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Home My WebLink About3202 IDAHO LN - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa•mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: ApplicanC Address: 3202 IDAHO PL 13908401 BROWN, STEVEN L 32021DAH0 PL COSTA MESA, CA Owner: BROWN, STEVEN L Address 3202 IDAHO PL COSTA MESA, CA Co n va ctor: O W N E R- B U I L D E R Add�ess: ISSUE FEE Temp service test Res. a/c package New Res (1-2 unitg) New Res (3+units) Pool / Spa Lighting Fixts � Recept Oullets 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 Mofo�s to t00hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits ELECTRICAL PERMIT Phone: 714-241-8410 Zip: 92626 Phone: 714-241-8410 Zip: 92626 Phone: 2ip: License: 000000 � SCOPE OF PERMIT UPGR4DE SERVICE TO 200 AMPS $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 so.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 I $0.00 � Quantity FEE SUMMARY Temp Dist System I Lighting Busway /100 ft Standinq Section Misc Electrical Equipment Transformers up to 1 kva/kw ' � � ,- :d .:...:.........up to 10 kva/kw % . . . ...............:.up to 50 kva/kw .................up to'100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Winng System I Ckt Misc..Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Chnstmas Tree Stand ' Fireworks Stand Other ElecMcal Fee Investigalion Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 08/23I2004 Issued: 08/23/2004 � ii ' � • ' `/� 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 so.00 0 $0.00 0 So.ao 0 $0.00 ' , 0 50.Oo 0 $0.00 0 so.00 o , so.00 ' o' $0.00 - � 0 $0.00 $0.00 $0.00 $0.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap accass requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commencetl withln 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlons and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2446-481fl�00) WORKERS' COMPENSATION DECLARA710N: � � � • - I hereby eHirm under penalty tli perjury one of ihe following declerations: � ❑ I heve end will maimaln a certificate of consent to selbinsure tor workers' compensation, es provided for hy section 3700 0l the Lebor Code, for Ihe pertortnanca of the work far which thi5 permil Is issueU. � ❑ I have and will maintain workers' compensation insurance, es repuirad by seqion 3700 ot Ne Lebor Cotle, tor Ne perfortnance ot ihe work for which this peimit I5 issued. My workers' compensation Insurance carrier and polity number ere: Gertier: Policy Number. (This sectlon need nof be comp�efed i! Ihe permif is velued et one hundred daflers ($f 00) or less.) � fcertity thet in t�e peAormance ol t�e ork for which this parmit is issued, I shall not employ eny person in any menner so es to Decome subject to t�e workers' campensation laws af Ca�itornla � re4 i sh�ld come subject to the workers' compensatlon provislons of Secqqn 37�� ot thggg��Labor Code, 1 s�ell lorthwith comply with Ihese provis Gjc / _/' � Appl�cantSlgnatuie:' - _ rDate: <<� OL �0 WAPNINO: FAILU O SECURE <ER$' OMPENSAiION