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Home My WebLink About3209 IDAHO PL - Building Permits� A + R CITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-4856 • v-nvw.ci.cosla-mesa.ca.us FOR INSPEC710NS CALL: (774) 754-5626 PERMIT TYPE PLUM APN: 13908317 PERMIT NUMBER: P08-00298 STATUS: ISSUED DATE ISSUED: 12/26/2008 ISSUED BY: BJK JOB ADDRESS: 3209 IDAHO PL CM ' Suite/Unit: ., vicinity: . . � , , . : . _ '_ '_ . SCOPE OF WORK: WATER REPIPE USING''PEX" PIPING FOR OVERHEAD REI'IPING OF PLUMBING DUE TO SLAB LEAK. OWNER: POULOS, THEODORE W. �� Address: 32091DAH0'PL PHONE: - . . � " � City/State/Zip: COSTA MESA; CA - � APPLICANT: POULOS, THEODORE W., .� " Address: 3209 IDAHO PL : PHONE: 7'14-546-0450 � - � � � � ', City/State/zZip: - -COSTA MESA, CA • CONTRACTOR: OWNER-BUILDER:- � • LicenseNo. 000000 � Atldress: . - � , �� PHONE: City/State: � � ZipCode: , � CELL: � ARCHITECT; � ENGINEER: �� License No. License No. PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: $0.00 PERMIT�FEE: ," . �� $33.30J`. � TOTAL FEES: $33.30 PHONE: PHONE: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia stalutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRE$ 780 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permil to be wnsidered legal, such work must comply with all appficatile 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. DE/ INSPECTIONTYPE URTE IN71TIpL5 LOOEO ySPECPONTYPE ORTE IN qL5 1616 Fixetl System Final Fire P2vention 206 Final Mechanical [1� 1266 Pool Spa Final 208 Final Plumbing ►-�-Cj-1 �� 200 Final Re-Roof 210 Final Electncal z07 Final BIocWRelaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Finat Site 204 FinalOemolition 250 FinalBaifding/Occupancy F WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the peAortnance of the work for which this pertnit is issued. ❑ 1 have and will maintain v.orkers' compensation insurance, as requiretl by section 3700 of ihe Labor Code, for the peAortnance of l�e v.ork for which Ihis permit is issued. My workers' wmpensation Insurance cartier and policy number are: Carne[ (inis sedan nee0 rw( Ee comdelM AMe µ'�� a valveC at me n�ntl.etl tl�llars (Et00J orleu.) Policy Numbec ❑ I certi(y ihat in [he performance of the work for which Ihis permi[ is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, antl agree thal if I should become subject to the workers' compensation provisions of Section 3700 of the labor Code, I shall (orthwith comp�y with these provisions. AGP��'s SignaWre Oale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&1ECT 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 UF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) o( Division 3 of tne Business and Professions Code, antl my license is in (ull force and effect. Lic. # Class # Gomraclor's Signature Date CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that there is a wnsiruction lentling agency for the pertortnance of the v.oAc for which this pertnft is issued. (Sec. 3097, Civil Code). Lender s Name: Lender's Address: OWNER-BUILDER OECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Cotle: Any city or county which requires a permit to construct, alter, improve, tlemolish, or repair any strucNre, prior to its issuance, also requires the applicant (or such permit to f le a signed sta[emen[ that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapler 9(commencinq wfth Section 7000) of Division 3 of the Business and Pro(essions Code) or that he or she is exempt iherefrom antl the basis tor Ihe alleged exemption. Any violation of Section 7031.5 by any appliwnt for a pertnit subjects [he app�icant to a civil penalty of not more than fve hundred dollars ($500�.): ❑ I, as owner of Ihe pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, and lhe struclure is not intentled or offere0 for 5ale (Sec. 7044, BuSiness and Profe55ion5 Code: The Contraclors License Law tloes not apply to an ow�er of property who builds or improves Ihereon, and who does such vrork himself or herself or thmugh his or her own employees, provided that such impro�ements are not intended or offered for sale. If, however, lhe building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not 6uild or impmve for purpose of sale.). . [ � I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH CENSED CONTRACTORS to constNct ihe projecl (Sec. 7044, Business and Pro(essbns Cotle: The contractors License Law dces not apply lo an owner of pmperty who builds or improves thereon, and who contracts for such project vrith a contracta(s) license pursuant tothe (=ontractors License Laws.�. ❑ I am exempt under sec. Business and Professions Cotle for this reason: �/"�w 7 26 8 ( SlgnaWre.__� �D te ]05936�]IO]) ---- � Owner ID venfied 6y driv� .7anse. ❑ Yes ❑ No Driver s�Cicensa �J , (3 Venfiwtion of Ownerehip by (type of tlocument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: � ❑ I he2by ceriHy that no ezcavation frve (5) w more feet in tlep�h into v.fiich a person is required lo descend, vrill be made in connection with v.ork authorized by [his pertnit, antl that no building sWCWre, scaffdding, (alsework, or demolition or dismantling thereof, vnll be more than thirry-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Tille 8, Califomia Adminis[rative Code). ❑ As owner-builder, I will no� employ anyone to do work which woultl require a permit from the Division o! Industrial Safety, as noletl a6ove, unless such person has a permit ro do such work from [he division. Applicanfs SlgnaWre Dale Division of IndusMal Safety Permi[ Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuNre building occupant need to 61e and certify a Business Plan for emergency response to release or threatened release of a hazartlous matenal? ❑ Yes ❑ No (Section 25505 of Ihe California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with lhe Costa Mesa Fire Department by every business which has at any one time during a reported year a quantiry ot hazartlous matenals equal to or grealer than a weiqht o( 500 pounds, or a volume o( 55 gallons, or 200 cubic teet of compressed gas at standartl temperalure antl pressure). 2. Does or will ihe applicant or present or future building occupant need to fle a regis[ra[ion Porm tor acutely hazardous ma[erials? ❑ Yes ❑ No (Section 25533 0! the California Health and Safety Code, wilh some exceptions, requires registration with the Costa Mesa Fire Department by each husiness which a[ any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 wbic feet of compressed gas at standartl temperature and pressure). 