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Home My WebLink About3210 IDAHO LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT �ob Address: 3210 IDAHO PL Suite: Viciniry: REAR OF PROPERTY Parcel Number: 13908403 Applicant: LUNA, JUAN Address: Owner: HAYS, JAMES E Address 3210 IDAHO PL COSTA MESA, CA Contractor. LUNA CONCRETE SERVICE Address: 2330 W MARK ST SANTA ANA, CA Zip: 92703 Arch : Address: Zoning: ISSUED BY: Phone: 714-953-6994 2ip: Phone: Zip: 92626-2208 Phone: 714-953-6994 License: 689836 Eng: Address: Status: ISSUED Applied: 03/18/2003 Issued: 03/18/2003 Phone: Phone: Zip: License: License: SCOPE OF PERMIT INSTALL 6 FT HIGH BLK WALL ALONG REAR PROPERTY LINE AT 55 LINEAR FT PER CITY STANDARDS. CHECKED WITH REAR NEIGHBOR FOR SHARED INSTALLATION. Plan Check: $27.17 Permit: $41.80 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $69.47 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Prooased: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $1,100.00 So.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, subh work must comply with all applicable codes, and all required inspeetlons and tinal approvel must be obtained. Failure to obtain inspections and final approval will resufl in the expiration ol this permit. FOR INSPECTIONS CAIL: (714) 754-5626 �yesas �aroo� WORKERS' COMPENSATION OECLARATION: � ` � � T I �ereby eN�� under penalty of perjury one of ihe following declaretions: ❑ I hev� entl wlll mainteln a certllicate oi wnsent to selt-Insure tor workers' compensation, es provitletl for by section 3700 ot the Lebor Code, for the peAartnance ol the wOrk �or w�Ic� t�is permil is Issued. ❑ I have and wlll malntain workers' compensation insure�ce, as required by section 3700 of Iha Labor Coda, Por the partortnanca ot lhe work for whlch Ihis partnil is Issuetl. My workers' compensatlon I�surence cerrler antl policy number era: Certier. Pplity Number. (lhis sectitl� neeU not be canplefed i! the Oermif Is valued at one huntlred dollers ($100) or /ess.) t�at In ihe peAortnence of ihe work for which ih'� permit is issued, I shall noi employ any persan in eny manner so es to become suD�aa to the warkars' isetlon Califomla, end gree �hat if I s/i Itl becOme suD�ect to �he workers' compensation pmvision�/$ect�n a700 ot the Lebor Cotle, I shell Iotlhwit� with t se pra 'sions. �� 9 / aature: �l' �� +c� la�, _URETOSECU WORKERS' MPENSATI ERAGEISUNUWFULMIDSHALLSUBJEGTANEMPLOVERTOCR IMI�ALPENFLTIESANDCIVILFlNESUPTOONEHUNDRED KLAFE (E100,000), IN AOOITI O THE COST MPENSATION, DAMAGES AS PROVIOED FOR IN SECiION 3]O60F TME UBOF CODE, INTEPEST, AND NTTORNEV'S FEES. LICENSED CON7RACTORS DECLARATION: Chapter 9(commencing with Section 7000) of Division D'� Cotle, and my licensa Is in full CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm Ihet Ihere is e consiruction lending agency for the peAormanca ot ihe work for w�iCh this permit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lentler's Address: Signature: Date: OWNER-BU�LDER DECLARATIONS: I hereby eMi� ihet untler penalry ol perjury �het I am EXEMP7 FROM T}IE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professians Code: Any G��y or counry which requires a permit to construct, alter, improve, tlemolish, or repair eny structure, pnor to its issuance, elso requires Ihe epplicant tor such pertni� to file e signed stetemen� ihat he or she is Ilcensetl pursuant to Ihe provislons of Ihe Comrectors License Law (Chapter 9(commendng wtlh Section 7000) 01 DlWsion 3 of the Business end Proteuians Code) or Ihet he or she Is exempt theretrom and t�e basis for Iha alleged exemption. Any violation ot Saqion 7031.5 by eny epplicanl for e pertnit sublecis the epplicant to e Gvil penalry ot not more than five hundretl tlollars ($500)J: ❑ I, as owner of lha properry, o� my employees with wages es Iheir sole wmpensetlon, WILL DO 7HE WORK, and the structure is not intendetl or oHeratl for sele (Sec. 70a4, Business end Professions Code: The Contractors License Law tlaes not apply to aa rnvner ot proparty who builds or improves thereon, efW wtw does such work hlmself or herself or through his or her own employees, pmvidetl that such improvemenis are not intendetl or oHerad for sale. If, however, Ihe Duilding or impmvement is sold within one year of completion, the owner-builder will have the �urden of proving that he or shB did not builtl or improve lor purpose of sale.). ' ❑ I, es ownar of the properry, am EXCLUSIVELY CON7RACTNG WITM LICENSEO CONTRACTORS ta construct the project (Sec. 704d, Business end Professions Code: The Conlraciors License Lew does not epply Io en owner ol proparty who bullds or Improve5 