COVEfUGE IS UNIAW FUL AND SHALL SU6IECT AN EMPLOYER TO CFIMINAL PENALTI 5 AND GVI� FlNES UP TO ONE HUNDRED T}IOUSAND RE�5100,�'DDITIONTOTHECOSTOFCOMPENSATION,OAMAGESASPPOVIOEDWRINSEGTIIXJ37060FiHELABORCODE,INrEREST,ANDATTORNEVSFEES. LICENSED CONTRACTORS PECLAPATION: - 1 hereby aHirm Ihat I am licensetl untler Orovislons of Chapter 9(crommencing with Section 7000) ot Division 3 of the Business and Protessions Code, anA my license Is in full force entl eMecL Lic. M Class a Gontractor'S Signature: Daie: CONSTRUCTION LENDING AGENCV: ❑ I hereby eMirtn Ihat ihere �s a wnsVuction lending agency for the perfortnance of Ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lenders Name: Lentlefs Address: Signelure: Date: OWNER-BUILOER DECLARPTIONS: I hereby efllrtn Ihet under penelry ot perjury t�et I am E%EMPT FROM 7HE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7037.5, Business end Professions Code: Any ciry or counry whicP requires e permit to construct, aller, improve, demolish, or repair eny simcture, prior to iLs issuance, also requires ihe appllcan� br such permit to flle e signetl statement that he or she is IlcenseC pursueN to the pmvisions of the Coniractore Llcense Lew (Chapter 9(commendng with Sectlon 7000) oi DlNslon 3 of t�e Business entl Professions Code) or that he or she is enempt therefrom and tho basis tor tha ellegetl exemption. Any violetlon oi Sectlon 7031.5 by any appllcant tor e pertnit subJects the applicant to e civil penalry ot not more ihan five hundred dollers ($S00).): ❑ I, es owner of ihe property, or my employees with weges es thelr soie compensation, WILL DO THE WORK, and the sirucWre Is not intentletl or otteretl for sale (Sec. 7044, Business and Professions Gode: The Contractors License Law does not apply to en owner of proparry who 6uilds or improves ihereon, and who does such work himsetl or hersetl oi throu8h his or her own employees, prantled Ihat such improvemen�s are not Intentled or oMeretl lor sala. If, however, �he building or Imprwement is v sold within one year oi rqmpletion, t�e owner-builder will heve Ihe burden of proving ihat he or she diU not build or improve lar purpase of sale.). ' 1�' I, as awner at the property. em E%CWSIVELV CONTRALTNG WI7H LICENSED CON7RACTORS to construct the pmject (Sec. 7044, Business end Professions l� Coda: The comractors License Lew does not epply to an owner ol property who builds or Impmves Ihereon, and who contracts tor such pmject with e coniractor(s) license pursuant to�ontwctors License Laws.). ❑ lem by (type ot eu5iness and Protessions Code lor this ree5on: ❑ No Dd'vers License No. property tax biil ar tleetl)'-'—'�""' DIVISION OF INDUSTRIAL SAFETY PEF�AIT CERTIFICATION: ❑ I hereby certify that no eXcavation fiv�(5) or more feet in depth into which a person is required to descentl, will be made in connection with work authorizetl by Ihis permit, and lhat no buildin8 swcture, sceHoltling, talsework, or demolition or tlismantling iheraoi, will be more ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, ntle