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Home My WebLink About3217 IDAHO PL - Building Permits(714) 754-5273 • Fax (714) 75a-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vitinity: PamelNunmber. ApplicanC Address: 3217 IDAHO PL REAR OF RESIDENCE 13908315 BOLTER, JONATHAN EDWARD 3217 IDAHO PL , � COSTA MESA, CA Phone: 714-556-2767 Owner: BOLTER, JONATHAN EDWARD Address 3217 IDAHO PL COSTA MESA, CA Convactor: OWN ER-B U ILD ER Address: • � , ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service l0 200a Service to 1000a Service over t000a Motors lo thp Motors to tOhp Motors to SOhp Motors to t00hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign CircuiLs Temp Pwr Pole Intermed Pole Zip: 9262G2207 Phone: 2ip: 92626-2207 Phone: Zip: License: 0 . Stams: ISSUED Applied: 03I18I2002 Issued: 03/18I2002 ISSUED BY: � SCOPE OF PERMIT CHANGE EXISTING 70 AMPS SERVICE TO 200 AMPS SERVICE AND ENERGIZE SPA. 1 POOL/SPA, 2 RECEPT OUTLETS, AND 1 SERVICE TO 200 AMPS. 523.50 $0.00 50.00 $0.00 $0.00 549.50 $0.00 $2.20 $0.00 $0.00 30.00 $30.50 50.00 50.00 $0.00 50.00 $0.00 $0.00 50.00 50.00 50.00 50.00 50.00 $O.Oo 50.00 Quantity 0 0 1 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY Temp Dist System / Li9hting Busway /100 fl Standing Section Misc Electncal Equipment Transformers up to 7 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring Sys[em ! Ckt Misc. Conduit Misc. Conductor Circus ( 9en or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electncal Fee Investlgation Fee Plan Check Fee Reinspectlon Fee �uantity 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $O.00 $0.00 50.00 so.00 TOTAL CALCULATED FEES $105.70 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall compty with all applicable handicap access raquirements under Califomia slatutes and related regulations. (Ord. No. 9248, § 1, t2-21-92) EXPIRATION: This permit shall automaticylly expire and become vold if work is not commenced within 180 days, or if work is suspended or abantloned tor a period of 180 days. INSPEC710NS: !n order tor the work authonzed under this permif to be considered legal, such work must compiy with all appiicabie eodes, and all requlred Inepectiona end flnal epproval must be obtained. Failure to obtain inspections and final approval will result in the ezplration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 �wwo �aw� WORKERS' COMPENSAnON DECLAfiAnON: I hereby ettirm untler penalry of perjury one oi Ne following declerations: ❑ I have entl 'will maintain e certificate of consent to self-Insure for workers' compensa�ion, as pmvided for by section 3700 ot the Lebar Code, for the pertormance ot the wark tor which this pertnii is issued. ❑ I have entl will maintain workers' compensauon Insurance, as required by sectlon 3700 0l the Lebor Code, for the pertortnance ol the woB Por which Nis pertnit is issueA. My workers' compensation Insuranca carrier end policy number are: Cernor: " Policy Num6er: (Thls secNon need not be camp/etetl il fhe peimit is valuetl ef one hundred dollers ($100) or less.) � I certify that in the peAormance of the work for whlch this Dertnit is issued, I shall no� employ any person in any manner so es to 6ecome su0lact to the workers' compensetlon la of Califomia, and a e heI If I shoultl becrome subiact to Ihe workers' compensation provisions ol5ection 3700 of the Labor Code, I shall tort�with comply with the e➢rov' i / ppllcenl Slpnelure: �: ��/ g�.Z WARNINO: FAILURE T SECURE WORKERS' COMPENSFTION COVEPAGE IS UNUWFUL AND SHALL SU6IECT AN EMPLOVER TO CRIMIN4L PENALTIES AND GVIL FlNES UP TO dJE HUNDRED THOUSAND DOLLAR 5100,000). IN ADDfiION TO THE C0.ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3)OB OF THE IABOq CODE, INTEREST, qN0 AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby affirm Ihat I am Iicensed under provlsions ot Chepter 8(commencing with Sectlon 7000) at DiWsion 3 of �he Business and Prolessians Code, antl my license is In tull force and ettecc Lic. a Class a Comrector's Signeture: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby eXirm that Ihera is a consiruciion lentlinp e8ency for the pedortnance ol ihe work br which �hls permi� is issued. (Sec. 3097, Civil Cotle). Lendefs Name: Lendars Atltlress: Signeture: � Dete: OWNER-BUILDER DECLARATIONS: I hereby eMirtn Ihet untler penely af perjury thai I am E%EMPT FROM TME CONTRACTORS LICENSE LAW lor tha follawing reason (Sec. 7031.5, Business antl Protesslons Cotle: Any ciry or counry which requires a pertnit to construct, alter, improve, demdish, or repalr eny siructure, prior to its issuance, alw requlres the applicant tor such pertnit to file e signetl statement ihat he or she is Ilcensed puBuant to the pmvisions oi the Contractors Licsnse Lew (Chapter 9(commencing with Section 7000) ot DMSian 3 of Ne Business end Prolessions Cotle) or that �e ar s�e is ezempt therelrom end the basis for the alleped e:emption. Any violetian of Section 7031.5 by any applicent for e permit su jacts the epplicant to e civil penalry ot not more then liva hundretl dollars (5500).): I, as owner of the properry, or my employees with wages as their sole compensatlon, WILL DO THE WORK, antl the structure Is not intentletl or ottered tor sale (Sec. 7044, Business and Professions Gode: The Gontractars License Lew does not apply to en owner of property who builas or improves thereon, entl who does such work himsalf or herself or through his or her own employees, provitletl ihat such improvaments era not Intentled or otteretl tor sele. If, however, the builtling or improvement is sold within one year of wmpletion, tha owner�builtler wiil �eve the burtlen of pmving ihat he or she ditl not build or improve for puryose of sale.). � ❑ I, es owner of Ihe properry. am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRAC70RS to construct the project (SecJ044, 8usine55 and Pmfesslons Cotle: The comrecbrs License Lew tloes not epply to an owner of pmperty who builds or Improves thereon, and who comrects tor suU pmjeci with a coniractor(s) license pur5ueni toJ�e Conlrat�or5 LicenSe LewsJ. ❑ lem �S�igne,tu.re: Dwnar ID Ownership by (rype ot Business entl Professions Cotle lor this reeson: � � xpires: /.L'zir^O</ n, i.e. - pmperty taz bill or deetl): _ DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICATON: ❑ I hereby cartify ihat no excavation flve (5) or more feet in depth Imo which e person Is required to descentl, will be made In connectlon with woM authorized by this permit, and that no building siructure, scaffolGing, lelsework, or tlemolitlon or tllsmanlling thareoi, will he more than t�irty-six (36) feet high. (Chap. 32, Grp 2, A� 2, Sec. 341, Title B, Celilornia Administrative Cotle). ❑ As owner-builder, I will not employ enyono to tlo work which would requira a permil from Ihe Division of Intlustriel Selety, as noted above, unleu such parsan has e permit to do such woM from Ihe division. Signature: Dete: Dlvision ol Industrial Selery Permit NumDer: CER71 CATE OF COMPLIANCE AND AUTHORQATON OF ENTFiY: I certiy under penalry ol perjury that I have read this epplicafion and state that ihe information given is conecl I egree to ompty wit� ell s:a lews end ciry ortlinances relating to builtling consiructlon, and authodze represematives ot Ihe Ciry ot Costa Mesa to enter upon the ebove escriCed � e o in d purposes. I egree noI to occupy or ellow accupanry of eny building authodzed by Ihis permit until fnal inspection. 