3. Does or will lhe applicant or present or future building occupant neetl to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Sa(ety Cotle provides lhat Ihe Costa Mesa Fire Department may require [he preparation, certifica[ion and filing with ihe Fire Department of an RMPP by businesses which are requiretl b register acutely hazardous matenals with the Fire Department. 4. If an RMPP is presenlly required, has Section 25534 of the California Health and Safery Code been lully complied wi[h? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupaN require for the vrork which is Ihe subject of �his application a permit for such construction or modifcation from the South Coast Air Quality Management District or from any other air pollution control distric[ or agency? ❑ Yes ❑ No (Section 65850.2 of the Califomia Govemment Code requires that Ihe requested information be fumished on applications for noo-residen[ial building pertnits). 6. Will any part of the facility to be cons[ruc[ed under this permit be within 1000 feet from Ihe ouler boundaries of a school? ❑ Yes ❑ No Q( yes", the faciliry must mee[ the requirement of Sec[ions 25534 antl 42303 of the Califomia Health and Safety Cotle). 7. If a permit from the South Coasl Air Qualiry Managemenl District or other air polWtion coNrol tlisMcl or agency is required for ihe work which is the subject of [his applicalion, have all of the disclosures prescnbed by Califomia Health and Safery Code Seclion 42303 been made? ❑ Yes ❑ No 8. pf'yes", attach certificate of compliance fmm the appropnate air polWtion conirol oKcer). - � � ' CERTIFICATE OF COMPLIANCE: I certify [hat under �penalty of �perjury the informaUon given above is correct. I agree to comply with all state laws and city ordinances regartling Hazardous Materials and Emissions. � SignaWre � Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penally of perjury that I have read this application and stale that the in(ormation given is correct. I agree to comply with all state laws antl city ordinances relating to builtling construction, and authorize representatives of the Ciry of Costa Mesa to enter upon the above-described property, tor inspection purposes. I agree not to occupy or allow occupancy of any building authorized y thispgrmit until final "nspection. � z6 O� /—��-e_� SiqnalureolLepalOvmeqs) Dai -> � 2�✓ Q � NnClor Autborrzed ApP�it'anl ale ., A/ternate Materia. ., Alternate Design and Methods of Construction i City of Costa Mesa �Development Services Department Buildinn and Safetv Division 77 Fair Drive, P.O. Box 1200 Costa Mesa, California 92626-1200 (7'I4) 754-5273 Fax (714) 754-4856 Under the authority of Section 108.72 of 2007 CA Building Code, 2007 CA Plumbing Code, 2007 Mechanical Code and 2007 CA Electrical Code, the undersigned request approval of alternate materials and methods of construction for: Project Name: / - (l� � S� ProjectAddress: 3�� r�l�� Building PermiUPlan Check Number. _�� —e Code Requirement (Specify Code Edition and Section): Dale: PZ-�L 6 f0 � �1ESA �j qz6z Proposed: �SE O F ��/�CX'� ii Pin� � Fo�- al/��J iP��iP/�6 p F mBi,v � �u� To s[-R� G.�.4-K Evidence shall be submitted with this request to substantiale claims that the proposed altemale, in performance, safety and protection of life and health, conforms to, or is at least equivalent to the standards contained in this code. Requested By: AFCMITECT OR ENG WEER �SIGN) CONTRAGTOR (SlGN) ARCHITECT OR ENGINEER (PRMT) CONTRACTOR (PRINT) ARCHITECT OR ENGWEER'S LICENSE NUMBER GONTRACTOR'S LICENSE NUMBER Slaff and Outside Plan Use Onlv Consultant Plan Checker: Firm: Address: Staff Plan Checker: [] Recommended ❑ Not Recommended Reason: Buildinq Official/Fire Marshal Onlv f�Approved Reason: ❑ Denied Q See Attachment Date: Phone: Date: !� � BUILDIt OWNER(SIGN) sr�,,e�y R. Pa� �s BUIL NG OWNER (PqINT) 9uilding Official: �40� \�Mv. Date: J�a�j�� Fire Marshal (if applicable): Date: Address: �y i i i. i �. i • i i . i OWNER-BUILDER VERIFICATION Sl�.q rt0 �1LE �ti��h7�� Permit #: � �� A city or county, which is reqe�ired to give notice pursuant to Section 1983Q shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the retum of, an owner- builder venfication. Attention Property Owner. An `owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and retum this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No buildine oermit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. ❑ Yes Q No 2. I(have/have not) /fR✓� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (fimi) to provide the proposed construction: Name l QE ,[�E"TE2/niniE!% Address City Phone ( ) Con[ractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address _ Phone ( ) City _ Contractor's Lic. No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name 1042-06 (Rev. 11ro4) Address Phone Type of Work � CITY OF COSTA MESA � r ' BlIILDING DIVISION 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • �wv.v.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 ' PERMIT TYPE PLUM APN: 13908317 JOB ADDRESS: 3209 IDAHO PL CM Vicinity: GAR.4GE � PERMIT NUMBER: P08-00280 STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: ISSUED 12I04/2008 BJK SCOPE OF WORK: WATER HEATER CHANGE-OUT IN THE GARAGE OF AN EXISTING SFD. OWNER: POULOS, THEODORE W Address: 32091DAH0 PL PHONE: Ciry/State2ip: COSTA MESA, CA APPLICANT: POULOS, THEODORE W Address: 32091DAH0 PL : PHONE: 714-546d450 ' City/Stale/zZip: COSTA MESA, CA CO NTRACTOR: OW NER-BU ILDER Address; City/State: ARCHITECT: ENGINEER: ZipCode: License No. 000000 PHONE: CELL: License No. License No. PLUMBING PERMIT FEE SUMMARY PIAN CHECK FEE: PERMIT FEE: TOTAL FEES: $0.00 $35.80 $35.80 R i� PHONE: PHONE: 1P NOTICE: The work autliorized by this permit shall comply with all applicable handicap accsss requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12•21-92) ' EXPIRqTiON: PERMIT EXPiRES 18D DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permil to be wnsidered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure lo obtain inspections and final approval will result in the expireGon of this permit. cooe�, ixsr[cnoxTrre pdg x � ypp,� iNsvecnoxrne p,�g i u 1816 Fized System Final Fire Prevention 208 Final Mechanical � l c� 1288 Pool Spa Final 208 Final Plumbing �^ C.. - � 7 � 2M1 Final RB-Roof 210 Final Electncal 201 Final BIocWRetaining Wall 212 Final Fire PrevBMion • 202 Final Faclwy Fire Place 220 Final Planning Approval 203 Final Sign 222 Ginal Site 2(M Final Demolilion 250 Final 6uiltling�Otcupancy � �\ WORKERS' COMPENSATION DECLARATION. I hereby aKrtn under penalry of perjury one of the Ioilowing declarations: ❑ I have and will maintain a certificate of consent to self-Insure for vrorkers' compensation, as provitlad �or by seclion 3700 of the Labor