode 92780 . _ . CECL: � �� _ . .:. . ...� . . �.,�... . _ : . �� -.- ': -, .. . .,, -'�- � _. r-_�r. - - :. -.:- . ... .. � , . i ;. ELECTRICAL PERMIT-FEES ' " Electrical Plan Check Fee ; ;: " ; . $0.00 Electrical Permit Fee: � $41 70 � Reinspection Fee $0 00 ' TOTAL FEES - �. $4170.' � , , __ 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. cooe�. iNsvecnoNrre 1616 Fixed System Final Pire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 FinalSign 204 Final Demolition ORTE IN701RL5 COOEC INSPECTIONTYPE 206 Final Mechanica� 208 Final Plumbing 210 Final EleCtncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy ORTE INTI71AL5 WORKERS' COMPENSATION DECLARATION: I hereby affirm untler penalty of perjury one of the following declarations: � ❑ I have antl will maintain a certificate of consent to sel(-Insure for workers' compensation, as pmvided for by section 3700 of the Labor Code, for the pedortnance ot Ihe v.ork for which this permit is issued. ❑ I have and will maintain v.orkers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My vrorkers' compensation Insurance carrier and policy number are: 1 q r Ca� rrie : `_,� o,1�Y-�V�kE �-TGr�,d7�•ws �-�- l^ �� JA'�5 r--- -(i.h.is seGion neetl�if De wmp�eled tl th pe�m valued at one hundred tlollars (SIDO) a less.) Po� licy Number: �{ti �7��'7H"P E 60,s��q '� � � ❑ I certify that in [he per(ormance of the vrork for which this permit is issued, I shall not employ any person in any manner so as to become subject to lhe vrorkers' compensation laws of Califomia, and agree tha[ if I should become subject to the vrorkers' compensation provisions of Section 3700 of the Labor Code, shall fort with comply with these provisions. - �'� r-�I-L. O� 'A icanl's Signalure �— WARNING FAILURE TO SF_CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licansed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Cotle, and my license is in (ull force aGn�d,eHect. .Lic.#,1i�i-�D �/i1Zo�5 C�#> �-�O �� °�-�'�1 �Cont2cmr'sSgnai ��a�� CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn that Ihere is a construction lentling agency !or the pertormance o( the work ta yhich this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OWNER•BUILDER DECLqRqTIONS: I hereby aHirm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or coun[y which requires a permit to construct, alter, impmve. demolish, or repair any sWclure, prior to its issuance, also requires lhe appliwnt for such permit to file a signed statement Iha[ he or she is licensetl pursuant to the pmvisions of the Coniractors License Law (Chap[er 9(cbmmencing with Section 7000) o( Division 3 of lhe Business and Professions Code) or [hat he or she is exempt therefrom and the hasis for lhe alleged exemption. Any viola[ion of Section 7037.5 by any applicant for a permil subjscts the applicant ro a civil penalty of not more than fve hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the structure is not intended or oRered for sale (Sec. 7044, Business and Protessions Code: The Contractors License Law does not apply lo an owner of property who builds or improves thereon, and who does suCh vrork himself or herself or Ihrough his or her own employees, pmvidetl that guch improvements are not intended or offered for sale. I(, however, the building or improvement is sold wilhin one year of completion, the owner-builtler will have the burden of proving that he or she did not build or improve ior purpose of sale.). - ❑ I, as owner of lhe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to construct the project (Sec. 7044, Business and Professbns Code: The contraclors License Law dces not apply to an ovmer of propeAy who builds or improves thereon, and wfio contracts for such project with a