B, Califomia AdminlstratNa Code). ❑ As owner-builder, I wlll not employ anyone co do work w�ich would require e permit trom tha Division ol Industnel Sefery, es noted eDove, unless such person has a permit to do such work from the tlivision. Signa�ure: Dale: DiWglon ot Industnal Satery Petmit Number: CER7IFICATE OF COMPLIANCE AND AllTHORVATION OF ENTRV: I certify under penalry of perlury ihat I have �ead ihis epplication and state ihat the infortnation given is correct. I agree to comply wl all state laws end ciry ordinances relaling to building construction, and euthonze representatives of tha Ciry ot Costa Mesa to enter upon the ebove-descnbed s � r� agree not to occupy or aliow occupency of eny building authorized by �his pe mit un�il finel inspection. / r.� tu _re Ot gal Owner(s � Da� C� COOE l INSPECTONTYPE 1618 Fixed System Final Fire Prevention 1268 Pool Spa Finel 200 Finel RB-Rooi 201 Final BIocWRetaining Well 202 203 204 Final Fadory Fire Place Final Sign Final Demolition PAIE 1�4t 40�E 1 INSPECTION TYVE 206 Finel Mechanical 20B Flnal Plum6ing 210 Final Eletlncel 212 Final Fira Preventian 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy 21IE 1t�4 I I �� w �.. , C� � L'� ��eda �ui�.'d�y Div�a�s OWNER-BUILDER VERIFICATION , � , _� , A ciry or county, which is reyuired [o give notice pursuant to Section 19830, shall attach [o such noticc, and, as a condition precedent to issuing a building permit, require the comple[ion and require the rewm of, an owncr-buildcr vcrification. Attcntion Nroperty Owncr: V � An 'owner-builder' building permit ha� becn applicd fur in yuur name ancl bearing your signature. Plcase complcte and retum this informatiun in �hc envelupc providcd a� yuur carlicst opportunity ro.rvoid unnecessary dcla}' in processing and issuing your building penni�. No buildine permil will be issued until this verifica�ion is receivcd. I. I personally plxn to proTvi-d,�e lhe major labor and muterials for cons[ruction of the proposed property improvement. �{, Yes ❑ No / ' 2. (hav � ave noQ ��'+ �—� signed an application for a building permit fur thc pmposed work. 3. I haw cnnVacted with the following persun (timi) to provide lhe proposed constructiun: Namc �0�.. l�l%n�G�P Address Phonc ( City Contrac�or's Lic. No. 4. I plan �o prnvide purtiuns of the work, bw I havc hired the following person to cnardinate, supervisc and pruvidc the major w�xk: Namc Address Phone ( City — Contractor's Lic. No. 5. 1 will provide some of the work but I iia��e cunincted (hired) Ihe followin� persans Io pro��ide ihe work indicated: Namc Address Phone , T��pc of Work IM24fi (REV 99fl) `raooness: 3202 IDAHO PL 'SZAFee s r+ame: CAPUTO,[, KATHLEEN M ADDPE55: 3zOz IU�.