Code, for the peAormance of the work for which this pertnit is issued. ❑ I have and will maintain v.orkers' compensation insurance, as required by sectbn 3700 0� the Labor COde, fa the peAormance of the v.ork fw which this permit is issued. My v,�rkBrs' compensation Insu2nce wrtier antl policy number are: Carrie[ (Tl�is scrXr.vi neeC rpt ha wmp�eletl/l�e pe�mf a umLetl at me nurMretl tlNWrs (510�1 a less.) Policy Number: ❑ I certify that in lhe peRortnance of the work for which this permil is issuetl, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia. and agree that i( I shoultl become subject to Ihe vrorkers' compensalion provisions ol Section 3700 of the Labor Code. I shall lorthv��h comply wit� these provisions. Appiwm's SiBnalure WARNING: FAILURE TO SEGURE WORKERS' COMPENSATION CAVERAGE IS UNUIWFUL AND SHAlL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1QO,OQQJ, IN AD�ITION TO TNE CAST OF COMPENSATIQN, OMAAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECIARATION: I hereby aKrm that 1 am licensed under provisions ol Chapter 9(wmmencing with Section 7000) ol Division 3 of the Business and Prolessions Cotle, antl my license is in full force and eftect. Lic. # Class # Convacta's SigraNre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affmn that there is a construction lending agency fa the peAartnance ot the v.ork fd wt�ich this permil is issueC. (Sec. 3097, Civil Code). Lender s Name: Lender's Address: SignaWre Qate OWNER•BUILDER DECLARATIONS: I hereby aHirtn that under pe�alty o( peryury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the tollowing reason (Sec. 7037.5, Business and Professions Coae: Any cily or county which require5 a permit to conswct, alter, improve, demolish, or repair any sWCNre, prior to its issuance, also requires the app��t for such pertnit to file a signed s�atement that he or she is licensed pursuanl lo the provisions of lhe Contractors License Law (Chapter 9(wrr�mencing with Seclion 7000) o( Division 3 of tha Business and Prolessions COde) u� thal he or she is eaempt Iherefrom antl the basis for the alleged ezemplion. Any violation ol Section 7031.5 by any appliwnt lor a permil subjects the applicant to a civil penalty ol nol more than fiveX�undred tlollars ($500).): / �, > � I, as ovmer of lhe property, or my employees wilh waqes as their sole compensation, WILL DO THE WORK, and the struclura is not intended or o(lered for sale (Sec. 7044, Business and Professions Code: The Conlractors License Law does not apply lo an ovmer of properry who builds or improves ihereon, and who dces such work himsell or herself or Ihrouqh his or her own employees, provided Ihat suLh improvements are not intendetl or offered for sale. If, however, the 6uilding or improvement is sold within one yea� of completion, Ihe ovmer-buildef �+ill have the burden of proving'that he or she did not build or improve br pUrpose of sale.). ❑ I, a5 Ovmer of Ihe property, am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professbns Cotle: The wntrac�ors License Law dces not appty lo an rnmer of property who builtls or improves thereon, and wfio coniracts fw such projecl with a coniracta(s) license pursuant to the Contractas License Laws.). ❑ I am ezempt under sec. Business and Pro(essions Code for Ihis reason: �/�l� ,� �z. � �. oB �Si9naWre- " Daie- � 305)-06 �3I01) i � Ovmer ID venfietl by Arive71T1lCense. MVes ❑ No � � Expires: Veri(wtion of Ownership by pype ot document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby ceAify Ihat no excavation frve (5) or more leet in tlepth into v.fiich a person is required to descend, will be matle in connection with �wrk authorized by Ihis permit, and that no building structure, scaffdtlirg, falsework, a demoliiion or dismantling thereof, will be more than thirty-sa (36) (eet high. (Chap. 3.2, Grp 2, itf� 2, $ZC. 341, r��B 8. ��I�OR113 %1f�1i111115�131NC C.O(�8�. � As owner-builder, I will nol employ anyone to do work which would require a permil lrom Ihe Division of Industrial Safery, as noted above, unless such person has a permit to do such vrork from Ihe division. AOPliranfs SignaWre Division of Industrial Safety Permit NumDer: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: i. Will Ihe applicant or present or future builtling occupant need to fle antl certily a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Seclion 25505 ot lhe Cafitomia Health arW Safery Cotle requires, vrith some exceptions, that a Business Plan be filed vdth the Gosla Mesa Fire Department by every business whic� has at any one time tluring a reported year a quantily ol hazartlous materials equal lo or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of wmpressetl gas at stantlard temperaWre antl pressure�. 2. Does or will the applicant or present or fulure building occupant neetl lo file a regislration (ortn for acutely hazar0ous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Satety Code, vrith some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazarAous materials equal to or greater than a weight of 500 pounds, or a volume o/ 55 gallons. or 200 cuDic feet ot compressed gas at standartl lemperature and pressure�. 3. Does or vrill the applicant or present or tuture huilding occupant need.ta prepare an RMPP (Risk Managemenl and Prevention Program (or acutely hazardous malerials)? ❑ Yes ❑ No (Seclion 25534 0l the California Health and Safety Code proviCes that the Costa Mesa Fire Deparlment may require the preparation, certification and filing wilh Ihe Fire Department o( an RMPP by businesses which are requiretl ro register acutely hazardous materials wilh ihe Fire Department. 4. If an RMPP is presently requireC, has Section 25534 ot the Califomia Health and Salety Coda been fully wmplied with7 ❑ Yes ❑ No 5. Does or will Ihe appliwn� or present or fuNre building ocGupant require for �he work which is Ihe su6jec� of this application a pertnit for such conslruction o� motlifCatiOn from Ne Sou�h Coast Air �uality Management DisMcl or from any other air pollution Gontrol dislrict or a9ency7 ❑ Yes ❑ No (Seclion 65850.2 o! the Calilomia Govemment Code requires tha� Ihe requestetl information be fumished on applications for noo-resitlential building permits). 6. Will any patl of Ihe �acility lo be wnsWctetl under this permil be within 7000 feet from Ihe ouler bountlaries ol a school? ❑ Yes ❑ No (If yes', the facilily musl meet the requirement of Seclions 25534 and 42303 o( Ihe Calilornia Healih and Salety Coae). 