thereon, antl who coniracts for such project With e contractor(s) licensd Puisuent to Ihe ConVacbrs License Laws.). ❑ I em exempt untler sec. Business and Professions Code br this raason: Signe�ure: Date: Ownar ID v0rified 6y tlriveYs license. ❑ Yes ❑ No Driver's License No. Expires'. Venfication P� Ownershlp by (rype ol document, i.e. - properry tax bill or deed): DIVISION OF INOUSTRIAIL SAFETY PERMIT CERTFICATION: ❑ I heretly �ertify thei no excavetion five (5) or more feel in dep�h into which a person Is required Io descend, will be made in conneclion wiih work eu�horized by Ihis permiL end thet no builtling s�ructure, scaHolding, talsework, or demolition or tlismantling thereof, will be more than thirty-sia (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, T�tle 8, Celitomia Atlministrative Code). ❑ As owner-bulltler, I will not employ anyone m do work which would requlre e permi� from ihe Division of Industnal Safety, as noted ebove, unless such person hes a permit to tlo such work from fhe division. Signatura: Date: Division of IOdustnel Safery Pertnit Numbec ICERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTAY: I cenity under penalry of perjury t�at I have read this application antl state t�et Ihe information given is I corred. I eqree to comply with ell state laws end city ordinances reia�ing to bullding constmction, and eu�honze representatives ol the City of Coste Mesa to enter upon �he above-described praparty lor inspeCtion purposes. I egree not to occupy or ellow occupancy of any building authorized by this permil until finel inspection. tooe �. 1616 1266 2�0 Of Legal Owner(s) Rhorized Applicant D�E 1ti�L5 �E Fixetl System Finel Fire Prevention pool Spe Final Fine� Re-Roof 201 Final BIocWRetaining Well 202 Final FeC�ory Fire Plate 203 Final Sign 204 Fina� Demolition /�—v7 � CODE� INSPECiIONTYPE 206 Finei Mechanicai 20B Finel Plum6ing 210 Finel Eletincal 212 Final Fire Prevention 220 Final Planning Approval 222 250 Final Site Final Building/Occupency 17.n�iriiii949 : ` - \ . � • T}flS SI�I'�I LS FOR INFORMATIONAL PURP066 ' SOLID WALLS/FENCFS BEIWEIN 2'�6' k b' IN }ffIGHT SHALL ONLY. APPIJGNT LS R6PONSIBLE FOR PROVIDING BE SETBAIX AT 1FASf ]0' FROM FROM PROPFR7Y LINE. AN ACGVRATE RFPRESFNfA77 i IIJ � IZE DO NOT CORRF�OND • SOI.m WALIS/FQJ�S SIiALL NOT S%� 2' 6' IIJ }ff]CHT TIiE IIJFOR7�'14'��. WR}�f 10 OF IHE FROM PROPERIY IINE (NOT NRB LWE). CITY OF COSTA MESA PLANNING DIVISION SUB]ECT TO BLDG. DEPT. REG. • VERII�Y D61'ANCY FROM CURB 70 PROPERTY UNE AND 4iOW ON PLAN. VERII�7G170N FROM THE QIYS FNGINEHtING DN610N b REQUQ2ED. GI1. (71�) 754S313 aoe wpoxNunorr. NO1'g: ADDITIONS,.DELETIONS, p�RRECTIONS SHALL BE 4 PR V D BY THE PLANNING DIV. � -- Q�. -- -- ; B i TE: � � R ,f � �i0 . a n �? ,� � V /(��DCMQ �CMQ ��'�It 1 l�m {}m � ; I S �b( I :�( SFi � � /rr.�tr�/!�/'a/��h ' B/.,� wa// u/� ; � pL Sh�rrd cu�-h ' � �/P�r v�r��Mr. � : � L �(/i� Q s 3�aiJ"/{o � �g pE9DEMfi /R[9p[NR RC90FH¢ RE9DEMfF gi ' DN SI N F RU[LDI G�SA� TY F COSTN E A AI ------- e: Ma_�oa_.ru gr-p'wc.--- --- - - ... / . _� is set ef plans 'specAica ons MUST be ke I ;' ��,� e any . ang'es or a eralbns en same witlpui w�(m permcs�on hom Ihe and Safetv Ca�� n� c�� u«. The slamping of this plan and s�uf,�;iorc Si{ALL NCT � helC te,xmM cr to 6e en zpproval of ihe violation of any provisi�ns et any Crty ot Costn Mesa Ortlinance and/or Slaie Izw. _ These lans and uermil s al��ft�I�ilation and hommn p� wo is not commenced a maintained adive per UBC §303 (� wtlhn 180� �a�� BLOCK WALL LAYOUT FOR BUILDING PERMIT � �2�� ..�dc�� I PLANNING DIVISION :�!'T�i-� �1 �.,��_�ll�-; '- TYPICAL 6�� CONCRETE BLOCK FENCE ��_ (714) J54-5273 • Fax (714) 754-4856 JobAddress: 3210 IDAHO PL Suite: Vicinity: Parcel Number: 13908403 i .' y CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Applicant: HAGEN, MICHAEL E Address: 3210 IDAHO PL COSTA MESA, CA Owner: HAGEN, MICHAEL E Address 32701DAH0 PL Contractor: Address: Zip: Arch : Address: COSTA MESA, CA BUILDING PERMIT Zoning: Phone: 714-9573052 Zip: 92626 Phone: Zip: 92626 Phone: License: Eng: Address I + PERMIT NUMBER I B00-00599 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 05/Oi12000 Issued: 05/Ot/2000 ISSUED BY: � Phone: Phone: Zip: License: License: SCOPE OF PERMIT LEGALIZE DEMOLISHED NON BEARING WALL. Plan Check: $0.00 Permit: $23.50 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $24.00 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: 0 NOTES: Rear 0-0 Rear 0-0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 szoo.00 szoo.00 NOTICE: The work authorized by ihis pertnit shall comply with all applicable handicap access requirements