3-lg-o 2 � gnaWre OI Legal Owner(s) ' Date ' COOE1. INSPECTIONTYPE PAIE U�EL$ 1618 Fi:etl System Final Fire Preven�ion 1266 Pool Spa Finel 200 Finel Re-Root 201 Finel BIocWRetaining Well 202 Final FeIXory Fira Place 203 Finel Sign 204 Finel,Demolition . CODE� INSVECTIONTYVE 206 Finel Mechanical 20B Finel Plumbing 210 Finel Eledncel 212 Finel Fire Prevention 220 Finel Planning Approval 222 FinalSi�e 250 FinalBuilding/OccupenCy PAiE L'7F7r f� .ull'�ii.1F' .: � . L'� � C� ��eda SuiE.'durg Du<idio� OWNER-BUILDER VERIFICATION A city or counry, which is reyuired to give notice pursuant to Section 19830, 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 verification. Atten[ion Property Owner. An `owner-builder' building permit has been applicd for in your name and bearing your signature. Piease complete and rewm this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permiL No buildine oertnit will be issued until this veri�ca[ion is received. I. I personally plan to pro icje the major labor and materials for conswetion of [he proposed property improvemen[. � Yes ❑ No 2. 1(havc/have noQ �i- � 1 _ (?f� signed an application for a building pertnit for the proposed work. 3. I havu contructed with the following person (fim�) to provide the proposed consWction: Namc Address Phone ( ) City — Contractor's Lic. No. 4. 1 plan to provide portions of the work, but 1 h�ve hired the following person to coordinate, supervise and provide the major work: Namc Address _ Phone ( ) City _ Con(ractor's l,ic. No. 5. I will provide some of [he work but I have contracted (hired) the following persons to provide [he work indicated: Name �Oaaas IqEv.gige) Address Phone Type oT Work (714) 754-5273 • Fax (714) 754-4858 • www.Ci.coSta-m838.Ce.U3 77 FAIR OFIVE, GOSTA MESA, C:A 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: ApplicanC Address: Owner: Address Contractor. Address: ISSUE FEE Temp service test . Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighling Fixts - - Recept Outlels Switches Non Res Appl Res Appl �� Service l0 200a Service to 1000a Service over 7000a Molors to 1 hp Molors to 10hp Molors lo SOhp Molors to 100hp Molors over t00hp Communication drops Sub panel to 200a Pole Lighl Pkg Sign Circuiis Temp Pwr Pole Intermed Pole 3227 IDAHO PL 13908313 BE7_ALEL, NIR 1400NJEFFERSON STREET ANqHEIM, CA . , °- GALLOWAY, HUGH TR 32271DAH0 PL COSTA MESA, CA . - BEZALEL EZRA 1400 N JEFFERSON STREET ANqHEIM,CA Status: ISSUED Applied: 12/79/2005 Issued: 12/19/2005 ISSUED BY: Phone: 714-932-9669 Zip 92807 Phone: Zip: 92626-2207 Phone: 714-932-9669 Zip: -92807 License:780814 - SCOPE OF PERMIT UPGRADE SERVICE PANEL TO 200A FOR SFD (SAME LOCATION). $23.50 $0.00 $0.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 50.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 Quantity 0 0 0: -- 0` 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist Syslem I Lighting Busway /100 fl Slanding Section Misc Electrical Equipment Transformers up l0 7 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kvalkw Low Voflage Equipment Low Volf Wiring System / Ckt Misc. Conduit Misc Conduclor Circus ( gen or ride) Circus (mech ride or lighls) Christmas Tree Stand . . Fireworks Stand Other Eleclrical Fee Investigafion Fee Plan Check Fee Reinspection Fee Quantity 50.