7. I( a permil from Ihe South Coasl Air Oualily Management District or other air polWtion control districl or agency is requiretl for the work which is me subject of Ihis applicalion, have all o( the disclosures prescribed by Califomia Health and Safely Code Section 42303 been made7 ❑ Yes � No 8. (I!'yes', attach cedificate of compliance from the appropriate air polNtion control oKcer). CERTIFICATE OF COMPLIANCE: I cenify thal under penalty of perjury the informalion given above is wrrecL I aqree to comply with all sWte Iaws and ciry ordina�es regarding Harardous MateriafS and Emissions. SipnaWre ' Da1e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity under penalty of perjury that I have reatl this applicatio� and sfale that Ihe intormation given is cortecL I agree to comply with all state laws and city ordinances relating to building construclion, and authorize representatives of the City of Costa Mesa lo enier upon the aDoveEescnbed property !or inspection purposes. I agree not to occupY or allow occupancy of any building authonze�ythis rmil i�nspQ,ction. /Z G'�—� G� 1%� Signalure of Legal Owneqs) . Date� Antllo�Aulhonz¢dAppliWnl Dale , , ,. , -., . , � . . OWNER-BllILDER VERIFICATION ��s� %� Address. .3 Z O�' �'pA�/fl �L �G<65,4 Permi[ #: , �� Q v A city or county, which is required to �ive notice pursuant to Section 19830, shall attach to such notice, and, as a condi[ion precedent to issuing a building pemiit, require the completion and require the return of, an owner- builder verification. Attention Property Owner. An `owner-builder' building permit has been applied for in your name and beanng your signahire. Please complete and retum this information in the envelope provided at your earliest opportuniry to avoid unnecessary delay in processing and issuing your building permit. No buildin�permit will be issued until this verification is received. 1. I personally plan ro prov�d the major labor and materials for construction of the proposed property improvement. �Yes ❑ No 2. I(have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) [o provide the proposed consuvction: Name Address _ Phone ( ) City _ Contractor's Lic. No. 4. I plan to provide portions of the work, but 1 have hired the following person to coordinate, supervise and provide the major work: Name Address _ Phone ( ) City _ Contrac[or's Lic. No. 5. I will provide some of the work but 1 have contracted (hired) the following persons to provide the work indicated: Name 1042-66 (Rev.11/04) Address Phone Type of Work JobAddress: �5209 IDAHO PL . Suile: Vicinity: ROOF Primary Occ: R3 Dwellings/ Cong Res <10 Parcel Number 13908317 � Applicam: BRfAN HOYT Address: 1809 N'ORANGETHORPE PK ANAHEIM,CA Owner: Address Contractoc Address' POULOS,THEODORE W 32091DAHOPC. - �. ' COSTA MESA, CA � � HOYT ROOFS � 1809 N ORANGETHORPE�PK ANAHEIM,CA " Zip: 92801 . � Type of Canstruction: V-N Zoning: Phone: 714-773-1820 � Zip: 92801 � Phone: Zip: 92626 . ' . . Phone: 714-773-7820 �- License: 606111 Arch : Eng: Adtlress: . Address: , Slatus: ISSUED �� Applied: 05/17/2007 Issued: 05/17/2007 �/ ISSUED BY: . Phone: �,� � . . Phone: , Zip: , - License: � "' : � . License: . . , SCOPE OF PERMIT • _ TEAR OFF EXISTING ROOF. INSTALL 1 LAYER 30# FELT, 4:12 PITCH, WSTALL 50 YEAR COMPOSITION SHINGLES AND REPAtR/REPLACE SHEATHING AS NEEDED. 30 SQUARES INCLUDES ATTACHED GARAGE. � , � Plan Check: $0.00 Permit: $195.25 SMIP Res: 51.10 SMIP Com: �0.00 Other: $0.00 Inspectian: $0.00 ; - FEE SUMMARY ' • �= -- -- '� - - CalcValuation: ' S��,000.00 Claim Valuation: $�i,000.00 " .. . � : TotaL• �$196.35 . . , ..PLANNING & ZONING SETBACKS o MAIN STRUCTURE Front 0-0 Rear� 0-0 Left 0-0 .- .�. � Right . 0-0 � � � , � , ., . ' ' , � .'':r- :.,... . . ACCESSORY Front - 0-0 ' Rear 0-0 �. Left, 0-0 , Right -� 0-0� �- /, . PARKINCi � Exfstina: 0 Required: 0� Proposed: 0 - �� , � , . � � � _ � � - _. ` V`,.� . , � . " , . ` .� . � _ .. .a NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 18o days. INSPECTIONS: In order for the work authorizetl under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions end final approval must be obtained. Failure to obtain inspections and final approval will resul� in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d6 (NW) WORKERS'COMPENSAnON DECLARAnON: I hereby aNirm under penalty of peryury one ot the tollowing declarations: , �: , ❑ I have antl will maintein a certificete of consent to seli-Insure br workers' compensatioq as pmvidetl for by section 3700 of ihe Lebor Code, for Ihe pertormance of the /�ork tor which this permit is issuetl. -� I tieve end witl maintain workers' compensation insurance, as requiretl by section 3700 of the Lebor Code, for Ihe pertortnance ol Ihe woM for which Ihis pertnit is issued. --� My workers' compens tion surance c' r and poli numbar ere: / �' _'. Carrier.— - �� l) Al C� Policy,Numbar. �� Y� (This secbon need not �omple ed �! fhe perm�t �s valued et one hundre0 tlollars ($f 00) or /ess.) `� ❑ I certify ihat in the pedormance ot Ihe work for which this permit is issued, 1 shall not employ eny person in any manner so es to become subject to the workere' compensation laws of Califomia, antl egrea that If I should become subject to Ihe workers' compensation provislons of Section 3700 oi ihe Lebor Code, I shall forihwith comply with ihese provisions. �Applican't SlgneWre: . /��[�� Date: - �� WARNING: FAILURE TO SECURE WORKERS' CAMPENSAiiON CAVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMROYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED iHOUSAND DOLLARE ($100,000), IN ADDITION TO TNE COST OF COMPENSATION, pAMAGES AS PROVIDED FOR IN SECTION �Ofi OF THE IABOR CODE, INTEREST, AND ATTORNEI"S FEES. LICENSE� CONTRACTORS DECLARATION: I h�y aNirm ihat I am Ilcensed under pr9visions of Chapter 9(commencing wit� Section 7000) of Division 3 ob�he Business entl Pmfessions Code, end my license is in full florce and eflecL Lic. M L�Q � �( � LClass k- � �` �ConirectofsSigneture: �� /�— �ate: - �- -- �_ � CONSTRUCTION LENDING AGENCV: ❑ I heraby aHirtn that Ihere is a construciion lentling agency for the performance of �he work tor which this pertni� is issued. (Sec. 3097, Civil Code). Lenders Name: Lentlefs Address: Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby attirm ihat under penelry of perjury ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Business antl ProFessions Cotle: Any city or county which requires a permit lo constmct, alter, improve, demolish, or repair any strucWre, prior to its issuance, also requires the epplicant tor such permit to file a signetl statement that he or she Is Ilcensed pursuant to ihe provisions of ihe Contrectors License Lew (Chepter 9(commencing with Sectlon 7000) of Division 3 of the Business and Professions Code) or ihat he or sha is exempt therefrom end the basis for the alleged