undar Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241•92) EXPIRATION: This permit shall eutomatically expire and become void if work is no4commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all raqulred inapectlona and finel epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545628 WORKERS'COMPENSATION DECLARATON: I hereby ettirm under penalry at perjury one of ihe tollowing decleretions: ❑ I heve antl will melntain e cenificate of con5ent to self-Insure tor workers' compensation, es provided for by sectlon 3700 of tha Labor Code, for Ihe pedormance of the work lor which ihis permit is issuetl. ❑ I have and will maintein workers' compensation insurence, as requlred by section 3700 ot Ihe Lebor Code, for Ihe pedortnance of the work for which this permit Is issuetl. My workers' compensatlon Insurance carrier and policy number ere: . Carrier: Policy Number: (Thls secflon need not be compleletl I/ the permit is velued af one hundred dollers ($100) or less.� ❑ I certify that in the pertormence of the wofk for which this permit is issued, I shall not employ any person in eny manner so as to become subject to tha workers' compansation laws of Califomia, and agree Ihat it I s�ou10 become subject to the workers' compensatlon provislons ot Section 3700 of the Labor Cotle, I shall fohhwith comply with these provislons. Applicant Signeture: Date: WARNING: FAILURE TO SECUPE WORKERS' CO!dPENSATION COVERAGE IS UNL4WPUL AND SHALL SUBJECi AN EMPLOYER TO CRINJNAL PENALTIES AND CML FINES UP TOONE HUN�RED TMWSAND DOLURE (5100,000). IN AOOfiION TO iHE C�T OF LOMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3105 OF THE LABOH COOE, INiEREST, AND ATTOFNEYS FEES. LICENSED CON7RACTORS DECLARATION: I hereby affirm Ihat 1 am licensed unaer provisionS of Chapter 9(commencing with Section 7000) of Divlslon 3 of the Business end Protessions Cotle, and my license is in tull force antl eNect. Lic. x Cless k Contrector's Signamre: Date: CONSTRULTION LENDING AGENCY: ❑ I heraby eMirm that there is a construction lending agency br ihe pedormance ot the work tor which this pertnit is issued. (Sec. 3097, Civil Code). Lontlefs Name: Lentler's Atltlress: SlgnaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirtn that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or wunry which requires a pertnit w�struct, elter, impmva, demolish, or repair any structure, pnor to its issuence, also requires iha applicant br suc� pe�mit to file a signed stetement Ihet he or she is licensed pursuant to ihe provisions of the Contrec�ors License Lew (Chapier 9(commencing with Sectlon 7000J of Division 3 oi Ihe Business entl Professions Code) or thei he or she �s exemp� t�eretrom and Ihe basis for �he alleged eaemption. Any violatlon of Seclion 7031.5 by any epplicant for a permit sub�ects the eppliwnt to a civil penalry of noi mor9 than tive hundred dollars ($500).): ❑ I, es owner of the propeny, or my employees with weges es their sole compensation, WILL DO THE WORK, antl t�e structure is not intentletl or ottered lor sale (Sac. 7044, Business and Professions Code: The Contractors License Lew does noi apply to an owner ot property who builds or improves theraon, and who doas such work himself or herselt or through his or her own amployees, provided Ihat such improvemenis ere not intended or oHeretl for sale. If, however, the building or improvement is sold within one year of completion, the ownpr-builder will have the burden of proving ihal he or she did not 6uild or improve for puryose of sale.). ❑ 1, es owner ot the property, em EXCLUSNELV CONTRACTING WI7H LICENSED CONTRACTORS to consimct ihe proJect (Sec. 7044, Business antl Professions , Code: The coniractors License Law does not apply to en owner of property who huilds or improves ihereon, entl who contrects for such pro�ect with e contrector(s) license pursuant to Ihe Coniractors Lic�nse �ews.). ,� 8usiness end Professions Code lor this reason: venfietl by tlrivefs license. ��es /[] No Verification oi Ownership by (rype of document, i.B. - property Iax Dill or DIVISION OF INDUSTRIAL SAFETY PERMIT CEAT�FICATION: License ❑ I hereby certity �het no ezcavation fiva (5) or more feei in tlepih Into which a person is requlred to descend, will ba mede in connection with work euthorized by ihis permiC end that no Guiltling sWCNre, scaffolding, felsework, or demolition or tlismantling thereof, will be more than ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Titla 8, Calitomia Adminisiretive Code). ❑ As owner-�uiltler, I will not employ anyone to do work which would require a permit from the Division of Industnal Salety, as noted above, unless such person