contracta(s) license pursuant to the Contractws License Laws.). ❑ I am ezempt untler sea � Business and Professions Code (or this reason: ]051-a6 (3/O]) Owner ID verifietl by drive. dse. ❑ Yes ❑ No � Driver's License No. Expires: �_ Verification of Ownership by (rype o( document, i.e. - property lax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: � ❑ I hereby cert'rfy that no excavation frve (5) or more feet in depth into which a person is required to descend, will be made in connectbn vrith work authonzed by this pertnit, antl that no building siructure, scaffdding, false�+ork, a demolition a dismantling thereof, viill be more lhan ibirty-suc (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, TUe 8, California Adminis[rative Cotle). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit from the Division of Industrial Safety, as notetl above, unless such person has a permit to do such work from the division. Apphtanl's S�gnalure Division of Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or tuture building occupant need to fle antl certify a Business Plan for emergency response ro release or threarened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of ihe California Health and Safety Code requires, with some ezceptions, that a Business Plan be fled with lhe Cos[a Mesa Fire Department by every business which has a[ any one time tluring a repoRed year a quantity of hazardous matenals equal to or greater than a weight of 500 pountls, or a volume of 55 gallons. or 200 cubic feet o( compressetl gas at standard temperaWre and pressure). 2. Does or will the applicant or present or future building occupant neetl to Lle a regislration fortn for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Heal[h and Safety Cotle, with some exceptions, requires registration with lhe Costa Mesa Fire Department by each business which at any one [ime has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at s[andard temperalure and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous matenals)? ❑ Ves ❑ No (Section 25534 of the Calitornia Health and Safety Code provides ihat the Costa Mesa Fire Department may require the preparation, certifcation and filing with the Fire Department of an RMPP by businesses which are requiretl to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safe[y Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is lhe subject of lhis applica[ion a permil (or such conslruction or modifcation fmm Ihe South Coast Air Quality Mana9emen[ Disirict or from any other air polWtion control disMct or agency? ❑ Yes ❑ No (Sectbn 658502 of ihe Califomia Govemment Code requires that Ihe requested infortnalion be fumished on applications tor non-resitlential building permits). 6. Will any part of Ihe facility to be constructed under this permi[ be vnthin 7000 feet from the outer boundaries ot a school? ❑ Yes ❑ No Qf "yes", the faciliry must meet the requiremen[ of Sections 25534 and 42303 o( the Califomia Health and Safery Code). 7. If a permit from the South Coast Air Quality Management DisMct or other air pollution control district or agency is required for the vrork which is the subject of this application, have all of the disclosures prescribed by Califomia Health and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. (Ii'yes", attach certifcate of compliance from the appropriate air pollution control officer). � CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information grven above is correct I agree to compty with all state laws and city ortlinances regarding Hazardous Materials and Emissions. . SignaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is cortecL I agree to comply with all state laws antl city ordinances relating to building construction, and