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0:00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 $0.00 50.00 50.00 TOTAL CALCULATED FEES §54.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulatlons. (Ord. No. 92-28, § 1, 12-21•92) EJ(PIRATION: This pertnit shall automatically expire and become vold if work is not commenced within 780 days, or if work is suspended or ebantloned for a period of 180 days. INSPECTIONS: In order for the work aulhorized under this permit to be conslderetl Iegai, such work must comply with all applicable codes, and ell requlred inapeollone end flnel approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5846 �..,..,. �,.,�, WORKERS'COMPENSAnONDEG�N7AnON: � ' - , .� ' � 1 hereby ettirtn untler penalry ot perjury one of the following tlecleretions: � ❑ I �ava and will maintain e certifl��a ot consent lo sel4lnsure for workers' compensation, es provitle0 tor 6y 50ction 3700 of the Lebor Code, for the pertarmance of Ihe rwork'tocwldch I�is permit Is isSued. . �I.have'and will meintain workerS' compansation insurance, as required hy section 3700 of �ha Labor Cotle, for the peAortnance of the work for which this permlt is issuetl. M� workers' compensatlon Insurance carner entl policy number ere: ca e CTL}T� �tJA�� N �r:�'l`X�7_ /R' -O� (7h/s sectlon need'not be camp/etetl �� t�permrt rs valuetl at one huntlred dollers (S100J or /ess.) . . ., ❑ I certity Ihet in ihe performance of ihe work tor which this permit Is issuetl, I shall not employ eny person in eny menner so es to become suDject to the workers' compensatlon laws ol Califomie, and agree thet tl I should become subJect to the workers' wmpensation provisions ol Sec�ion 3700 oi Ihe Lebor Code, I s�all torthwith compty�w' Ihese provisions. �%7� � /% ApplicantSi ure: �s7N�/�,i/n if Dete� _ �'/�//9/O -ri WRRM O: FAILURE TO SECUR O ERS' COMPENSATION COVERAGE IS UNLAW FUL AND SMALL SU6IECT AN EMPLOYER TO CRIM NALI P� TIES PND CNIL FlNES UP TO IXJE HUNDRED TMOUSAND OOLLARE (S10D,000�, IN ADDfn�' TO THE WST OF COAIPENSATION, OMMGES AS PRO��DED FOR IN SECiION 3]OB OF iME UBOR CODE, IMEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLAAATON: I�h�er,,,eby,:aX�mLt at I am licensed under p�ovisions a� Chapter 9(cammencing with Sectian 7000) of Division 3 of 1he Business antl Professions Cotle, end my license Is in full CONSTRUCTION LENDING AGENC�: ❑ I hereby aHirtn ihat ihere is a construction lending agency for the pertormance of the work for which this permit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lender's AtlCress: Signalure: OWNER-BUILDER DECLARATIONS: Date: I hereby aMlrtn ihet under penalry of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7037.5, Business antl Prolessions Cotle: Any ciry or counry which requires e permit ro construct, alter, improve, tlemolish, or repair any siructure, pdor to its issuance, also requires the applicant tor such pertnit to lile e signetl slatement thet he or she is Ilcensed Dursuant to t�e O��sians of Ihe Contractors License Lew (Chapter 9(commencing wiih Section 7000) of Dlvlsion 3 ot the Business erM Profeulons Code) or that he or she Is exempt theretrom and the basis for Ihe alleged e:emption. Any violetion of Section 7031.5 by any epplicenl lor e pertnit subjects tha applicant to a civil penalry o� not more then iive hundretl tlollars ($500).): ❑ I, as owner ol iha properry, or my employees wl�h wages es thelr sole compensation, WILL DO THE WORK, end ihe structure is nol intended or oMered for sele (Sec. 7044, Buslness and Professions Cotle: The Conirectors License Ww does not apply to en owner of properry who 6uilds or improves thereon, and who does such work hlmseN or hersetl or through his a� her own employees, provitled ihet such improvements are not Intended or oHeretl tor sale. IL however, ihe building or Improvement Is sold within one year ot completion, the ownar-huiltlar will have ihe burden of proving ihat he or she did not build or improve for purpase oi sale.). ' ❑ I, as owner of the proDerty, em EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the pro�ect (Sac. 7046, Business and Protessions Code: The contractars License �w does not epply to an owner ol proparty who builtls or Improves ihereon, antl who conUacts for such project with a contrector(s) license pursuant to Ihe Comrectore License Laws.). ❑ I em e:empt under sec. Business antl Protessions Code for this reeson: Signaturo: Dete: Owner ID ventied by drivers license. ❑ Yes ❑ No Dnver's License No. Expires: Verilicetion at Owners�ip by (rype of document, i.e. - property �ax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certlty ihat no ezcavation five (5) or more feet in depth into which e person is requireC to descend, will be made in connection with work euthorizetl by this permit, end that no building sw�iure, scaHolding, lalsework, or tlemolitlon or dismantling thereof, will be more than thirry-six (3fi) feet high. (Chep. 32, Grp 2, Atl 2, Sec. 341, T�le 8, Califomia Adminisuative Code). ❑ As ownerbuilder, I will not employ anyone to tlo work which woultl require a pertnit tmm the Dlvislon ot Industrial Satery, as noted above, unless such person hes e permii to tlo suc� work trom the division. Signature: Date: Divisian of IndusMal SafeN Pertnit NVmber: CEHTIflCATE OF COMPLIANCE AND AllT}IORIZA710N OF ENTRY: I certify under penalry of perjury ihat I have read this application and state that the informetlan given is correct. I egree to comply with all sta�e laws end city ortlinances relating to builtling consiruction, antl authodze representatives of the Ciry oi Costa Mesa to enier upon ihe abova-described property for inspecGon puryoses. I egree not to occupy or allow occupancy of any huilding authorized by this Dermit until finel inspectlon. COOE I. INSPECTIONTVYE � 1616 Fi:ed System Final Fire Preaention 1266 201 Pool Spa Final Finel Re-Rooi Final BIocWRelaining Wall � 202 Final Fectory Fire Place 203 Final Sign 204 " Final Demoliiion ' � u�mats . . � IN3PEC110NTYPE 206 Finel Mec�anical 20B Final Plumbing 210 Flnal Elechical 212 Flnal Flre Prevention . " 220 Final Planning Apprwel � � 222 Final Site , 250 - Final Bulltling/Occupanty' Dat � i2 %iv/oS (D te' ' G� 1I�L5 . ��'' v � •. ` Y / (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.r��LDING PERMIT %� FAIR DFiIVE, GOSTA MtSA, (:A 92tiL6 Job Address: 3217 IDAHO PL Suite: Vicinity: HOUSE 8 ATTACHED GARAGE Parcel Number: 13908315 Zoning: Applicant: DRYDEN, MIKE Address: 735 FARAD ST Phone: (949) 548-9884 COSTA MESA, CA Zip: 92627 Owner: BOLTER, JONATHAN & TAMMY Address 3217 IDAHO P� COSTA MESA, CA Contrector: CIRALLI ENTERPRISES INC Address: 735 FARAD ST COSTA MESA, CA Zip: 92627 Arch : Address: Phone: Zip: 92626 Phone: (949)548-9884 License: 698771 Eng: Address: ISSUED BY: Stalus: ISSUED Applied: 07/31/2000 Issued: 07/31/2000 Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (30 SQ). TEAR OFF EX�STING ROOFING & INSTALL il2 CDX PLYWOOD SHEATHING. APPLY 1 LAYER OF 15# FELT UNDERLAYMENT 8 REROOF WITH "ELK" 25 YEAR COMPOSITION SHINGLES. Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: o NOTES: Rear 0- 0 Rear 0- 0 Reouired: 0 FEE SUMMARY PLANNING & ZONING Left 0. 0 LeR 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0. 0 Right 0- 0 55,000.00 $5,000.00 NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 2666d6 (HW) WORKERS'COMPENSAnON DECLARAnON: I hereby aHirtn unda� penalty of perjury ona ot the lollowinq declaretions: ❑ I �ave and will maintain e certificate of consent to self-Insure tor workers' compensation, es provitletl for by section 3700 of Ihe Labor Code, tor the pertormenco of the �/ work far which lhis permit is issuetl. _!J—I�have and wi0 maintain workers' compensation insurance, as required by section 3700 of the Lebor Cotle, br the petlormance of the work tor which this pertnit Is Issued. _My.workersc' wmpensation Insur� carn-e5antl policy number are: �+ ��T �CertlBr: � J��-r "rG 4 � i/v 0 Pa�icy Number; ' ; C Q R'f �-�C,J -(Thrs section need �of be canpleletl i! fhe permit is valued e! one hundretl tlollaro ($100) or /ess.) ❑ I cenify thet in t�e pertormance 1 the w c for wn'ql� t�is permit is issued, I shall not employ any person in any manner so as to becoma suDject to the workers' compensetlo0laws of Californl end§ r e tha I shoultl become subject to Ihe workers' compensa[ion provisions of Seqion 3700 oi tha LabOr Coda, I sh011 lorthwith comply with ipese p�r j S�n� / ApplicantSignaWre: _ A/�/ ��1 � Date: � - 3�' �� __. WARNING: FAILURE. SECURE WOPNERS' COMPFj SATION COVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED T1qUSAND DOLL4R6 (5100.000�, IN ADOITIdJ TO Tt� COST OF CAMPENSATION, �AMFGES AS PRONDEO WR IN SECfION 3]O60F TNE UBOR OD�E, INTEREST, AND ATiORNENS FEES. LICENSED CONTqACTORS DECLARATION: '� 1 hareby aXirm thatl�am-licensetl untl� provisio f �r 9(commenci�g with Section 7000) of Divislon 3 ot.ihe Business an rofe ion Code, and my licanse is in lull torce end eHect�Lic, N. -J : (r� 9% � � /% qass a � �" � � ^ '--._„�___..._. ./. �7�i�— , _ , — � CONSTRUCTON LENDING AGENCY: ❑ I hereby eflirm Ihat t�ere is a consimction tending egency for the pedormance ot �he work tor which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lendeis Atltlress: SignaWre: OWNER-BUILDER DECLAAATONS: Dale: I hereby atfirm Ihet untler penalry of perjury that I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Protessions Cotle: Any ciry or c0unty which reQuires e permit to consimct, alter, improve, tlemolish, or repair any simcture. prior to its issuance, also requires the appiicant lor such pertnit to file e siqnetl statemem that he or she is licensed pursuant to the provisions of ihe Contrectors Licanse Lew (Chepter 9(commencing with Sectlon 7000) ot Dlvlsion 3 of the Business and Professions Gode) or t�al he or she is exempt iherefrom and the basis for ihe ellegetl ezemption. Any Nolation oi Section 7031.5 by eny applicant tor e permit subjects the appliw�� to e civil penelty of not more �han five hundretl tlollars ($500).): ❑ I, as owner of Ihe property, or my employees with wages as their sole wmpensation, WILL DO 7HE WORK, end the siructure is not intentletl or offered for sala (Sec. 7044, 8usiness end Professions Code: 7he Contracbrs License Law tloes not epply to an owner of property who builtls or impmves Ihereon, antl who tloes such work himself or her5ell or ihrough his or her own employees, provided that such improvements ere not intended or offeretl for sele. If, however, the builtling or improvemant is sold within ona Year of completion, ihe ownerbuiltler will have ihe burtlen of proving t�at he or she ditl not build or improve for puryose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITM LICENSEO CONTRACTORS to consVuct l�e project (Sec. 7044, Business ana Pmtessions Cotle: T�e coNracrors License Ww tloes not epply to an owner of property who builds or Improves lhareoq and who comracts for such project with a wnirector(s) license pursuent to the Coniractors License LawsJ. 