has a permit to do such work from Uie division. Signeture: Date: Division ol Indus�rial Safery Permii Number: CERTIFlCA7E OP COMPLIANCE AND AUTHORI7ATON OF ENTTiV: I certity under penalry of perjury ihat I have read this application and s�ate Ihai the infortnation given is wrrecL I agree to compl with all state law�.and ciry ordinences relating to building construction, end authorize represantatives of� ' Cwta Mesa to enter upon the abova-des ' pro f�'aspectiq Sryoses. I agree no o wcupy or ellow occupancy oi any 6uilding autho� d qy this permi�nal ins tion. � / / gneturep egelOw�e� ' � Date And/Or Authonzed plican� Data 40oE �. INSiECTIONTYPE 1618 Fi:etl System Final Fire Prevention 1266 Pool Spa Final 200 Flnal Re-RooF 201 Final BIocWRetaining Wall 202 Finel Fanory Fire Place 203 Flnel Sign 204 Final Demolition 2a46J8 CODE � IHSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Preventlon 220 Final Planning Approvel 222 Final Site 250 Final BuiltlincyOccuOancy uaie � .� L�A65 � s � CITY OF COSTA MESA � BYILD►NG DIVIS/ON �,•' t 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ra.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: E07-00840 PERMIT TYPE ELEC ��,�� 7i� STATUS: ISSUED C�, DATE ISSUED: 10/05/2007 Y,.e�� -�1�� ISSUED BY: BJK 9A'1" Y JOB ADDRESS: 3210 IDAHO PL CM � Swte(Umt .` "' % ' ' - - Vicinity: - � . � - — - ' SCOPE OF WORK: LEGALIZE 14,CIGHTS FIXTURE$ IN KITCHEN AND DINING ROOM COMPLETE� BY.�PREVIOUS OWNER. NEW WORK INCLUDES 3 LIGHTS FOR FOUNTAIN AREA 1 LOW�YOLTAGE EQUIPMENT FOR SPRINKLERS AND WATER�.FOUNTAIN, i GFI OUTLET, 1 SWITCH. ,C»� :�.;Gi;" ,�a�`., ��' ,��r'^ .,« ��<�` ,� ' ' . . . - :�.s _ � _ _ , . , OWNER: CULLEN,AMYAddress:; j�, - ��32101DAHOPL Unit � � � . -.. _ . . -�.: - "- ". PHONE: ' , � ^� �,` %� ,� .�-�," -�� '�City/State2p'?,'-,COSTAMESA CA. ,: _ APPLICANT: CULLEN,AMY �� "��N Address: 3210�IDAHO � �� _, ,�: - - ' �, , . � PLti Unrt ',`� � � PHONE: 714-24�-7283 - -- � � City/State/zZip: COSTA MESA. CA " � � CONTRACTOR: OWNER-BUILDER �:" License No. 000000 . �. Address: Unit: �. �-j � - � PHONE: � � " City/State: ' ZipCode . . �- ' ` . � � ' . CELL: . � - � . ., , � .. f , ' .. . . E�ECTRICAL PERMIT FEES ' . Electrical Plan Check Fee:" .' $0.00 Electrical Permit Fee: $62.60 ' Reinspection Fee �� $0.00 �- ` TOTAL FEES $62.60 > '��+ � e . ,.;,•,,,. ti n. ��s : ;.�, " ,J, :; �1: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulalions. (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 authonzed under this permit to be wnsidered 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 resWt in the expiration of this permit. COOE N. INSPEClION TYPE 1616 Fixed System Final Fire Prevenlion 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 20a Final Demolition �ATE INTITIRLS CODEN INSPEL710NiYPE 206 Final Mechanical 208 Final Pium6ing 210 Final EIeCMcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building�Occupancy D� IN1171pL � WORKERS' COMVENSATII�N DECLARATIO� I hereby aKrm under penalty of perjury one of the follovnng declarations: ❑ I have and will maintain a certi(cate of consent to self-Insure tor workers' compensa[ion, as provided for by seclion 3700 of the Labor Code, for the peRormance of the work !or which ihis permi[ is issuetl. . ❑ I have and vnll main[ain workers' compensation insurance, as requiretl by sectbn 3700 0! the Labor Code. (or the peAortnance of the vrork for which lhis pertni[ is issued. My vrorkers' compensation Insurance carrier and policy number are: Carrier: (This secfion need rrof be mmpletetl �iMe peimd is valued al one huntlretl Collars ($100) o� Ie55.J Policy Number: � I certi(y that in the peAormance of [he work (or which this permit is issued, I shall not employ any person in any manner so as to become subject [o ihe vrorkers' compensation laws of California, and agree that if I should become subjec the workers' compensation provisions of Sec[ion 3700 of the Labor od , s i II (oRhwith comply with these provisions. 