ezemption. Any violation of Section 7031.5 by eny applicent for a pertnit subjects ihe epplicant ro e civil penalry of not more than five hundred dollers ($500).): ❑ I, es owner of the properry, or my employees with wages as Iheir sole compensation, WILL DO 7HE WORK, and the strucWre Is not intentleG or oHered tor sale (Sec. 7044, Business and Protessions Cotle: The Contractors License Ww dces not apply to an owner of proDeM1y who builds or improves ihereon, and who does such work himself or herselt or ihrough his or her own employees, provided ihat such improvemenis are not intended or oHered for sale. If, however, ihe building or improvement Is sold within one year of completion, the owner-builtler will have the burden of proving that he or she did not build or improve for purpose ot sale.). ' ❑ I, es owner of �he properly, am E7(CLUSIVELY CONTRACTING WITH LICENSEO CONTRACTORS to construct �he project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to en owner of propeny who bullds or Impmves Ihereon, entl w�o contracls for such prolect with a comractor(s) license pursuam to t�e Comraciors License Laws.J. ❑ I am eaempt untler sec. Business and Pmfessions Code for this reason: Signature: Date: Owner ID verifietl by tlriver's license. ❑ Ves ❑ No Driver's Licanse No. Veritication oi Ownership hy (type of document, i.e. - property tau bill or tlead): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation five (5) or more feet in depth into which a person Is required to descend, will be made in connec�ion with work euthonzed by ihis permit, and ihat no building sWcture, sceHolding, felsework, or demolition or Aismantling thereoi, will be more than thirty-six (36) teet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Ttle 8, Califomia Atlminisiretive Code). ❑ As owner-6uilder, I will not employ anyona to tlo work which would require e permit from tha Division oi Intlustnal Safery, es noted above, unless such pereon hes e permi� �o do SUCh work from �he division. Signature: Date: Division ol Intlustrial Safery Permit Number: CER7IFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I cenity under penalty of perjury ihat I have reatl this application and state ihat the infortnetion given is correct. I agree to compty with ell state lews and ciry ortlinances relating to building consiruction, antl authonze representatives of Ihe Ciry of Costa Mesa to enter upon ihe above-described properly for inspection purposes. 1 agree not to acupy or allow occupancy of any building authorized by this pertnit umil tinal inspection. Signature Of �I Owner(s) COUE Y. INSPECTIONTYPE �� _ 1676 Fixetl System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Final Final Re-Roof Final Block/Reteining Wall Final Factory Fire Place Finel Sign Final Demolitian Q�jE IpL � � E�'l �� L _ / �Dat`n.� CO�E 1 INSPECTION TVVE 206 Final Mechanical 208 Final Plumbing 270 Final Electdcal 212 Final Fire Prevention 220 Final Planning Approval 222 Finel Site 250 Final BuildingiOccupency PLiE INTffIRLS , .__.._..__ _ _ ";' i I__"_'f—__ . I 1 1 , -r— i -- , I ' f � � --- � , , , � � � � ' � �_ : � � _._ � I I I � I � - . ; -.- , � , i � i � -� , .; ;. � i_- . ... '-- ' ' i. .� i ' : '. I � � i ' � f � - � - --� — -� - , , � i ' ; � I ; � r - i -� � a i � �_�___ �_ ; ---� ; � � � � , ; --�- - ; � I i ---� - � ; - ;---� i - �—j -r'_�;.�, ..r � ,- ,- � - �---�-- - '-- --�---I—� ' a i � , i � /i .�� ' i ' __' I '�— � � t I � �;.� , . _' —� �- � I OF kL � i li �FA�Y ' �Y � 1 � --I F'RO�c 0 1 �� i � f�AASITI I i �', . 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IS � P FVFN rN�. fON WAN. ��AND EQU1N{ryg iTHE l�-��4D�NGi OFF ER��TIO SPE�IfICA�l10 �UkkkCT101a OF THN COD�e ��RIE ON rF�� FRFVEN7 --,,,�_ .� Ri �F � NY nH� ORDYNAN � `� , : ; �� i I ; -- ,- I I � � � � i ,'..r....,...,.-�.,�,�-�^ �.•.�,-�-?.:�...-r.--. � i ' "`r/{R1�r `?`�I �'/ �� ,; £P � � . � __�fq P✓£C ��r�lt� A � � ' ! �_RF�Ri �`��'n, �j' �'�� /�J � � G�RAr��N�._tn ; `f 1 �� ,I � �� y,l,�°'z1n6�!,� I ` - - , . , , �..` _ . �'<<_ i�; � � � ; - � �Sf�CJ/��, ! ��i' i I� � t i � , ; ! i , � , I- � -- � --; --� ; - �- i - - - ; - ; -. i ; � I � - -�- -_.�_ � . ,- - - � I I . I i , -� __ -i-- - -i I � �--•- -� --- �- - : -- -- - -- -- - - - - , I i , �---. ; � , - � - ' � i � p'c� SE . j i ; � � � � -;___i__ ,.--.:-. -- -- - -- - , -,- i- i , I i' ; " ; , ; i i I i � ; I ._.., , i- _ -;- --- - --- - � -----,- `� ' I 3 z:o 9!_ 1'D,�,�Fo pG' � ;, --'—i ` - .. - -� --•—• i � , , f ', �p s r'.�_,_�u�� i� -- � _ . i _� i I I � d�vCY; - i -Ap RO�D;� -' -- : � � "� � ' ' : -- i ' ' q I � � i ��f� � �I i ; OF COSTA , i i I � ' — - NNlNG D�T• i - -i �- Inr � I I I.� .I'. P�� p� DBPT. 0.EG. ; i I I I i i I I-.-. AUBJECi. ��J:.__I . . .__ j � CT I_ i ��9y�y� �,� 8',�/ i _`�/',/-U/C��A7&�. i.. I � �� B i �pQ OF 4UNl�ING � ' ; _ �� .i � �' ect . �i ; ,N� , a1, p�o, , �, , . , � � , _ I II �- 111�S�:'�C� --- �- ;-- j . � ( i i � � � , i i..__i . _ i -_ �. ; . _ .._ . . . ' � �� XE�1Pj jfROt� �EQP � ' ,_- , I I ! i . . i- -i i _ ' - -i REQ�IRE ; I I ' "I I , , � � ;--�. , �...: ' ' . -,..� �,,•�--,-_--�.-�-,. ...._ -.-. ., ...�,. � y � f4 ,—_�_�,�� ,�o ,tTp � � ^�y 2 av� TESTING �e� �s��c� ��b��u�i�s �f �ou�z�2n �ac�fo�la, �,�. P.O. BO% �7 . 3310 nIRPORT WnV . LONG BEACFI, CALIF. 90B01 . �t13� �26�3355 . �213) 676�2386 .�71I� 818-613i BRANCN OFFlCES: I51 b0 NonM1 Mup�. S.rw Non On�m<�io IuKnq S�n�.M.,C.f(o•.u9]]Ol ��y. � �o55R�dandoA.�..P.O.lo.B �IHI 5]I-0�i5 � ii\.I' �� Lonq B��oA. GIII: GOB01 �3U� me.nee ; "?.:}], � .� � `: Ezamination: 75-6242 COMPRESSION TESTS ON , GUN I TE �YtINDERS Jack Hubbard 3106 Ostrom Avenue Long Beach, Cal(fornla 90808 PROJECT ADDRE55 SAMPIE FROM AMCMIIFCf lNOINFFI Les[er Plaey MIX DATE CAST DATE, TESTED CYLINDER NO. COMVRESSION . TOTAI IOAD, L85. POUNDS PER SO. IN. � COMPIIANCE SWIMMIPlG POOL - T. POULOS 3209 Idaho Place, Costa Mesa, Caiifornla Shallow end, Deep end, Bond Beam CONIRAC100. Blue Haven Pools SUlCONiNAC10R Enterprfse Gunite Co. SPECIFIED 4 0 to 1 STRENGTH 8/5/75 8/12/75 1 7 Days 49,000 1,735 CYLINDER SIZE 8/12/75 2 7 Days 50,000 1,770 14 Day tes[ complles wfth spec(flcatfons. M�u er CYLINDERS Gary DIS7111�UTION: Jack Hubbard - 3 ,�osta Mesa Buflding Department OELIVERE� �r Jack Hubbard 2,000 6" x 12" 8/12/75` 3 7 Days 46,000 1,625 REC[IVFD ON N1,2,3- 8/7/75 N4 - 8/13/75 8/19/75 �� 14 Days 88,000 3,115 .0 n�ro+rs .�� soe�:r.ro .s rrr wHnornn.� �Ana[ai. m cu[�.t..ornoAu•�ion ro+ rv�uG•nor+ or Ov. �[v n, c�� / r..trs r.nnw on u��.nmvc in�. �s ers�nv�o .rwor�r. ou• wa��iew •�r.ov.i .s ..otu.� ruo+tcnon .o cuen»..ne roeuC .Ho ov��[�v�s i ��i..