�i� PL COSTA MESA,CA 92626 432-0420 FflCHIENGINEEfl: NEG.N� : AUUPE55: UNIT: UNIT: PENMITTEE: SELL AOOFING ( 714 ) 993-3328 nooeess: 17072 ROSEBUD YORBA LINDA CA 92686 LICENSEU CONTflACTON DECIAflAiION: I �ereby affirm thal I am licensea under pwvisions ol ChaD�er 9(commencing with Sec�ion ]000) ol Drvision 3 0l ihe Business and Pmiessions Code. and my license is in full force antl e��eci. citruc.: 0360 S "TE�'c 323842 ��'��/��/%/% I�yy� �J Signature: y��•�� WOflNEBS' COMPEI SATION ECIAflATION: I hereby affirm Ihal I have a certificate of consenl �o selbin5ure or a certi�ica�e of Workers' �mpensaiion Insurance, or a cenifie0 copy �herea� (Set�ion 3800, Lab. C�. ,ucvxo.: 1066554-91 E%P.OpTE: O'4IOSI4i comeaNr: S TATE ❑ Certilietl copy is ere�y f mished. � Cerlilietl copY is file0 with �he ciiy Bu�Arc�Oyision.', 0,� S � �/ . /!/ �Q NPPlicant /l�/yL 'd'(/"/ E%EMPTION FPaM OBKEN ' COMPENSATION OELLANATION: Qhis seclian nee0 nOt b¢ tOmpleied il IAe Dermit i5lorone hUiMrcd (5100) ar less�. I cetlify lhat in �he pedormance o� t�e work lor which this permi� is issued, I shall nol employ any person in any manner so as to Oecome su0lec� �o Ihe Workers' ComOensalion Laws o� Calibmia. �a�e: Signa�ure: NOTICE: II, aller making �his tleclara�ion, you shaula become suble�� o �he Warkers' CompenSalion pmvisions ot Ihe LaOor Cotle. you mus� Iorihwi�h comply wilh such pmvisions or Ihis permit shall be deemeU revoketl. LONSTXUCTION LENUING AGENCY: I hereby alfirm that ��ere is a conSVuctmn lentling agency for Ihe perlormance ol the work for which this permii is issued (Sedian 3097. Civ. C�. LENUEfl: FOOXE55: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; H 059460 PERMIT NO: H 054460 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE; ALT JOB DESCRIPTION : REROOF WITH COMP SQ FT; 2,300 CLAIM VALUE: 2,300.00 CALC—VALUE: 2,300.00 GROUP OCC: R-3 / COMMENTS• SMORE DETECTOR RE�UIRED IN THE HOME *x�*�r�r**#**�*�**x*******x��r� ***+e�*�*�r**x*�r***a��r*�*�*�****�*�*****�***�*+��r****�* Z O N I N G R E Q U I R E M E N T S ssTBAcxs ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------= FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REO• PROV; PARCEL: 13908401 ZNE: REF NO: PLANI3ING NtSTES> > ik iP if af iE iF 1E jE if IE iE if fE IF iF iF iF iE 1t iF iE k 1E iE 1E IE 1F iE iF iE if iE 3F if 1F iF iF iE iE if iF iF 1E If if if jE �F iF 1E i4 iE iE iF IE iE �E if iF iE if iF iF if iF 3E iF iF 1Eif 1F )f aF iE # iE iF if iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N-T S ZONING APPROVED BY DATE: �: BUILDING APPROVED BY : DATE; �:- APPLICATION ISSUED BY; DATE• ��-�1 � iEifiF�fiElfiFiFiElfiEiFiFiElE�EiE1EiFif�F3E � iFi�iFiFiElfifikiFiEiEihiEiE�FiFiF' �1Eif lEiEif3fiFifafiFif3EjE�EiE�FiEiElflFiF3F3EiF3f�IF3EikiEiElfiEiflEif Eif�1E EifiEiEifiF�FiFitiFlEiFiE3EafiE163kif�flfiF3E3kiE3F3ElFaF3FiFiF3FiE�Ele3EltikiF3EiE LEGALIZATION;N F E E U M M A R Y STRUCTURAL SEGMENT.;Y OWNE88UILOEBOECIAFATION: I�ere�yafiirmiha�lamexemptimmtheContractors'StaielicenseLawiorNefallowingreazon $LDCa PMT PLUMHING ELECTRIC MECHANIC FIR$ SMIP/RES�' GRADING (Seciion 7�31.5 Business antl Protessional Code'. Any cify al coun�y w�ich repuires a permii lo construct, aller, impmve, aemohsh, or p ERM I T rJ 9. � � '� repair any simcmre, prior Io iis issuance. also reQuires �he applicam for such permi� �o file a signed s�atement'tha� he/she is licensetl . 