6 S POPliwnfs 99naWre ate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT 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 tABOR CO�E, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 0( the Business and Professions Code, and my license is in full force and eRect. Lic. # Class # Conlrac�or's SignaWre CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a conswclan lending agency for Ihe peRormance of ihe �+ork for which t�is pertnit is issuetl. (Sec. 3097, Civil Code). Lender s Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby affrm lhat under penalry o( perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW (or the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires Ihe applicant for such permit to file a signetl statement ihat he or she is licensed pursuant to the provisions of che Contractors License Law (Chapter 9(commencing wilh Section 7000) of Division 3 of [he Business antl Pro(essions Code) or that he or she is exempt theretrom and ihe basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than (ve hundred dollars ($500).): I, as owner of ihe property, or my employees with vrages 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 [hereon, and who does such work himself or hersel! or through his or her ovm employees, provided ihat'such improvements are not intended or o%ered tor sale. If, however, the builtling or improvement is sold wi[hin one year of completion, the owner-builder will have the burden of provinq that �e or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe property, am EXCLUSIVELY CONTR4CTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Cotle: She contractors License Law dces not apply to an ovmer of property who builds or improves Ihereon, and who contracts for such project with a contracta(s) license pursuan[ [o Ihe Contractors License Lavrs.). ❑ I am exempt under sec. Business and Professions Code (or this reason: ie/s /�� SignaWre �ate 30v]<6 (�l/Ol) Ovmer ID venfed by dr�e. �"Yes ❑ ,� . Dnver's License No. Expires: �� Verification of Ownership by (type of documen[, i.e. - property [ax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: • ❑ I hereby certrfy lhat no excavation frve (5) or more feet in depih into which a person is required to tlescentl, wiil be made in connection with work authorized by [his pertni[, and that no building structure, scaHolding, falsevrork, a demolition or tlismantling thereof, vnll be more [han lhirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sea 341, Title 8, Cali(omia Adminis�ra�ive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit from the Division of Industrial Safery, as noted above, unless such person has a permit to do such work Gom the division. Applicam's SignaWre Daie Division o! Indus[rial Safe�y Permi[ Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or presen[ or future building occupant neetl [o file and ceAify a Business Plan for emergency response to release or threatened release of a hazartlous material? ❑ Yes ❑ No (Section 25505 of the California Health antl Safery Code requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire Departmenl by every business which has at any one time during a reported year a quantiry of hazardous materials equal to or grealer than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at s�antlard temperature and pressure). 2. Does or will the applican[ or present or (uture building occupant need to fle a registration (orm for aculely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Cali(omia Health and Satety Cotle, with some exceptions, requires registration vrith the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or grea[er than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl temperature and pressure). 3. Does or will the applicant or present or luture building occupant need ro prepare an RMPP (Risk Management and Prevention Program for acutely hazardous ma[erials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides [hat the Costa Mesa Fire Department may require [he preparetion, certifcation and fling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with Ihe Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for [he work which is the subject of [his application a pertnit for such constmction or modification fmm the South Coast Air �ualiry Managemenl Distric[ or (rom any other air pollution conhol district or agency? ❑ Yes ❑ No (Section 658502 of [he Califomia Govemment Cotle requires tha[ the requestetl infortnation be fumished on applications for rwn-residential building permits). 6. Will any part of �he (aciliry to be constructed under Ihis permit be wiNin 1000 feet from the outer bountlaries of a school? ❑ Yes ❑ No Qf'yes", lhe lacili[y musl meet Ihe requirement of Sections 25534 and 42303 o( the California Health antl Safety Code). 