�a .' : t:: � ��. � .wgust 11, 1975 Mr. Theodore Puulos \\ 3209 Idaho Place - 1� Costa Mesa, California 9262G Dear Sir: ' - . A building permit has been issu d to Blue Haven k'ools tu construct a private swimming pool un your properGy. i . In order thut yu ool may be a safe one and for the purpose of advising you ,�f y�u responsibility regar.ding the requirements uE the Gosca Mesa Munici 1 Gode, we refer you to Sec[ion 81��, a copy of which is attached. This letter is directed.to you in order that you will be aware of V� � our ordinances and can make a complete safety check of your puol area. RH:cb Slncerely yours, RICHARD HANHART Building Safety Direc[or �, f Mr. Theodore Poulos 3209 Idaho Ylace Costu Mesa, California Dear Sir: 92626 � 1� ��15, 1975 A building permit has be issued to Blue Haven Pools to construct a private swimming pool on ur property. In order that your pool will be a safe one and for the purpose of advising you of your responsibility regarding the requirements of the Costa Mesa icipal Code, we refer you to Section 8107, a copy of which is attac This letter is directed to you in order thnt you will be aware of our ordinnnces and can make a complete safety check of your pool area. RH:cb Sincerely yours� RICHARD HANHART Building Safc�y Uirector Applicant to fill in all spaees exceD< those within heavy Doraer Iines antl zign all appropriate aeclarations. C� F,COSTn MEsa CONSTRUCTION'PERMIT PERMIT NO. TRACT NO. LOT N0. UNIT NO. B zsg33 25 �t Project Addreu � �� C�G�/� � 1IJ TVPE OF CONSTRUCTION NEW ADD AIyTERATION REPAI ApplicanYs MailingAddress Zt�� '�� ,❑ CONVERSION ❑ DEMOLISH ❑ OTHER � � 3C� � Owner's Name � VG S Phone DESCRIPTION OF WORKNSE OF BLDG. � � 1 # Address �L� y�� -�� : ' � S MainBuilding: Arch/Eng. S�T�^�'�'4R' � License No. TVPE OF PERMIT � GRADiivG ❑ FOUN�ATION � STRUCTVRa� T Front C' AJ Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g � -rp Rear IM �f.�Nhi�•yC''%5 PF fJ,�_Z� ❑OTHER ' A ' Contracto 's Na e � r one C Right ZI ��.,J T LV %i {�/� PROJECT DESCRIPTION 5a. FT. oCCUVANCv K Add�esslmailing) "-" CONSTRUCTIONTVPE ' - VAWATION$ �2G0. �� g Left � City License No. — �4� � ,ZONE GRADING CU. VDS. ACRES p� R f# LICENSE� CONTRACTOR DECLARATION 1 neieby affi�m tha[ I am licensetl untler provi5ion5 ot Cha�te� 9(commencing with section ]000) of Division 3 of the Business antl Professions Cotle, antl my license is in full to�e ar�Qe ct. ,��Z �O � Licenze CI z �� License No. Date � Signature WORKERS'CO PENSATION OECLARATION �ereby atfirm that I nave a certificate of consent to selt-insure or a certlficate Workers' Compensation Insurance, o� a certltietl copy the�eof (Section 0800, Lab/� �y) '7''' y�� /1 Polic NYu�I�S�Z ComPanY./ryS. N0• lV�lt'C�� ertifietl copy is hereby furnishetl. Cei'tifietl wpy is filetl with the cit ui tling Divjpi� Date Applicant �� EXEMPTION FROM W00.KER5' CO ENSATION ECLFRATION (Thissection neetl not be mmpletetl if the permit is for one huntlred ($300) or less). I certify that in tM1e pe�fo�mance ot the work for which tnis pe�m�t is issuetl�, I shall not employ any person �in any manner so as to become subject to the Workers' Compensa[ion Laws of California. Date Si9nature � NOTICE: H, after makin9 this tleclaraHon, You snoultl become subject to the Wo�kers' Compensation provisions of the Labo� Cotle, you must forthwith comply wi[h such provi5ions or this permit shall be deemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby affirm thal there i5 a Construc[ion lentling agency for the pertormance of the work tor which this Oermit is issuetl (Sec[ion 309� Civ. C.) Lentler's Name ` Lentler's Atltlress - OWNER BUIL�EH DECLARATION I hereby aftirm [hat 1'am exempt trom tM1e Conl�actor's License Law fo� the tollowing reason (Seciion ]031.5 Buslness antl Protessional Cotle: Any city or wunty which repuires a permit to wnstruct, alter, improve, tlemolish or repai� any st�uctu�e, p�io�.[o�its issuance, also �equires tne applicant Po� SucM1 permit to file a signetl sta[ement [hat he/sM1e is licensetl pursuant to the provisions of �he Con[ractor's �icense law (Chapter 9(commencin9 with Section 7000) ot �vi5ion 3 of [he Business antl Professions Cotle) o� that'h¢/She is e%empt erefrOm antl lne basis tor the allegetl exempiion. Any viOlation ot Section J31.5 by any applicanf for a permit subject5 the applicant to a civil �enalty of not more tnan five huntlretl tlollars (§500). LJ I, as owner ol the property or my employees with wages as their sole compensa[ion, will tlo the work, antl the SVuctwe is no[ intentletl o� otferetl for sale (Section 7044, Business antl Protessional Cotle+ The Contractor's License Law tloes not apply to an owner ot a property who builtls or improves thereon, antl wno tloes sucn work himselt/herself or throu9h his or her own employees, provitletl that such improvements are not intendetl or offeretl for sale. H, however, tM1e builtling or improvement is soltl within one year of com- Oletion, the owner will have the burtlen of provin9 he/she tlid not builtl o� im- �rOve fo� lhe pu�pose ot Sale). _ I, as owne� of the property. am exclusively cont�acting witM1 IicenSetl con- f�ac[orsto con5truct ihe project (Section ]044, Business antl Professions Catle: Tne Contractor's License Law does not appry to an owner ot property wno builtls or�improves thereon, and who conGacts for such projects with a mn- tractor(s) ilcense pursuant to the Contractor's License law). I am aware that proof of their Worker's Compensation insu�ance shoultl be provitleG to me. ❑ I am exem0� untler Section 8. & P. C. for this reason Date Owner 1 hereby certify tM1at I have reatl this application antl s[ate that the above intormation is mrrecL I a9ree to comply with all city antl county ortlinances antl sta[e laws relating to builtling consVuction, and hereby authorize repre- Sentatives of thi5 city to ent � upOn the above-mentioneA property tor inspectlon p es. /� '�`�J Signature �✓+ � Oate �� Drive�s' Lice e or « Preventer. Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks ' Gas Service Outlets Interceptors Kitchen Sink � Lavarories� P-Trap ReinspeMion Fee � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System � .Multiple ❑ Firepl/Fact. BIL ICBO # Heating System & Ductin Oaioo,000eTu �ya ,000ar Fee � $15 CMF 0865-46, rev. 10/84 WM1ite - Builtling; Canary - Applicanh Pink - Accountinq; Goltlenrotl - Assessor ng. e . . Planning Notes: Showers Service Sink Sewer Cap Sewer Conriection Solar Collectorj/ Solar Pipi99' Pool w/Spa Urinal Water Closet Warer Heater Water Service Auto�Wash Laundry Trays Issue Fee Hood or Type I � Canopy Type I I ,q ❑0-10 , OOBTU ❑100,000 ystem Repair/Alteration Fire Dampers Registers Issue Fee FEES § 3 FEES $ 3 Automatic Washer ConsttuctionPoleSub. - Cooking Unit Dishwasher Dryers ❑Gas ❑Elecvic Fan F.A.U. Fixtures Device Boxes Outlets Garbage D 9741 E/I�/97 Zone Bu Parkin9 Req./Provided ELECTRICAL - Transformer � 15-50 KW ❑ 50+KW / Meter ❑up to 100 am�� Meter ❑over 100amps Sub Panel KW LJ5-15 KW I Reinspection Fee ' $15 DEVELOPMENT SERVICES R�Q� Zoning Approved By �� Building Approved By Motor 0-1 HP � 1 Y� - 8 ' 19 .Solar 09-75 HP 016-15+ Microwave Pole Light Range Standing Sections Trash Compactor ISSU@ FE8 FEES $ 3 Z O N I N G R E Q M T S SUMMARV OF FEES � BUILDING PERMIT $ 2 2• d D SMIP . $ Q• Sd PLAN CHECK $ I ¢ • .30 pERM1T PLUMBING, $ ISSUANCE $- PLAN CHECK 25% ,$ ENERGY P.C. $ ELECTRICAL $ GRADING $- PLAN CHECK 50% S MICROFILM $ MECHANICAL $ TOTALFEE $ 3 6 .80 PLAN�CHECK 25% $ � , CONSTRUCTION AND PLqNNING . POOL & SPA APPROVALS Permit# �� Date Inspector qppROVALS Permit# , Date Inspector 1. Temporary Electrical ServiCe or Pole 52. Pool & Equipment Location " 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement ' "3. Electrical Cond�it Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �" 5. Steel Reinforcement 56.: Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrg}nd. � - 8. Foundation . - 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structural Floor System 61. APPROVAL TO DECK ' 7 i. Property Sewer Line & HoUse Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final � --� . � 13. Root Drains 64. Plumbing System � Final � 14. Rough Plumbing . 65. Electrical-Final � �� 15. Rough Electrical-Conduit 66. Solar System-Final . 76. Rough Electric Wiring ' 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough FactorY Fireplace APPROVAIS Permit # _ 21. Ducts, in Structure 70. Underground Hydro '� 22. Ducts, VentilaYing .71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush �� , 24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil '' 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (Structural) & Monocoat -. 75. Dry Chemical . 27. Frame and Flashing 76. Dry Standpipe , 28. Lathing & Siding 77. FIXED SYSTEM FINAL '' 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT �37. Plaster Brown Coat 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric . � Notes: `� � ��r 34. Final Heating & Air Conditioning ' „T .�.r ia � G 35. Final Gas Pipe-Test 36. Hood or Canopy . 37. Final Factory Fireplace � 38. Final Plumbing : � 39. Water Service-Final � � � � �' � � 40. Gas Service-Final � ' <-' 41. Solar pomesticFinal � . . 42. Backflow Preventer , � - 43. Backflow Irrigation � � - • 44. Landscape Irrigation System - � � . . � 45. Sound Attenuation � • .. . � � 46. Handicap Regulations - 47. FINALSTRUCTURE & BUILDING 6 z�, g � ' _ 48. Special Requirements Completed ' , ' - • 49. Electric Release to Edison 50. Gas Release to Southern Cylifornia Gas Co . � 51. CERTIFICATE OF OCCUPANCY No. Date Cei+bnl CoPi�q Optional � Ch�rtnal8bck Wlth /•9/8� Horuonal Top of all Fe�cas Fa F�nca 6' a �sn VM. B�a 3!8"� at 1' -0" O.C. Fw F�nas HigMr Tlro 5' v.n. e,� �a^m n 3r• o.c. — Ffll Glb SoNd With Grout WMn Staal Occun Rsinforchq Stasl Slrlf Confo�m to S�e.A•1539 AS.T.M. Att $tNi 10 M Upprd 2�^ of a Cad� , NATURALRRADE _ TMIO Le"m BARS � CONTIN W US ?Q� 6 BOTTOM _ TYPICAL 6" CONCRETE BLOCK FENCE � }104i8TEEL MUST SE TIED IN PIACE AT TIME Oi TRENCM INSiECT10N. �: • z � u W z GENERAL- NOTES �IORTAR: prN parf Ploslie Gmad, anA TAtfE POI�t SOflA iROUT: On� Pcrf Cement Tlrss and On� Half Parts S�anA :OPINti: On� Part Csmanf, TAr�e Parh Sond :ONcaETE: w.tl Misea 1'2-I/2:3-I/2 INai. or �-��i Gatons of Wat�r Pe� Sock o} C�ment 7f10Uf MAY BE 1'OURED iROMTNE TO� )f TME FENCE IN CELIf NMERE fTEEL )CCURA :ELLS ANO Al1EAf OF MONIZOMAL IIEIN• fORCEMEIR E1MLl BE CLEAN, CIEAN 6 �REE Of ALl MDNTAR DElRIt, ETC. i � Oi E4RTHTCOTN �! THE MEi6TM Oi F�NCE �ECO�N BOTTOM OF iOpTING. i FOOTING REQUIREMENTS CHART � � � SCALE: I/2" • 1' � '� . WtOTH . . . . . . . . .14" . . . . . . . . . . .14� . . . . . . . . . .I._lZ��.,..: : .;. . . . 12�.Q ...... .. THICKNESS . . . . . . . . . . . .10� . . . . . . . . . . .10' . . . . . . . .'. . . Bi. . . . . . . �. . . . 8 � . ' OEPTH OF EARTHTOOtN . : . 24' . . . . . , . . . . ;2d . . . . . . . .,. . . 16'. . . . . . �. . . �. 12• .. SPACING OF EARTHTOOTH. . 12� . . . . � . . . . 16�. . . . . .'. . " 16' � .14 OWNER$ N�ME: � l. O� L d S � City of Costa- Mesa California J08 �°°�gg: _ � Z ° �. _ � 2 � � Q _ �`= � � � CERYI? NUMBER:�.� .,. �,�_ � _ Buiiding Department � 51GNATURE: _ .o�� ..:,.�w.._«: REVMeD ►lov.es � Yf. � � � � � ,� BY b�P��1lED City of Costa Mesa Buiiding Dept. Z- R-• K�'iCt �'1 ' DATE 6�b 19 �% c THESE PiANS MUST BE ON !OB AT ALL TIM�S MAKE NO CHANCES WITHOUT PRIOR�APPROVAL OF DEPT. JP Z g-g 33 THE;ISSUAkCF OR GR:.Ni1N� Of A fEP.ASIi OQ APVROVAI OF PlAKS AND 5➢ECIpICATiOKS SHAIt NOi oi f.ONSTRUED TO bE A pERMIT tpR. pk AN HP7°OVN! OF, AN`.' VIpIATION OF ANY OF THE PROVISIONS OI iM•'S :ODE NO PERMIT PRESUMING TOG�`/� �AUTHORIIY TO VECi%.T£ OR CANCEL TME PdOVi$IONS OF THIS CODE $HALL EE VAIIU. EY,CEPT IN SO FAF AS THE WORK OR USE WHICH 1T AUTHOfiIZES IS tAWfUI: �TME ISSUANCE OF A PERMIT bASeD UPON PLANS P.ND SPECIFKATIONS SHAII NO7 PFfVENT TNE Bl/�dDING OFFICiAL -EOM THEREAFiER REOUIRING THE C00.RECilON OF ERRORS IN <%�D MANS AND SPECIFICATIONS OR FROM PREVENTING r � �MG OGERATIONS BEING CARRIED ON THEREUNDEN WHEN � 1�: ��.ATION OF iH15 CODE OR OF ANY OTHER ORDINANCE OF !r . `�'. � e � W W t �. N ssWotNcs NOTE ADDITIONS, DELETIONS, OR CORRECTIONS SHALL BE APPROVED BY THE PLANNING DEPARTMENT For Inspections Call � �,S�e5627 �� sassiws �S' •i�w«et �3�'P�O�,�I� «TY OF CO�`q MES,� P�ANNING DEpT, NYUEC7 TO ND�i. DF►T. �� f��'"�tl - ��,,� o� o' n.wNA�'rm !�� ua�res ^�PaR= � TREET A � � r� ►. V W t � N d . ., ,• • h• �� y 1tIIS A(REENffa7T, made and entered into this o2s �' day of .'-i$�'3'? by and between �/`�id�c.ei ✓�uti4,� J"''� _��_ hereinafter referred tc� as "LAND �ddER", and �'l�it ✓%nir-✓ �/- ��T�L� y- here inaf ter referred to . as "ADJACaI'P : PR�EKtY OwNER" . It is hereby agreed that a party wall will be constructed on the prcperty line betr.+een .3�9 y��-E-�-0 r-�`-�—' �—� �z./ 7 ��`�� "��_'_. __ __�__"_""� ___r____'_' 4�iX�P% in the City of C�ta Mesa, Coimty of Oran9e, State of California, as per map recorded in Book , Page_ of Miscellaneous Maps, in the office of the Coimty Recorder of said Coimty. 'Ihe party wall shall be permitted tn encroact� IN WIZNESS tdiEREOF, the parties ha�e entered intn this Agreement the day arc3 year first abave written. IAND (I�1NER �/ ,��<�L Ld Y� � (Signatu- ) / /1 EOliO .C� E /,!/. /-O (/LO S /�SN/�PCcyfl. �7G[vS Name ('Ij�ped or Pr inted ) �� y �-o y°�� (Address) �� h�� c,� . � � . . �., ,� � . � ' � r �►' � iY�•�� . . �r I,ii � _� - .