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Home My WebLink About3223 IDAHO PL - Building Permits� CITY OF COSTA MESA �i � , i: . ., ;,;, ., ,, �,,; ; `�y1HMg3,Q . . BUILDING DIVISION _.. . , _...._ .._.' i� �, 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us ' � .. �.,,•X`, � FOR INSPECTIONS CALL: (714) 754-5626 �`'oA>wmca d'� PERMIT NUMBER: BX11-00229 PERMIT TYPE B MISC STATUS: ISSUED APN: 139083i4 � DATE ISSUED: 07/27/2011 Zoning: , ISSUED BY: CAC JOB ADDRESS: 3223 IDAHO PL CM Suite/Unit: Vicinity: BETWEEN 2 pROPERTIES Primary Occ: 31 Consl Type :?? SQ. FT: 0 Valuation: $2,000.00 . SCOPE OF WORK: CONSTRUCT 50 LF X 6FT HIGH BLOCK WALL BETWEEN 3223 AND 3227 IDAHO PL. OWNER: KATALANOS, TIM TR - Address:: 3223 IDAHO PL City/State: COSTA MESA, CA Zip Code: 92626-2207 Phone: APPLICANT: KATALANOS, TIM TR City/State: COSTA MESA, CA Phone: CONTRACTOR: Address: Ciry/State: Zip Code: ARCHITECT: Phone ENGINEER: Phone G FEE SUMMARY Building Plan Check: Building Permit: Electrical Permit: SMIP Residential SMIP Commercial Bldg Std Admin Fund Address: 3223 IDAHO PL Zip Code: 92626-2207 License No. Phone Cell: License No. License No. $45.01 $69.25 $0.00 $0.00 $0.00 $1.00 _....Unih _.__..... Unit: `: a Unit: Ur,1: HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and lhe following:Federal Holidays: New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day antl Christmas Day ._, . NOTICE: The work authori"ted by this permit shall comply with all applicable handicap access requirements under Cali(ornia statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: PERMIT EXPIRES 760 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. FaiWre to obtain inspections and fnal approval will result in the expiration of this permit. CODE%. MSPECTIONTYPE DATE IN1111A�5 CODEp INSPEL110NTYPE OATE"_j [' INTITIqLS'� 7676 Fixed System Final Fire P�eventron 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electdcal 201 Final Block/Retaining Wall 212 Pinal Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval —"`- 203 FinalSi9n 222 FinalSite �"� '-'.�-��.-� �//� 204 Final Demolition 250 Final Building/Occupancy /� U=� �_ ��"( WORKERS' COMPENSATION DECLARA710N' I hereby aflirm untler penalry of perjury one of the following declarations: ❑ I have and will maintain a certificate of consen[ to self-Insure tor workers' compensation, as pmvided for by section 3700 of the Labor Code, (or ihe pedormance o( the work (or which Ihis permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 0( the Labor Code, for �he peAormance of Ihe work for which this permit is issued. My workers' compensation Insurance carrier antl policy number are: Carriec (Thrs sec(on neetl no1 be mmpleted A Ihe pe�mrt is valued al one huntliee dollars (5100) or less ) Policy Number. ❑ I certify that in Ihe pedormance o( Ihe work for which Ihis permit is issued, I shall not employ any person in any manner so as to hecome subject b the workers' compensation laws of California, and agree that if I shoultl become subject to Ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwi[h compty with [hese provisions. Apvlicanfs SiqnaWre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,000), 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 affrm Ihat I am licensed under provisions of Chapter 9(commencing with Seclion 7000) ot Division 3 of the Business and Pmfessions Code, antl my license is in full force and eRect. Lic. # Class # GonUactor's SgnaWre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that Ihere is a construction lending agency for the performance o( the work fa which Ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Atldress: SlgnaWre Dale OWNER-BUILDER DECLARATIONS: I hereby affirm �hat under penal�y of perjury that I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Pro(essions Code: Any city or ccunty which requires a permit to consWcC alter, improve, demolish, or repair any stmcWre, prior to iis issuance, also requires the applicant for such permit to fle a signed statement that he or she is licensed pursuan[ to lhe provisions of Ihe Contractors License Law (Chapter 9(commencing wiN Section 7000) of Division 3 0( ihe Business and Professions Code) or that he or she is ezempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permi[ subiects the applicant to a civil penalty of not more Ihan fve hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intentled or offeretl for sale (Sec. 7044, Business and Pmfessions Code: The Contractors License Law tloes not apply to an owner of property who builtls or improves thereon, and who does such vrork himsel( or herself or through his or her ovm employees, provided that such improvements are not intended or oKered for sale. If, however, the building or improvement is sold within one year of completion, the ovmer-builder will have the burden of proving that he or she did nOt builtl or improve for purpose of sale.). � I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WITH