0 1 am e:empt Untler sea Business and Pwfessions Coda tor i�is reason: Signature: Date: Owner ID venfietl 6y dnvers license. ❑ Ves ❑ No Driver'S License No. Expires: Vanficetion ot Ownership 6y (type of document, i.e. � property taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hareby certity lhal no ezcavation live (5) or more faet in tlepih into which e person Is requiretl to tlescend, will be maAe in connection with work authorizetl by this permit, and that no Duilding sWCWre, swtfolding, falsework, or demolition or dismantling �hereot, will be more lhan thirry-sia (36) teat high. (Chap. 32, Grp 2, Art 2, Sec. 347, Title 8, Califomia Adminisirative Code). � ❑ As ownervbuilder, I will not employ enyone to do work which would require e permit from ihe Division of Indusirial Safery, es noted ebove, unless such person hes e permit to do such work from ihe division. Signature: Date: DiviSion of Industnal Sata�y Pertni� Number: CERTIFICA7E OF COMPLIANCE AN� AUh10RIZA710N OF EN7AY: I certiy under penalry ol perjury that I have rea0 this epplication and state lhat the infortnation given is correct. I egree to comply with all state laws end ciry ortlinances relating to building consiruction, and authorize representatives of ihe City of Cosia Mesa to emer upon the ebove-tlescnbetl property tor inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by this permit until finel inspection. GO�E I, INSPEC110NTYEE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Ffnal 200 Final fie-Roo� 201 Final BIaWRataining Wall 202 Final Fectory Firo Place 203 Final Sign 204 Final Demoli�ion p7]1�7:111i/ilFk9 CODEI rwsvecnoxrice 206 Final Mechaniwl 20B Finel Plumbing 210 Final Electncal 212 Final Fira Prevention 220 Final Planning Approval 222 Final Site 250 Final Building�OcCupanty �- S I - vv ' Date PAIE f�Lfl JOB ADDF �GENERAL AP No. 1` �INSPECTII ,SOIL ,�cns �wFTER OUGM PLU� PROP. $WR. SPRINKLING FOUGH MEA7ING ANO AIR CON�ITIONING TEMPORRRV SERVICE OR POLE UN�ERGROUN� �] POWER � ROUGH WIRiNG TRENCHES FORMS STEEL RE FLOOR SYSYEM BONO BERM ❑ STEEL PEINFORCE [ SHEATHING FRAME AN� FLASHING �qTHING - IN n OUT PlASTER, BROWN COAT STRUCTURr14,FINAL MEhTING, VENT., REFRIG. ANO A.C., Pli P�UMBIHG. FINAL ANO GRS TEST ELECTRIC, F�NFL , BUIL�ING. KINAL u�� _17-7� BUILDING PERMII RIPTION of WORK Fireplace ZONE VALUEb600.00 PE V GROUP I SUBCONTRACTOR F � Li7 0. a y y 2 F C W F Q O ..1 Q 7 } � a w a � C L z Ir] S 3 � 42164 COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING 7�j �/ �c�, �)/�{ AI]nRF55 J/ /� ��/iO / /`?GF OWNER CITV C�(��j_ CONSTRUCTION BRANCM ADDRE55 a d lvNEl1 —13D / TEL.�-�/� N0.,7 .v TEL. ADDRESS TEL. CITV NO. STATE CITV 110. NO. LIQ NO. SIZE NO.OF BIOGS. OF LOT NOW ON LOT USE OF E%ISTING BLW Separale permits are required for elCctric, plumbing and hcating work. USE OF BUILOING AND WORK TO 8E PERFOflMED �n;, i �-�FP"'"OOzo99-� �.SC cHr. � t.t.•;.