7. I( a permit from the South Coas[ Air �uality Management District 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 Satety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certifcate of compliance from the appropriate airpolWtion control officer�. , � �CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information'given above is correct I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. � SgnaWre 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 correct I agree to comply with all state laws and ciry ordinances relati building consWction, and authorize representatives of the Ciry of C esa ro enier upon the above-descnbed property for inspection ur ses. gree not to occupy or allow occupancy of any building authorize b is t until final inspection. G�/s/7 SignaWreofLeBalOwneqs) �Date AnC/orAulhonzeEAOPliranl Dale . July 14, 2009 CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICES DEPARTMENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION Amy Cullen 3210 Idaho Place Costa Mesa, CA 92626 PERMIT NUMBERS: E07-00840 PROJECT 3210 Idaho PI., Costa Mesa, CA FOR: Legalize 14 light fixtures in kitchen & dining room Our records indicate the above listed permit(s) were obtained for propeRy improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of the last inspection for the project. Our records do not show an inspection for these permits within the last 180 days nor have they had an approved final inspection. If you have a signed inspection card showing that an inspection was made within 180 days, or that the final inspection was approved, please contact this office so we may correct our records. If you do not have an approved final inspection, your permits will expire on July 24, 2009. Additional fees will be required to finalize expired permits. Requestinq an inspection - If you need to request an inspection, please call our Inspection Request Line at 714-754-5626. Requestinu an extension -If you wish to request an extension, requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of completion. If you have any questions, piease contact the Building Division at �14-754-4871, between 8:00 a.m. and 4:30 p.m., and a staff member will assist you. The accuracy of records affecting your operty is our goal and we appreciate your working with us to resolve this matter. Sincerely, Barbara � wart Office Specialist II Building Division (714) 754-52�3 • Code Enlorcemem (714) 754-5623 • Planning Division (71a) 754-52a5 FAX p14) 754a856 • TDD (714) 754-524a • wwN.ci.�sta-mesa w us � CITY OF COSTA MESA � BUILDING D/VIS/ON i� � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • vnvw.ci.costa-mesa.ra.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: P07-00536 PERMIT TYPE PLUM STATUS: ISSUED DATE ISSUED: 10/05I2007 . ISSUED BY: BJK - n'-' ---- n , JOB ADDRESS: 3210 IDAHO PL CM : Suite/linit: � vicinity: ,-: t �, � � - _. � - - . _ � ' � . , �. ,, - - ��.�- . SCOPE OF WORK: PLUMBING.PERMIT FOR(2 BACKFLOW PREVENTER FOR SPRINKLERS,�2 WASH BASINS, 1 WATER PIPING FOR FOUNTAIN. ; ,- OWNER: CULLEN, AMYiAddress::� �� - � , 3210��IDAHO PL ' - � ` . PHONE: � -. ' � �r �- .. �' �. - � City/State/Zip: -COSTA MESA, CA APPLICANT: CULLEN, AMY '�` -� . � Address: 3210 IDAHO PL � , PHONE: 714-241-7263 � �� City/State/zZip: COSTAMESA CA� ' r. � CONTRACTOR: OWNER-BUILDER � � � ' -' " - Lioense No. 000000 � Address: - � - - , ' � � � _ PHONE: ' City/State: � „ZipCode' CELL: � � PLUMBING PERMIT FEESUMMARY . PLAN CHECK FEE: . -$0.00 . PERMIT FEE: $72.50 � ,, . ;. . , TOTAL FEES: $72.50 4.' :' � :+q � ; � t� �,�,.. ,r, ' , ,�,: �, u st ,. , ea ��'a �a :, ,i y , U �t; NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under Cali(ornia statules 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 inspeclions and final approval will result in the expiration of this permit. L0� INSiEC110NTYVE OATE IN1f11AL5 � INSPEC110NTYPE DRTE IN7171AL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 'ID� � 200 Final Re-Roof 210 Final Electrical 201 Final BIocWRataining Wall 202 Pinal Factory Fire Place 203 FinalSign 204 Final Demolilion 212 Final Fire Prevention 220 222 250 Final Planning Approval Final Site Final Building/Occupancy WORKERS' CO�dPENSATON DECLARATIO� I hereby affrm under penalty o( peryury one of th�ollowing declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as providetl for by section 3700 of the Labor Code, (or the pertormance of Ihe vrork forwhich this permil 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 pertnit is issued. My vrorkers' compensation Insurance carrier and policy number are: Carrier. (This secfbn need no( De mmpefed�(he pe�mR b'vaWetl a( one 6unOred tlWlars (5100) oNess.) Policy Number: �]," I certify lha[ in the pedortnance of the vrork for which this permit is issue4 I shall not employ any person in any manner so as ro become subject to the vrorkers' compensation laws of Califomia, and agree lhat i/ I should become subjey to the workers' compensation provisions of Section 3700 of the Laboi C d� hall forthwith comply with these provisions. (��l /o/s/ `7 / Apphcanfs5ignaWre Dale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT 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 