5 Q �. pursuan� ta ��e provisions af the Coniraqors' State License Law (ChaO�er B(�ommencing wi�h Seqion 7000) oi Oivision 3 0� the Business SM I P/NON=R ES '� -- Ian0 Pm�essions Catle) or �hal he/she is evemp� �heretmm antl ��e 6asis lor Ihe allegetl exemplion. Any viola�ion of Section 7031.5 �y PY.� r� / any applican� tor a permii subjecis ihe a0�licani to a civil penaliy of not more Ihan five hundreJ Oollars (5500). ISS[jE FEE :` „b-.. i, as owner o� tne pmveny or my empioyees with wages as meir sole compensation, wiu tlo tne work, ana ine BUILDING—DIV—> PERMIT I$SU$ PLAN—CHECK TOTAL PAZD'� �, I�,tTfi � stmcmreisno�mteneeaorouerenmrsaielSection7oaa,susinessanePwtessiona�code: rneconiractors'state�icense�aw TOTALS----> 59.50 0.00 0.00 59,50 59,50 � .'00 tloes noi apply �o an owner o� a pmperiy who builtls or impmves �hereon, antl who does such work �imselV�ersel� or thmugh ' � his or h¢r own employees, provitlea thal such impmvemenls are no� in�en0etl or ofl¢red �or sale. II, howev¢r the building or o�°ineeo��noseoi�saejm�o�eyea�ai�omPieuoameow�e�wi��ea�etneo�me�p�n�o�m9ne�sneoianotowino�'imP�o�e REVENUBLDG PMT PLUMBING ELECTRIC�MECHANIC FIRE4�SMIP�/TOT/SGRADING.PLAN=CHECK�` I, as owner oi Ue pmpeny. am exclusively conVac�ing wi�h Iicense0 contraclors �o canstmd Ihe prole�� (5ec�ion 7044, Business 5 4. 0 0 . 50 � '�' + ❑ and Pmfessions Code: The Gontractors' S�a�e License Law Ooes no� aODly Io an owner ot pmpetly who Uuiltls or impmve5 ��ereon ��• t antlwhaconlracts�orsuchprolectswi��aconlrac�or�s�licenseDursuantlo��eComrac�ors'S�aleLicenseLaw).lamaware {(�{F{p*{F*iE{E1E{(�{(�**{(.{p{(.)(.*�{.j(.**�(.{(.*j(.{F{f�{.�(.**{f�(.{{{(�.µ�(.{p*{p{p{Fa(.{(.{F{f.��µ{E�.�.�.{p*{p�(.*{F.IE{p{E***{f�7(�{(.,{E.µyE3E{�.�p3(.*{(.j(..�¢.j ma� pmo� o� meir worker's Compensa�ion insurance snowe be Dmvide0 �o me. I N D I V I D U A L F E E $ Fi $ A K D O W N " "� � I am exempt mEer Sec�ian: B. 8 P. C. ' � r� ronnisreaso�: TYPE QTY D E S C R I P T I O N UNIT COST 'TOTAL COST" Oa�e: Owner. I �o hereby cenily �hat I am aware ol antl understantl ��e requiremenis o� Cali�omia Healih an0 Safeiy Cotle Sections 25505, 25533, an0 2553G ana �hal I or any WNre bwltling occuDan� will/will nol (circle one) need to comply wilh saitl s�a�e co0es antl Ihe �eQuiremenis tor a permn lar constmction or moailication imm �he Air �ualny Management District. ResiOential consimction apDlications are exempt from iAese provisions. Oaie: Npplicanl'. I hereby cer�i�y I�at I nave rea�i Ihis apphcalion antl siate �hat Ihe ahove iniormation is correc�. I agree ta comply wilh ail cily an� cowry ortlinances and �telaws relaii Io builtling consimc�ion and hereby aWhar¢�en�atives o�thi �V�o ente panihe ahove�mentionetl pmpetly lor in pecY n pur o' �5 V � �BLt ,.py�, SignaWre: oiiver s License or Social O 1 164t�46 White-BmlOing; Green-Cotle Eniorcemenl', Canary-Applicant; Pink-Revenue: Goltlenma-Assessor SFR 2300 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 ,'�• 2,300;00'� END OF FEES � >z :j 't �.