authorize representatives of the Ciry of Cosla Mesa ro eMer upon lhe above-tlescnbetl property for inspection purposes. I agree nol to occupy or allow occupancy of any building authorized by Ihis permit until fnal inspection. � � Siqna re al O� r(s) Date / � '1 - �a -� a �Antller,Aul�on e 011wnt Dale --��' �\. « association_legal_name» Page 1 01�2 Anthony Quitugua From: Trina Boulter [tboulter@seabreezemgmt.com] Sent: Friday, August 31, 20D7 9:56 NM To: anthony@service-1st.com Subject: Brighton Springs work order- THANK YOU SO MUCH FOR YOUR HELP ON THIS!! Importance: High Brighion Springs HomeoK ners Association c/o Seabreeze Management Company, Inc. 39 Argonaut, Suite 100 Aliso Viejo, CA 926g6 (949) 855-1800 (949) 855-6678 Fax WORK ORDER Entered Account Work Ordcr Association �i'ork Properh Address: [3v: Executive: Date: ID: Order #: Trina Trina Boul�er 08/31/2007 135 274 Common Area Boulter REQUESTED BY: Account iD: Homcowner Namc n1ailing Address: 00106-4194 Common Area Common Area Costa Mesa, CA 92627 YROBLEM REPORTED: Home Phonc: R'ork Phone: Work Order T� pe: ElectricaVLights-Address/St. Location: Common Area Description: Per Manager Trina Boulter, ple�se pull the neccessary cih� pennits and then re route po��•er Gom 2172/2174 Bisca�'ne Springs house panel to the junction bos. Thank you! ACTION TAKEN: This request was faxed to the follo�� ing ��endor for processing: � Service First Lightine Once you have completed Ihis request, please complete below and fas back to Customer Care Department a� Seabreeze Management Company, Inc. Date Completed: Completed B��: Description of Work: 8/31f2007 Cost (if applicable): _ � B .DING AND SAFETY DIVI�N ,' FIRE DAMAGE INSPECTION REPORT (Required Prior To Permit Issuance) Address: Owner: Owner's Address (if diHerent from � � Structural permit required. � Repair or replace as necessary. n Planc ranuirad Cfty �� K �o n� ` Unit: t��., %� State � Electrical permit required. '� Repair or replace as necessary. Comments: � L l'' /ti,� Sti i �<<i �e,_ �X -��.. FI; �`{c . � Plumbing permit required. � Repair or replace as necessary. .._____.... k.r Mechanical permit required. � Repair or replace as necessary. C`nmmwnts• �,�'1' �,,. �lrn�- 7-. o c� Inspector Date 1812J8 fiplkero: O.qin�1-pwner, Va1bw�Comulm: pinh�BuilEnp Divivon �/�/- �5 y s��7 Phone 't . ` CITY OF COSTA MESA ° BlIILDING DIV/SION i . � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • www.ci.wsha-mesa.ca.us : �. FOR INSPECTIONS CALL: (714) 754-5626 �+.a.�w'�`� . �ERMIT NUMBER: BX07-00169 PERMIT TYPE B MISC ;1�j STATUS: ISSUED APN: 93786007 �Y ��.1�' DATE ISSUED: 10N6I2007 Zoning: , � �,y-�1 �� ISSUED BY: RMD JOB ADDRESS: 2172 BISCAY�'�PRINI Vicinity: LOWER UNIT - �� P SQ. FT: 0 r fs �� '"V� ' �,.a r" " ">;-_Suite/Unit: ' $5 000 00 �' � - " y. , Const Type :?? SCOPE OF WORK: DEMO PERMI'f-IN PREP OF REBUILD`OPFIRE DAMAGED UNIT (LOWER UNIT). iat� . ;�i r.+F,",. .::'A,..=ti--. � �;:. ,�-� . OWNER: KOLDINGER MARJORIE STOVALL-TR ' Add�¢55:: %DAVENPORT WILLIAM 1:' MESA, CA '�hr' - � _. � . � � i w}, City/State: 2172 BISCAYNE.SPRINGS �' �� _ Zip Code 95819 4146 ."�'�--�. . r i,' �ry ''.�'i Phone: _ ,_? �-.�.i �� .,�. APPLICANT: City/State: Phone: CONTRACTOR: Address: City/State: Zip Code: ARCHITECT: Phone ENGINEER: Phone UNVER, ERROL ,' ", , - Address; ,`f 1938 BATAVIA ST �z��' A' Und �$TE F - „ OR4NGE, CA ' F . F y�� ' Zip Cod'e_ 92865 '' �' � �""-� *" _ 49-294-1354 °- �' ' ' _ "�� r l i,;� �- n_r,"� 4, ::1 - - c ,:`; r_. �c„ J ANDtC CONSTRUCTION�SERVICES License No' „698215' i�` ; 1938'BATAVIA ST`: � ;: Unit ^ ^ - STE F , � � - ORANGE CA �;� � : ; �' .. i " . _ „ . . �-" 92865, - "� �-Phone �(714)92'10500 - Cell: � ��'�a � �. Cicense No. - , ;, . . . . .- � ....