affirtn that I am licensed under 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. Lic. # Class # Gonhacbr's SignaWre CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn that [here is a consWction lending agency (or the peAormance ot the aoric fa wfiich this pertnit is issued. (Sec. 3097, Gvil Code). Lender's Name: Lender's Addiess: SignaWre OWNER-BUILDER DECLARATIONS: I hereby affrm thal under penalty of perjury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the (ollowing reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a pertnit to consWct, alter, improve, tlemolish, or repair any s[ructure, prior to ils issuance, also requires the applicaN (or such permit to file a signed statement that he or she is licensed pursuant to the 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 exempt t�erefrom antl the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty ot no[ more [han frve hundred dollars ($500).): \j�l, as ovmer of the property, or my employees with vrages as their sole compensation, WILL DO THE WORK, and the structure is not intended or oflered for sale (Sec. 7044, Business and Pmfessions Code: The Con[ractors License Law does not apply to an owner of property who builds or improves [hereon, and who does such work himself or herself or throuqh his or her own employees, provided lhat such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year o( wmpletion, 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.the property, am EXCLUSIVEIY CONTRACTING WITFi LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not appy to an owner ot property who builds or improves thereon, and who cont2cts for such project with a contracta(s) license pursuant tothe Contractors License Laws.). ❑ I am exempt under sec. Business an Pr fessions Code for this reason: ` �o��/'� SlgnaWre Dale 30 -06 (3I0]) ' � Ovmer ID verified by dr�e. � Yes ❑ No � � Driver's License No. Expires: Verification of Ownership by (type of tlocument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION� � ❑ I hereby certi�y that no excavation fve (5) or more (eet in depth into which a person is required to descend, vnll be made in connection with work authodzed by this pertnit, antl that no builtling strucWre, scaffdding, falsework, or demoli[ion or dismantling thereof, will be more Ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 347, T�le 8, Cali(ornia Adminis[ra[ive Cotle). ❑ As owner-builtler, I will not employ anyone to do vrork which vrould require a permit fmm the Division of Industrial Safe�y, as noted above, unless such person has a permit to do such work from the division. Apphcanl's Signa W re Date Division of Industnal Safety Permit Number HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applican� or presen[ or fWure building occupan� need to file and certi(y a Business Plan for emergency response to release or lhreatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Calitomia Healih antl Safety Code requires, with some exceptions, lhat a Business Plan be filed vnth the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas at standard tempereture ana pressure). 2. Does or will the applicant or present or future building occupant need to (le a registration form for acu[ety hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Sa(ety Code, with some exceptions, requires registration with Ihe Costa Mesa Fire Department by each business which at any one time has on hand a quantiry o( awtely hazartlous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas a[ standard temperature and pressure). 3. Does or will the appliwnt or present or (uWre builtling occupant need to prepare an RMPP (Risk ManagemeM antl Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Seclion 25534 of lhe Cali(ornia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certifcation and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with ihe Fire Depariment. 4. If an RMPP is presently required, has Sec[ion 25534 of the California Heal[h and Safe[y Code been fully complied with7 ❑ Yes ❑ No 5. Does or will Ihe applican[ or present or future building occupan[ require (or the vrork which is the subject of this application a permit (or such constmction or modification from the South Coast Air �uality Management DisMct or (rom any other air polWtion control disirict or agency? ❑ Yes ❑ No (Section 65850.2 of �he Califomia Govemment Code requires �hat ihe requested infortnalion be fumished on applications for norrresidential building permi[s). 