� . � ' .. u^7 �:�lii',; "-„-,4?,' i 1' . - ' . ' - DA7'cs Iu:.S-.. 'i;.i,_ .��cQ, , CONSTRUCTION AND PLANNI�_ ' ,OL & SPA � APPROVALS Permit # � Date Inspector AppqOVALS Permit # Date Inspector 1. Temporary Electriral Serviee or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgmd. - 53. Steel Reinforcement 3. Electrical ConduifU�ility-Undrgmd, �� 54. Forms .�... . ,4. Electrical Condui[-Undrgrnd. � 55. Electrical Bonding � - 5�, $teel Reinforcement; - 56. Rough, Plumbing & Pressure Test ' � 6. _Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE 7.-Footings �, � �, 58. Electrical Cqnduit-Undrgrnd. �, Foundation �' � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System " 67. APPROVAL TO DECK � 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final � 12. Sewer Cap � � 63. Heater & Vent-Final . 73. Roof Drains �t . 64. Plumbing System - Final 14. Fiough Plumbing 2 65. Electrical�Final 15. Rough Electrical•Conduit � 66. Solar System-Final 16. Rough ElectrirWiring . 67. Fencing & Access Approval iJ. Rough Wiring Sign 68. APPROVED FOR PLASTEFING 18. Rough ElectricKl�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL t9. Rough Heating & Air Conditioning FIRE DEP7. REQUfREMENT - - �n •i 20: •Rough Fictor.y Fireplace i�,� r r ' - - APPROVALS" ': Permit # � � � �.- r c - - �-' i. 21.`�DuOts,iv-Stryctur,¢� � .. � - _70. Undergroun�Hydro �. � � 22. DucTs, Ventitating • � . �f - S" � �77, Product'Piping �Gas ❑Oil 23.`Gas Pipe�Rough & Test , �' � „ 1 _�� Y �72, Underground Flush" ° : ' 24.:Roof Fr.eming s,� . • - + P G � � 573.--Undergrnd.SrorageTank �Gas ❑Oil _ y 25. Roqf Shgathing � `� : ., - ,,j � .� ��7q:'Overhead Hydro- `� � 26.�T-Bar Ceiling (Structural) & Monowat �+ � �x � " ,n � - 75 � Dry Chemical � i : u - � 27„�Frame and Flashi�g� ' ;�� „ � � 76. Dry Standpipe `- r' ' ' ' ' `r -28. Lathing�& Siding +-. .�,_. '.i: + � r� �* 77,.- FIXED SYS7EM•FiNAL .;�. '29. Insulation ' '` � -� � �� ; ' � � %i! ;. 7$., FIRE PREV. FIN,AL ' . �y '30. Drywall:Nailing �-•� '�'� •• - HEALTH�DEPTrREQUIREMENT �-31. Plaster Brown Coec� � : ,. . K � . �j�� : ,79: •FINAL IN'SPECTION � � � - -32.=Electrical Power Mete��Final�• � . � ✓� ,. �_ ,�SO.,f00D CERTIFICATE ISSUED �� 5 - S. .'33.;Final EI`2ctric ' -r � ��- r"-' ' '�Noies: ' ' _ ,�34.•FinalHeating-&Air.Conditioning; • � � ,, . . � - , ` � w .•35.cFinal Gas Pipe�TesY .' - � � " x . . ;� ` . . • ',`r j36. Hood or Canopy H. � �- � � ;� �. >- � - � � �y � , � ' 37.-Final Pactory Fiieplace^ " ' ' `� ` r J38. Final Plumbinq ; ��' , �� • � ' . � + < ' ' n �39. Water Service�Final' � ' ; .• y ^ • � ' T� J >_ � N 'F ,�, r ,;40. Gas Service�Fjnal � ' � ! �� - � � • � ` ' - i r �-: � �� .zt k . _ � -47. Solar pomesticFinal.+ ' �� - ' ' . � � - . r• 42. Backflow Preventerw ' � ' � � � �� " � - J. � 'x 43. Backflow �rrygation' �� ; : ., �, ^`' ` � * a ^ t > 44. Landscape Irripation SYstem��,_ ; r ,� - - . � .. �; • • _ _ ' 45"So�nd Attenuation '�' ' �f ' •` `' � - ""f ' � n: K "46.,Handicap Regulations -. � � ' . , � ' � �47rFINAL STRUCTURE & BUILDING �tti 6 � : �� t' B � � �� /� 48: FINAL PLANNING � �� `� � � � ' ' j�i ;i „ ,� � -. ,.