-. . -. 3 2 i c� o�F.�,�,�s,�� (Address) �y STfJ rn Es fa . �'f1 .. - : yM .r" c d: �IDaI}�IY n�--�ch ZHIS At�tEEt�1T, made and enter�i into this o� �% day of � / 9�7 �� d,ll!!u:/,��r �suLa-aJ .-i9$3r bY and bef�een i ) hereinafter referred tt� as "LANI) GFd�IER", and %7Lt .��%�• ��d b�SJ hereinafter referred to as "AATACINr>PROPEIriY QdNER". It is hereby agreed that a party wall will be constructed on the prcperty line between ,� Z,/D in the City of Costa Mesa, Co�mty of Orange, State of California, as per map recon3ed in Book , Page_ of Miscellaneous Maps, in the office of the Coim ty Recorder of said Coimty. �e party wall shall be permitted tn encroadi IN WI7NE55 4diEREOF, the parties have entered intn this Agreertent the day and year first above written. �ce� �� (Si` 9natJur", ��s� �FoUo�eE�Hi�e�r-yi /°avLos Name ('Lj+ped r Pr inte9 ) .��9 �� (Address) � �� c.� �. � -•r•o�l • � 7•� i/ �i j�� i I�/. - �� / � i ��'/ �. I i . . - ` � ° �� i :-. . -. ��/0' �-�i�-r �' , (Address) ) "�-�� . �� OWNER p0 t (1Sy_ Theodore JOBADDRESS 3209 Idaho Place GENERAL CONTRACTOR p�er-builder APNo.t39-083-1 LOT TRACT E INSPECTIONS Si not�re soi� GAS W ATER ROUGM PLUMBING PROP. SWR. LINE Q HOUSE CON. � SPRINKLING SVSTEM MISCELlANE0U5 ROUGH HEATING AND AIR CONOITIONING TEMPORARV SERVICE OR POLE UNDERGROUNO � POWER � ROUGM WIRING 7RENCHES FORMS STEEL flEINF. � FLOOR SYSTEM - BONO BEAM STEEL REINFORCE SHEPTHING FRAME AND F�ASHING � IATHING — IN OUT PLASTER, BROWN COAT STRUCTURAL, FINAI HEATING, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINFL AND GAS TEST ELECTRIC, FINAL wini niur nuei DATE g_21-75 BUILDING PERMIT N0. 40450 21PTION of WORK Le¢alize patio co ZONE VALUEb 480.00 PE GROUP ZONE SUBCONTRACTOR PERMITS ISSU .� . ,. _.,- ,�� COSTA MESA BUILOING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BVILDING T��//� / ADDRESS .�. iTri �� OWNER THFor.,� !-�ouLoS MNIL �`/ nooaess �Z CITV ��STIi ��G. �p�fRUCTION +, ��/D I FNfIEF �� BRANCH E fi ARCH�TECT YEL. S OR EMGINEEii NO. FIRE ADDPESS ZONE /J APPROV CONYRACTOR OGJiI/EC. �!J/ L � BV _ „� Fni, �,-,=�.;s ac„�3� x��:k�n.5o FORSTRUCTURALPERMIT ADDPtss �]/f/��/C' TEL. Z E O.OF CITY NO. P�'� , F STATE CITV �'ARDSAPPROVED � �IC. N�. LIC. NO. MAIN BUILDING W SIZE NO.OF BLDCS. (FROM C/L TR 1 �. OF LOT NOW ON LOT / ONT a VSE OF � EXISTING BLDG. H FSeparate permi[s are required for L SIOE /FT. � electric, plumbing and heating work. REAR T. US OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. QMAIN BLOGS. � VAR. � Q U c.u.v. # � APPROVE � i' � m w a 0 1 hareby acknowledBa thot I havo reatl this appllcotion entl state y� thet t�o ebova Informatlon Is corract antl agree to comply with a ell lews requlatln8 bulltllnB eonscruetlon, entl I shnll not employ Z any pe�son in violetion of Me workman's compensation lews ot � the Stete of California. 3 I harepV eertify that I am pro0etly Ileensatl ea e conbactor untlar SQ. FT. Ma StP�a of Celitomia Businea entl Protevione Cotla, Divlslon 3, THE AMOUNT SHO\ Chopta� 9, end that such Iicenws ere in full force and effect, or I TNE PURPO6E OF ES em exPmpt irom Ma provisions of tha S[em ot Californla eusinen VALUATION antl Professions Cotle, Ivislon 3, Chapter 9. �/� SipnatN�a �f/ �� [//�J � ) ,/ � I � Permlttea /� � �`� — S �j' Auihof�tetl Apent / P DATE IJ �. USE OF BET. MAIN & ACCFSS. BLp DATE APPROVED PERMIT FEE 5 PIAN CHECK �' TAX S TOTALPAIO S � ILDIN n m i m m N !S FOR m ONLV: � a �� h n m 0 LL f U Lor 4�i� TRAC7 62 _� � � �i��3 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9�7 COBTA MEBA. GLIFORNIA Fo� Appiieant to Fill In Compietety TYPE OR PRINT COSTA MESA. CALIFORNIA MAII �555 PLAGENTIA AVENUE ADDRE56 CI7Y NEWPpRT BEACH No -3zz7 ARI ?C7 TEL. K.W• Ko�� FIRE ZONE APPROVED NEMPORT BEACH zoxe 6>>95 TE�MI V'3ZZ7 LEOAL NO. DHecni 6�4XZCX� �� I unw�.P.uBIDae.� _ ' Cr,�tl �� r�� .��,_p.�.�_ �_ .�.�J , �--�7� S-13-(�0 ClI�P11';�:: :Ir j'• '�l}� �;: "Q$TA 11�::t APPLICATION FOR PERMIT eui��i�� For Office Use Only IiBCCIPT NO. PtNMIT NO. n er 1 o�te xEceweo 1 -e� e�1s�u e CASTA MESA. CALIFORNIA ZONING NO. OP �UBE OF PLAN9 BUILOIN 96TBACK LINB PPON �Q � 20 � ICENT¢w ue�C BTA ceHiEn on errtseT REAR YARD FRONT SIDE YARD I LEFT " 1 I RIGH7 , O' R. SIDE DESCRIPTION OF WORK L. 51 DE ._. X ��-�-----.-.� ��.--.-.-. � BUILDING �5g5 SF NO. OF �j � SIZE ROOMS STORIES EXTERIOR WALL IROOP WOOD SHAKES COVERING COVERING U88 OF BUILDING AND WORK TO BE PERFORMED INGLE—FAM{�Y REStDENCE AND ATTACHED GARAGE PLAN �-AR 1 H81i80V ACNNOWL8�0H iHAT 1 HAVH RHAD TH18 AITLIGTION •ND BTATH THAT TNB ABOVe IS CORPHCT AND A6RHH TO COtl- PLY WITN ALL GT' OfiO1NANCE9 ANO BTAiH LAW6 RHODUTINO BUILDINO CONBiPUGT10N. 91CNATURH OP ;�1 n n ■ AUTHORIZED EVES r TH6 AMOUNT BNOWN UNDER VALUATION IB POR TX! PUW088 OR HBTABLI6HINp ♦ pEqMIT FH¢ ONLY. VALUATION / � PERMIT FEE $ b /�Q.�{ J� N $�tl� v�+I � PLAN CHECK $ I u� e 2 TOTAL FEE �^ � y .., .,� �r COSTA MESA BUILDING-SAFETV DEPARTMENT P.O.BOX�1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely^ BUILDING � �1 _ /I � � � ��V �''� �"��/R1 C�'JC��SG�' APPLICAT ON FOR BUILDING PERMIT 4 REC[a�A/EjaBV DATEASCEJVEO� . nes.c�cc�icn i MAIL ADDRES � Z ADDRESS wa U 7E�. �1.� CITY NO. TRACT r F- Z Z Q �p(d$7RVCTION w ADD A O � LENDER � am J � BRANCH ' �� J �� NE Q ADDRESS 2 j u' ARCHITECT TEL. 5• Q T� N OR ENGINEER _ V Q FIflE w 2 ADDFESS 20NE T d W W Z \ .4PPROVED J O CONTFP.CT BV m Z � � J � ADORE a� . '�� W w TEL. Z�N NO.OF Z � CITV �y/.{%/ NO. P�� w � STATE CITV �'ARDS APPROVED y K LIC. NO. �IC. NO. MAIN BVILDING � � SIZE NO.OF BLDGS. (FROM C/LSTREET) OF LOT NOW ON LOT FRONT FT. USE OF EXISTING BLDG. S T. H SIZE OF � � NO. OF Z NEWBL�G. R�OMS STORIES L.SIDE FT. VEMERIOR WALL ROOF _, COVEflING COVERING REAR FT. E OF BVILDING ANO WORK TO BE PEiiFORMED DISTANCE BET. � MAIN BLDGS. Q VAR. # O C.U.P. � � APPROV N Z O VI herabV ecknowletlBe thet I have reatl thiz epplication antl state � that the a0ove information is corract and aBrea to comply with � all IawS reBuleting builtling consnuction, antl I shall not employ � any pafson in vlolation of the workman's compansation laws of (q the Sta�e of Celitomia. Z1 herebY cartity t�et I am proDerly licenzetl az a eontractor untler SQ. FT. tha Sta<e of Celiforn(a B�siness antl Proteuiona Cotle, Divisicn 3, THE AMOUNT SHO\ Chaptev 9, antl Mat such Ilcansas are in full force antl effect, or I THE PVRPOSE OF ESl am exeTP the provlsions ot the State o al ornia Business VALUATION and Prot sio�tle, Divislon,3, Chapter 9 SIB�atu� � � Parmlttee $ �/j�O Authorizad Agent /v � VALUE DATE RQTE ! / UNDER VALU,44 LISIi1NG A PERMR TOTAL FEE / �m � 0 FOR ' E ONLV: Q o-O ] m ' �J `o � LL