6. Will any part of the facility to be consWcted under this permit be within 1000 feet Irom the outer boundaries of a school? ❑ Yes ❑ No Qf'yes", the faciliry must meet ihe requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. I! a pertnit from ihe South Coast Air Quality Management Disirict or other air pollution contml district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by Califomia Health and Sa(ety Code Section 42303 been made? ❑ Yes ❑ No 8. (If'yes", attach certificate of compliance (rom the appropriate air pollution control officer). � . CERTIPICATE OF COMPLIANCE: I certify that under penalty of perjury the infortnation given above is correcL I agree to �comply with all state lavrs 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 that the information given is correct. I agree to comply with all state laws antl city ordinances relat�g to building construction, and authorize representatives of the City of C s a Mesa to enter upon the above-descriDed property for inspect�n pu os �I agree no[ to occupy or allow occupancy of any building authori b ISis r d until fnal inspection. � SignaWre of Legal Ovmer(s) / �/1� � � Andbr AulhOnztW AppLcanl OWNER � JOB AD H PLIIMBING SCELLANEOl15 ROUGH HEATING �NO AIA CONORIONING UN�ERGAOUN� U POWER U NOUGN WIRING TRENCMES FORMS STEEL REINF. FLOOR SVSTEM SHEATMING FRAME RNO FLASMIN LATXING IN P�RSTER,BHOWN COR1 STRUCTURRL, FINAL HEATING, VENT., REFR PIUMBING,FINI.L �NO E�ECTRIC, FINAL BUILOING, FINPL DATE 2-22-7$ LUING PERMII VALUE S (,�• SUBCONTRACTOR � � j' Sta/J COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 623Q, 2/2�/78 6605� �%2i APPLICATION FOR STRUCfURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVED BV DATE RECEIVED D ISSU D BUILDING . PL, O� ADDRESS �Q "�' OWNER �%�.. � �/'�lTl+,y A.P. NO. I3 %� Og�/- U y P MAI L s BVIIDING ADDRESS �MC: ADDPESS3z�O rDA'HD L�G� TEL. TRACT 36�s LOT S% gLOCK CITY � � /� NO. CANSTRUCTIDN _ W LENDER BRANCH �- OWN /�I/C AEL %iAFA�N ADDRESS �— � VALVE ARCHITECY . TEL. ' $' O " OR ENGINEEP �� FIRE ADDRESS ZONE YPE GROUP /� APPROVED CONTRACTOR -L T Nl+ 8� DAT � ADDFESS ) `� � ZONE NO.OF USE OF NEW F/ar'�Y TEL. PLAN$ Z BUILDING RQ'Ft /7�D�% CITY NO. 5.77"�17I �-I STATE CITY `�ARDSAPPROVED VAADSAPPROVED IIL. NO. �('� y LIC. NO. MAIN BUILDING ACCESSORV BUILDINCa SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT V J NOW ON LOT , ONT A%T/�[� 7e /� /ST/Nf FT. VSEOF AiT�}C// Ta r 1/"TiNF EXISTING BLOG. fJ C. ' C•- FT Separate permits are required for L SID s FT. � FT. electric, plumbing and heating work. REAA Z o r FT, t Fr. USE O BUILDING ANO WORK TO B PERFOFMED DISTANCE BET. BET. MAIN & D �'%I / C� MAIN BLDGS. ACCESS. BLDGS. VAR. �W DATE C.U.P. qW APPROVED APPROVED eIQ/ Z—ZZ-7$ Q< 1 hereby eek�owlatlpe thet 1 hava reatl this epP��cetion antl stnta � thai iha nboVe Inio�metlon Is eorlett en� aprae to tomply wlih . � e ell laws repuleting bulltlinp conctruction, end I shell not employ any perwn in ��alailon of Na workman'� campenmtlon laws of ; the Stete of Califomle. I haruby certifV thet I em propa�ly Iicensetl ea e contrector under SQ. FT. i the Steto of Gnllfornia Businesa and Profeulons Code, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS POR � Cnepter 9, entl t�et eue� Ileenma ere in full forte end etfect, ar I TME PURPOSE OF ESTABLISNING A PERMR FEE ONLV: am exempt f�om t�o provislone of tha StaTa oi Callfornia Business VALUATION PERMIT FEE S � and Profassim�s Cotlx, Divh n 3, Chepter 9. •� � r pLAN CHECK 5 � � SIB^ature ot �,Q � Permittae � ��' $ r% (,DD V' TA% S � ' AuthorizetlA9on< <�� TO7AlPAID E ` Lot 57 - Tract 3625 .%` �' �� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 817 COBTA MEBA. CALIFORNIA Fo� Applicanf +o Fill In Complefely 1 BUILDING � MAIL Cp$TA MESA. CALIFORNIA TEL. Beach No. TEL. FIRE ZONE APPROVED Newnozt��Beach - ZONe G1195 ' No: D9I 6-3227 �E�"'- " _ _ _ _ ' I NO. OP BLDGB. -- 88TBACK LINB FROM cee�cw op ST1ieeT t REAR YARD � SIDE YARD I LEFT S t� I RIGHT (j 1 ' DESCRIP�ION OF WORK ,. REPAIR I" II mOv�NG I BUILDING. . _ _ .... .�NO. OF USE OF BUILDING AND WORK TO BE PERFORMED Sin le-Famil e id n d Attached Garage Plan 1-BR I HEREBY AGKNOWLEDOE THAT 1 XAVE REAO THI6 APPLIWTION ANO BTATE THAT TNe ABOVE 18 CORREGT AND AGREB TO COM- PlY WIiH ALL CITY ��NPNGEB ANU BTATE L11W8 AC6L11ATN0 BUIL�INO CONBTRUGn/aN�. BIGNATURE OF / � , � AUTHORIZED � ::. .:,_:: ,.:::-.:��,. �E� �ECEIIl�D t � \'� S-�3-t�o FINANCE DEPT. APPLICATION � O R PER�vfl'FTA MESA d �. BUILDIkG .. .. i , .. . . .�r�;- For Office Use Only RECEIPT NO. PlflMIT NO. COSTA MESA. CALIFORNIA LIN6 ZONING NO. OP U9E OF NE � PLANS � I Bf11LD1��1 �A � � � �'LL/I THE AMOUNT BXOWN UNUER VALU�TION IB POR TME PUFtP09E OP E9TABL18HING A P¢PMIT P86 ONIv. .UATION �6 _ PERM17 FEE $ J�(p/ �I p J PLAN CHECK $ �� T(1Ts1 CCC Q �`T �