- ' 49:�Electric Release to-Edison � � , - �� __ .. . . _ :� „ . t 50. Gas Refease to Souihem California Gas Co . �, j, _`.� =�''(,�, Q� ��A.� � 51. CERTIFICATE OEOCCUPANCY Y � � _ ,- � . � �� G /c $ I �� No. Date � OwNER SNffTH, Henry M. & Hazel Z. DATE 4 Place LOT TRACT FIRE ZONE PROP. SWR. LINE U HOUSE SPftINKLING SYSTEM MISCELLANEOUS ROUGH HEpTING ANO AIR CON�ITIONING UNDERGFOUN� U POWER ROUGH WIRING INF. SNEATHING FRAME AND FLASHING LATNING — IN n � oi ecrvo oonwu rner FINAI HEATING, VENT., REFRIG. ANO A.C., F PLUMBING, FINAL ANO GAS TEST n ELECTRIC. PINAL � SUBCONTRACTOR , ,, . . � 3457:0 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely , BUILDING e .. . n . / ._d// Z d U Z ZQ O v~i d " Q W m J - Q] J Q U � Z a W � p_ w W Z J Q m z J ¢ W w O ZH W � N � � � H Z � a a Q Q F y Z 0 F U � � �"' N Z OWNE MAII TEL. CITV �p�� CONSfRUCTION LENDER � BRANCH � ARCHITECT TEL. OR ENGINEER NO ADDfiESS CONTRACTOR ��(`/te�Jj ADDRESS TEL. CITV NO. STATE CITV LI0. NO. LIQ NO. SIZE NO.OF BLDGS. OF LOT NOW ON LOT USE OF � o� _a _ EXISTING BLOG. K.!/)'CiCi SIZE OF NO. OF NEWBLDG. ROOMS STORIE EXTERIOR WAIL ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED �� '• i�-7:'��`.'00 5�s,f �**u�5.03 APPLICATION FOR BUILDING PERMIT A.P.NO. (��I �O(��Y+ BUIIDING 3zoa AODRESS ' TFACT�GZS FIRE ZONE APPROVED 20NE /�� _L VARDS MAIN VAR. iW C.U.P. � APPROVED BLOCK VALUE � OF USE OF NEW r%A'l �(� NS 2 BUILDING 1 VED VARDSAPPROVED a I hareby acknowledge [hat I have reatl this application antl smta $T that tho above information is corroct nnd agrea to eomply with � all Iaws reguiating builtling conrt�uction, ontl I shall not amploy � eny person in vlolation of tha workmon's campensation lews of ffie Sta[e of Celifornle, m d I hareby certify that I am properly licensetl as a conttector untlar T SQ, F o the State of Californie Business entl Professions Gotlo, Dlvision 3, THE SHOWN UNDER VALUATION IS FOR � C�apter 9, antl thet wch licenses are in full forca enC atfect, or I THE PVFP06E OF E5TABLISHING A PERMIT FEE ONIV: m am ex¢mpt frOm [he D�ovisiOns of tha State of Celitornie Business ¢ antl Professions Cotle, Division 3, Chapter 9. VALUATION � m PERMIT FEE $ c' Si8^etura ot �j � q o�n!��0, ///] J Permitte¢ iY�s�.L( ✓`• N//KNW $ D(/ - m PLAN CHECK 5 E `o Auihorizetl Apent �� LL TOTAL FEE $ OWNER SMITH, HENRY DATE 9_5-73 , JOB ADDRESS 32m Taat,,, vi _ BUILDING PERMI C�l�� S GAS SPRINKLING SYSTEM MISCELLANEOUS ROUGN HEATING AND AIR CONDITIONING TEMPORARV SERVICE OR POLE UNOE0.GROUND � POWER � ROUGH WIRING TRENCHES FORMS STEEL REINF. FLOOR SVSTEM BONO BEAM � STEEL REINFORCE � SHEATHING FRAME AND FLASHING i i PLASTER, BROWN COAT STRUCTURA�, FINAL HEATING, VENT., REFFI TRACT 3625 FIRE ZONE VALUE Si natare Dara GROUP TYPE SUBCONTRACTOR 2 . d V Z Q H � m Q f1] J J m Q U N Z a W� dW wz J Q m Z J � W w O= Z F W � N � � � F z Q a a Q 0 f N z 0 � U � � F N z �� 37245 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING T^�� _ ' Y�_ AD�IiE.