�•' fORSTRUCTURALPERMIT R A.P. NO. BUIIDING AODRESS ZONE NO.OF PL qry$ VARDS APPROVE MAIN BUILDING DISTANCE MAIN BL6 VAR. � DA VSE OF � BVILDING DATE APPROVED & � NO. I heraby ack�owladBe t�et I �eva reetl t�is appileetion anG rtare that the abo�a Intormation is corract and apree to comply with ell lows reguleting builtlinp consttueHan, entl I sholl not employ any oerson In �Iolntion of t�e workman'f compenaiion lawf of che Scaro of Celifornle. I hereCy cort�ty Not I am properly Ileenaed as a conbactor under S�. FT. Ma Smta of Celitornle Businesa end Profeulons Cotle, Divialon 3, TME AMOUNT SHOWN UNDER VALUATI N IS Chapiar 9, antl chot such Iicanba ore In tull torca entl etfoct, or I THE PVRPOSE OF ESTAgLISHING A PERMIT EE OI am exempt fYam tho provialon� ot the Steta of California Busineu VALUATION PERMIT FEE E antl Profossio�9 Cotla, Divislon 3, Cheptar 9. // �,/� Sipnetun of Cff�G // �j��ry:� /�/• //� O v PLAN CNECK E � Permlttea z'��' 3/A/r/� � TAX S (Y" V 1 Authorizetl Apen< TOTAL PAID E n m i e m N R m e _ a N m n 0 LL f u A1 GENERAL CONTAACTOR Power FIRE VALUE SUBCONTRACTOA Q PERMIT N0. ac�� '� 20339 t�CO5Ti4 MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 917 COHTA M6AA, CALIPORNIA For Applicanf fo Fill In Complataly TYPE OR PRINT AOORESS 3217 Id�iO `�t• COSTA MESA, CALIFORNIA I'� �:Ic�l• � THL. __--_ _ �� LIC. NO. --�----- NO. OF LOT 66 x 110 � I NOw oN LOT� 1 U6E OF EXISTIN6BLD0. "llTlll Residence 9ETBACK LINBINOM C¢NTER OF 8TRE6T REAR YARD ZO � SIDHYARDI LHFT �— �� RIGHT ��C�� DESCRIPTION OF WORK 1 HEREBY ACKXOWL8DO6 TXAT 1 X�V6 qgAD TH�B APPLIGTION AND 8TAT8 THAT TX[ ABOV6 16 COflHBG{ Ary0 AOqB[ TO COM. PLY WITN ALL C�TY OHUIN�NCHY �ND YTAT[ LAW6 q[OYLATINO eui�otno coNsraucT/�o�n�. � SI�NATUREOF //// � / �A PERMITfHa .l.r l A � AUTHORIZfiD AOfiNT FEE RECEIVED A��.P�IICA'RDN FOR PERMR fINAN66��66�T. CIT1��F°�(ISiA°MEST(' nece�rr no. ty r� � iyto nv p�,e n[yervyq ry � ZONING ZON NO.OI UYSOPNHW � rUNB �111LU L[OAL ^ � � � / S DBGCXIRION A. P NO � o r� 6.�7��R 3 G�s� NOTE: NO EAVH OVERHANO BHALL B! LES9 THAN 90' TO 61DH @ REAR P. L. EAVES ALLOWBD N.B.C.REQUIREMENT YARDBAPPROVED YARDSAPPROVED MAIN BUILDINO , ACGESSORY BUILDINO DISTANCE BEf. I BET. MAIN a MAIN BLDG3. ACCE55. BL[ VAR.# OATE TXe �MOUNT BXOWN UNOER VALUATION IB FOq TX8 PUPP08¢ OI UTABLIBHINO A PEHMIT Ffi8 ONLY. 8 O VALUATION c ry PERMITFEE /✓ � s.��y�— ,Sao aa .so. TOTAL PEE �oT �6 – TRACT 3625 � �'�.'��L COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. UOX 917 C09TA MEBA. CALIFORNIA For Applieani fo Fill In Complefely TYPE OR PRINT BUILDING 2� �DAHa PLACE ADDRES8 COSTA MESA CALIFORNIA '1555 PLACENT IA /iVENUE ' aeccrv � NEWPORT BEACH ie�. _222-� BUILDING OR K.W. Ko�� APPRI BV � �555 PLACENTIA AVENUE NEWPORT BEACH soxa 6t�g5 No: Mt 6-3227 �ea.,. oeecn. �C/�/� NO. OF BLDGD. "1 X � ll\1 NOW ON LNT O .�. USE OF EXISTING BL G SHTBACK LINH PROH C�O1 � CHMPJI 0I BTR6� J REAR YAR[ 1�' f' SIDE YARD 4EFT RIGHi D�SCRIPTION OF WORK X �� _ __� �� _ BUILDING i6'L� NO. OF 6 81ZE ROOMS EXTERIOR WALL STUCCC`ROOF W COVERING COVERIN U6E OF BUILO�NG AND WORK TO BE I SINGLE-FAMILY RESIDENCE GARAGE PLAN - �•su Lu.�/u�. ., �n I �1�: S-�3�Lo ��ifi.... . :� . APPLICATION FOR .PERMIT: r : ��:, _ BUILDING For Office Use Onl y HECEIPT NO. P6RMIT NO._. GOSTA MESA. CALIFORNIA ��v�a ZONING no. oF �se or ruxe em�ou 2O � , IC8Ni8R LINC BT.I ORIES � INGLES :D TTACHED R. SIDE ( v FT. L. SIDE SFT. REAR /�VFL AByPROVED /� ` , (�� ../G 188UED 1 N¢ReBV AGKN�W��GE THAT 1 XAVE READ THI6 APPLIGTION T�{E AMOUNT 9HOWN tINDER VALUAT�ON IB FOR THE ANO BTATE TXAT THH ABOYE 18 CORREQ ANO AGREB TO COM- pUPP088 OF E82/.BLIBHING /. nHnMR vEE oNLY. PLY WITX ALL CIiY ORDINANCE9 ANp BTATE LAWB R6pULATINO eu��INa CONBTMurnoN. VALUATION SIGNATURE OF —` � PERMIT FEE s 36 — PERMITTE — I� �� 2 ,� .ji a S / � PLAN CHECK S � V AUTHORIZED� AG –�� S �' o TOTAL FEE 4