� i�, . � . . _:: e ; ,:�... ,, .. � y t� .;,� .. _ .. �N_ : " : � £r '' License No: i ,�r� ;,('� � FEE SUMMARY ` . - Building Plan Check , $0.00 . Building Pe�miC , x $111:25 � Eleclncal PermitS* ., � ,., r$Q.00 ._j��, r, ;:. SMIP Residenhal' � $0,00 _ �. ;`;;� ,.- . SMIP Commercial x = „ ', � $0:00 �- ., = .a'°� $O.00TOTAL FEES " .$111.25 ` ""� ' . , ., r Unit COSTA NOTICE: The�work aulhorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. COUE t. IXSPECTION TYPE 1616 Fized System Final Fire Prevention 1266 Pooi Spa Final 200 Final Ra-Roof 20t Final Block/Retaining Wall 202 Finat Factory Fire Place 203 Final Sign 204 Final Demolition DpTE INTITIALS CODE/ INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal � 212 Final Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Builain<yOccupancy DATE INIRIALS WORKERS' COMPENSATION DECLARATION: I hereby affrm under penalry ot perjury one of the following declarations:� - ❑ I have and will mainlain a certifca[e of consent to self-Insure�for vrorkers' compensation, as provitled for by section 3700 of the Labor Code, for the peAormance of [he work (or which Ihis permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by sectbn 3700 of the Labor Code, for the performance of the vrork for which this pertnit is issued. My vrorkers' compensation Insurance carrier and policy number are: � ` Carrier: ��/� 7-� \T �. JTI�T i' ��` S LI'4�/�� L-f. (ihis sedon need rrol �e rompletetl Alne pe�md is valuetl at one hundre� �Ilars (St00) w less ) POIityNumber: 3�i i �i 2-l� ❑ I certify that in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agree that if I shoultl become subject to lhe workers' compensation provisions ot Section 3700 of Ihe Labor Cod1e, I sha,ll fo•rthwith ncopmpnly with these provisions. �o �.,U(�.� tPil � � f b c7 —( 0��'s SignaWre � Da e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. , r � .Lic. # 6 °'( 8 �. /1I ��p Class # � V.l MA c.[,t 1�' I(o �d `t ConVapor's Signalure � Dale CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that [here is a construclion lentling agency for the pertormance of the v.ork fa wfiich this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signalure Date OWNER•BUILDER DECLARATIONS: I hereby aKrtn that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the follovring reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit to construct, alter, improve, demolish, or repair any strucNre, prior to its issuance, also requires Ihe applicant for such permit to Ne a signetl statement Ihat he or she is licensed pursuant [o the provisions of the Conlractors License Law (Chapter 9(wmmencing vnth Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for ihe alleged exemplion. Any viola[ion of Section 703L5 by any applicant for a permit subjects lhe applicant to a civil penalry of not more than five huntlretl dollars ($500).): ❑ I, as owner of the properly, or my employees witn wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors license Law does not apply to an ovmer of property who builds or improves there0n, and who d085 SUGh work him5el( Or herse�� or through his or her ovm employees, provided thaCsuch improvements are not intended or offered (or sale. If, however, the building or improvement is sold within one year o( completion, the ownar-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). -' ` ` �� ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Professbns Code: The cont2ctors License Law dces not apply to an owner of property who builds or improves lhereon, and who contracts for such project with a contractw(s) license pursuant to the Contractors License Laws.). �� I am exempt under sec. Business antl Professions Code for this reason: 305]A6(10]) Ovmer ID venfed by driver's _. � Yes ❑ No � i Driver's License No. Expires: � Verifcalion bf Ownership by (type of document, i.e. - property tax 6ill or tleed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: . . � ❑ I hereby certAy that no excavation frve (5) or more feet in depth into wfiich a person is required to descend, will be made in connection with v,nrk authorized by this permit, and lhat no building structure, scaffdding, falsework, a tlemolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2. Art 2, Sec. 341, THe 8, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work which vrould require a permit from the Division of Industnal Safety, as noted above, unless such person has a permil to do such vrork from the division. Ap0licanl'S Signalure Division of Indusirial Safely Permi[ Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: t. Will ihe applicant or present or fulure building occupant need to fle and certify a Business Plan for emergency response to release or threatenetl release of a hazardous material? ❑ Yes ❑ No (Section 25505 ot the Califomia Health and Safety CoOe requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reportetl year a quantiry o! hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant neetl to file a registration form for acutely hazardous materials? ❑ Ves ❑ No (Section 25533 of the Calitomia Health and Sa/ety Cotle, with some exceplions, requires regisVelion with the Costa Mesa Fire Department by each business which at any one time has on hand a quan[iry o( acutely hazardous materials equal to or greater than a weigh[ o( 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlard temperaWre and pressure�. 3. Does or vnll the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous malerials)? ❑ Yes ❑ No (Sec[ion 25534 of the Califomia Health and Safery Code provitles that the Costa Mesa Fire Departmenl may require the preparation, certifcation antl fiing wilh [he Fire Department of an RMPP by businesses which are required to register acutely hazartlous materials with the Fire Department. 4. If an RMPP is presenty required, has Section 25534 of lhe Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupam require for the work which is the subjec[ of this application a permit for such construction or modification (rom the South Coast Air Qualiry Managemenl DisMct or from any other air pollution control disMct or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code requires that the requested infortnation be fumished on applications fa nornresidential building pertnits). 6. Will any part o/ the (acility to be consWctetl untler this permit be within 1000 feet from the outer boundaries of a school? ❑ Ves ❑ No (If "yes", the facility must meet Ihe requirement of Sections 25534 and 42303 of the Califomia Health and Safery Cotle). 7. If a pertnit from the South Coast Air Quality Management District or other air pollution conhol district or agency is required foi the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", ariach certificate of compliance from the appmpriate air pollution contml oKcer). . , . CERTIFICATE OF COMPLIANCE: I.certify that under penalry of perjury the information given aboJe is covect. I agree to comply with all state laws and city ortlinances regarding Hazardous Materials and Emissions.' � . SignaWre Daie CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read lhis application and state thal the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize represeMatives of the City o� Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorizetl by this permit until fnal inspection. Signature of lengaiIOwDner�(s�) Dale �a�e � w.�\.C.h/U�I.Sll� �� _ AnE/o�Autbonze4Ap01icxnt ( d12 �1C („u i � vU �'rJl . ' �IILDING AND SAFETY DIV�ON � • ` FIRE DAMAGE INSPECTION REPORT (Required Prior To Permit Issuance) '?.