^,S J Q�! e /`t OWNER MAIL CITv o�� CANSTRUCTION LENDER BRANCH ADDRE55 ARCHITEGT CONTRACTOR � �..aCO(, ADORE55 CITY STATE LIQ NO. SIZE OF LOT USE OF EXI5TING BLDG. S12E OF NO. OF NEW BLOG. FOOMS EXTERIOR WAIL ROOF COVERING COVERIN USE OF BU�IDING AND WORK TO BE P TEL. NO., TEL. TEL. NO. CITV LIC. NO. INO.OF IB�DGS. NOW ON LOT � Sf.P -5-73�y5�O0 063'� �*TM**o.$0 APPLICATION FOR BUILDING PERMIT 20NE�� NO.OF PIANS VAROS APPROVED MAIN BUILDING �FROM GL STREET) DISTANCE BET MAIN BLDGS. VAR. � C.U.P. 516 APPROVED �� v BLOCK � � E OF NEW ILDING !/J� � VARDSAPPROVED BET. MAIN & ACCESS.BLD DATE APPROVED I hereby acknowletlge thei I have reatl this application antl state [hat ffie above information is correct antl agree to comply wiffi all laws regulating builtlin8 construc[ion, antl I shall not employ ' any person in violation of the workman's compensation laws of the Stare of CalHornia. °� e I hereby certity [hat I am properly licen»tl as a conttacmr untler SQ. FT. o the State ot Califomia BUsiness antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF i Chapter 9, a�tl that such licenses ara In full force antl etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m em exempt froro the provisiOnsof the$tate ot CallfOrnia Business � VALV�+TION an0 ProSossions Cnna., Division 3, Chap2ar 9. J N PERMIT FEE 5 � Signatura ot� iisv J � fi m Permittee �w� ��L S / 0�� PLAN CHECK $ E /� O AuthorizetlAgent Y� � Qd u TOTAL FEE 5 �or 5�%,.- TRACT 3625 - � �.' 1.�1.�':�� C�STA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applieant fo Fill In Complefely TYPE OR PRINT COSTA MESA CALIFORNIA oWNER KENKOL CONSTRUCTION CO. mAIL �555 PLACENTIA AVENUE ADDRESS c�r NEWPORT BEACH No: MI C-3 AR� .ECT TEL. K.W. Ko�� CONTRAGTOR ADDRE6S � PIACENTIA AVENUE aTv NEWPORT BEACH STATE 6> > 95 TEL. M I 6-3zz7 LIC. NO. NO. siZe (�5.6�X�ZO IRREG INO.OPBLOGB.o 1'IF 1!lT Nnw nN �[]i BUILDING ZONH J �eae� f,- , ,� , _� ��3� u�;��ii�,ti�^� lC��l Q��:s-�3-c�o �-7Nt1i�CE DEPT. C{TY OF COSTA �JIESA APPLICAfION FOR PERMIT BUILDING For Office Use Only qECEIPT NO. I PlRMIT NO. COSTA MESA. CALIFORNIA BETBACK LINB FROM /O � qQ I <C¢NTHR L�Nfi cern'eR OP sinect � REAR YARD �V FRONT SIDE YARD I LE� t I RIGHT l O t R. SIDE DESCRIPTION OF WORK l. SIDE .._... � X �� .. -----�--. � �� ---._._.. � BUILDINC. �597•55F NO.OF 6 � SIZE ROOMS STORIE6 EXTERIOR WAL4 TUCCO ROOF OLK COVERING ICOVERING U$� OF BUILp WG AND ORK TO BE PE OR JINGLE-YAMILY ESIDENCE D TACHED GARAGE LAN - ZONING �, NO. OF I UBE OP NEW PUNB �� BUILp�NG�'� � BYPROVED/� L � � C. � �7� �¢�� j,� � �� I HEReBY ACKNOW��GB TMAT I XAVB HBAD TM�9 APPLIGTION THH ANOUM BXOWN UNDER VpLl1AT10N IB FOq TN¢ AND BTAT6 THAT T}i B 19 CORHHCT AND AOHHB TO COM- pUPP08E OF EBTABi18H1N6 A PEAMIT FEE ONLY. PLY WITH ALL G� ORDI LE9 AND HiATE LAW9 RHGULATIN6 eu��.01No coNe urnoN. VALUATION �� 81GNATURE OF� PERMIT FEE $ PERMITfE �/ // /S�J /� ' m $ f � PLAN CHECK $ AUTHORIZED AG T �('11I� S �� o iOTAL FEE LL