�-; � - add�e55: - 1 ' �, .: << ;; : Owner. � / i .; ,.. r':; t' _ =� Owner's Address (if diHerent from above): � �' �i: i � Street � Structural permit required. � Repair or replace as necessary. ❑ Plans required. Comments: /" � • �" /� � =!�i.��"�C�t� S . .G�"r,�-i ! - �'�.- ;,. • /� !-��=.',_ .. � , :, : ' Unit �- ` ".6 ,� f i��, . �i7 �l'I , (% City S�a�e �✓� F� uc,.�L r l�a �u,,,dx,,�,eu,w« °f �y (-'u'�C T-�ov- zl9� -166(� i � i --Y / ^ +" � q .: i % � ' , r � � i� C < �� C) /:, r �-,� ..Y Y .f! ._. . � FG� ! , � r� (' i% .', t r ` , � � : i ' � , l � � � G+ `f-c-- � �f .` 4 -(- � � , i a`r,1 `.�, /::� Q Electrical permit required. 'Q Repair or replace as necessary. Comments: 1 1�. .� � '�� [ < '� , / i= �`r:_ > > t -' � : _ 4 . �r � �'� yc.:;T�ii �:,.�'�: ='i ��<' , � Plumbing permit required. 0 Repair or replace as necessary. Comments: If r �,i,��-- i.� �'.7�;... _- �J.' �� F � Mechanical permit required. � Repair or replace as necessary. Comments: :� � ,( � f _ . •f �: , l ' . . . l�r � - . . - 'l,�. i ' << _i; . t._ _ ' Inspector Date �H12-�6 Trplcala OrvJm�lAmr; �Nlar'�COMMa; pmk-BwlErtg Drvnwn "j. i.: ' - . - c,- / - / ;7 Phone OWNER M. D. JANES CO., INC. DATE �o'z9-79 JOBADDRESS 2�7Z Biscavne Sprinqs BUILDINGPERMITN AP No. INSPECTIOP so�� WS WATER AOUGR PLlIMB PROP. SWR. L SPRINKLING 5 ROUGH HEATING NNO nIR CONOITIONING TEMPOFARY SER�ICE OR POLE I/NDERGR0UN0 � I POWER Cj ROUGM WIRiNG TRE4CHE5 u FORMS STEEL REINF. fL00R SVSTEM B�NC BEAM I—� STEEL REINFORCE � SNEATHING FRAME PNO FLASHING LATHING — IN � OUT PLnSTER 9R0�/N COAT MEATING, VENT., AEFRIG. RN� �.0 PLUmBiNG. FINAI 4N0 GRS TEST � ELECTfttC fINAL BUIl01NG, FIN<L SPECIAL REOWREMENTS ��r�� ,r.. .,..,.,�.en �.e I-1 v� �.. FIR SUBCONTRACTOR '��v� �I/ ' ��60�C�z�� (��l Gf1�7U� �c��. �. - /D� 2;S s7zy �" oli.5a r�. �' COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION F�S�TRIjf�"�,kJ,R�, P RMI'�� T� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 RECEIVED BV PERMIT Far Appficant ro Fill in Completely — Use Ink Only F � {zl L a � r x F Gi w F a c .] d � � a d �i a. Z {Zi S 3 OWNER OR TENANT �.'[,D. �Jajj�S CO. . IRC. MAILING 2950 Airway Ave D-9 AD�RESS � TEL. CITY Costa L4esa 92626 No.97 CONSiRUCfIpN LENDER N�A BHANCN *' � ADORESS Y' ORENGINEER Sampieri/Ilg Tr,o�54 ADDqE5517922 Sky Park, Irvine CONTRACTOR Owner ADOFE55 TE4. CITV NO. STATE - CITV LIC. NO. LIC. NO. SIZE . NO.OFBLD� OFLOT Irre�. INOWONLO' USE OF _ Saparate permits aze required for electric, plumbing and heating work. USE OF BUILDING AND WOFiK Tp BE PEFFORMED Unit Condominium & Attached Garaa�s. A.P. N�./��i .- /� 3 —v UNIT OR SPACE NO. OWNER 2 USE I hereby acknowietlee thei 1 have reatl this appllcacion antl state that ihe above information Is correct and agrae to comply with all laws regulacing builtling construcxien, antl I shall not amploy any pef50n in violation of [�1e workmen's companSBtion laws at Ma Stata of Calitornia. I hereby cartity thai 1 am properly Iicansetl as a contractor untler Me Stata ot Calitornia Business and Pratessions Code, Oivision 3, Chapter 9, antl ihayyy uch licenses are in tull force and effect, ar I am exempt tro� pr visiOns of ihe Steta of California Business and Protessions C e, v' (dn 3, Chapter 9, S7B�atura ot Permittee or /Authorized Ag Da[e 2 LVI / �/ V ADD ALTER IREPAIR APPROVED APPROV ED SETBACKS (FROMC/J,ST9EET) _ PLANNING ACTION DATE DATE J APPROV ED !/ �I.'�{� HOLD FOR S?EC7AL REpUIREt.icNTS THE AMOUNTSHOWN UNOEFI VALUATtON 1: THE PURPOSE OF ESiA8LI5HING A PERMR FEE ( VALUATION PERMIT FEE $ Pl_AN CHECK $ 3 � S 301, � C.'O TAX $ y � TOTALPAID 5�G1¢� j i i � �� i m � _: v� �i.. �� m m � i ' .. . N FOF �� I JLV: a ! �� i 7� o �Y I ^� LL , � !� u F