L CENSED CONTRACTORS lo cons�ruC[ Ihe project (SeC. 7044, Business and Pmfessions Cotle: The wntraclors License Law does not apply to an owner of pmperty who builds or improves Ihereon, and who contracts for such project with a contractw(s) license pursuant �o the Coniractas License Laws.). � ❑ I am exempt under sec. Business and Professions Code for this reason: � Slgnawre. �te � J051-46 (3I01) ll Owner ID verified b drive� ., ncense�es ❑ No � nver's Licen o � Enpire �� en ication of Ownership by (type of document, i.e. - rty tax bill or deed�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or more (eet in depth into which a person is requiretl to tlescend, will be made in connection with work authonzed by this permit, and that no building strucWre, scaHolding, falsework, or tlemolition or dismantling �hereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Administrative Code). ❑ As ovmer-builder, I will no� employ anyone to tlo vrork which vrould require a permit from Ihe Division of Industrial Sa(ery, as noted above, unless such person has a permit to tlo such work from the division. Apoi'��m's SignaWre Division of IndusVial Safety Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future buildinq occupant need to Tle and certify a Business Plan for emergency response to release or threatened release of a hazardous material? �❑ Yes ❑ No (Section 25505 of the California Health and Safety Cotle requires, with some exceptions, lhat a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume o! 55 gallons, or 200 cubic feet of compressed gas at standard �emperature and pressure). 2. Does or will Ihe applicant or presen[ or fuWre 6uilding occupant need to fle a registra[ion (orm for aculely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health antl Safety Code, with some exceptions, requires registration wi[h the Cos�a Mesa Fire Departmen[ by each business which at any one �ime has on hand a quantity of acutely hazardous ma�erials equal to or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas a� standard temperature and pressure�. 3. Does or will �he applicanl or present or (uture building occupant need to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous ma�erials)? ❑ Ves ❑ No (SeCtion 25534 of lhe Califomia Health and Safety Code provitles [hat lhe Costa Mesa Fire Department may require me preparation, certifcation and filing with the Fire Department of an RMPP by businesses which are required lo register acutely hazardous materials wi[h [he Fire Department. 4. if an RMPP is presently required, has Section 25534 0( the Califomia Health and Safety Code 6een (ully complied with? ❑ Yes ❑ No 5. Does or will ihe appliwnl or presenl or future building occupan� require for the work which is the subject ot Ihis application a permit for such construction or modificalion from lhe Soulh Coast Air Quality Management District or from any other air pollution control distnct or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Code requires that Ihe requestetl infortnation be fumished on applications for noo-resitlential building pertnits�. 6. Will any part o( the faciliiy to be consiructed under this permit be within 1000 feet from Ihe outer boundaries of a school? ❑ Yes ❑ No (IF "yes", the facility must meet the requirement of Sections 25534 and 42303 of ihe Califomia Health and Safety Code). 7. If a permit from the South Coast Air Quality Management Disirict or other air pollu[ion conhol district or agency is requiretl for the work which is the subject of �his application, have all of the disclosures prescribed by Cali(omia Healih and Safely Cotle Sec[ion 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach ceni(cate of compliance from the appropriate air pollution control oKceQ. CERTIFICATE OF� COMPLIANCE: I certify that untler penalty of perjury Ihe information given above is correcL I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry o( perjury that I have reatl this applicalion and state that the information given is correcL I agree to comply with all state laws and city ordinances relating to 6uilding construction, and authorize representatives of the City of Cosla Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized by ihis rmit unlil f nal inspection. Si ature o1 Legal Own ) Dale Antllor Au�M1orize0 AppLwnl \ Block /Masonry Walls on Private �rdperty Building Permit Application Submit to Development Services Department 77 Fair Drive, Costa Mesa CA 92626 (C'rfy Hall, 2nd Floor) � Complete Section A, OR Section B Section A Indicofe Lengih & Height of Wall � (L) x (H) � _._.L._._._._._.1 � � � �� . a 1 I ° � i � i $ . . � � � Z . . � Z �. � � � 0 m � Properry r , Intlicafe Froni Line j Seiback I �J. i .I_r�.r.I_I.T.I __Feet � � � InleriorLoi Section B Property � Line Indicafe Length & Height of Wall � _ (L) x (HJ I, yi L._._._._._.J� � ROPo�ed black walls � � � — . . x � House � � ( ? � � Indicafe FroM $21baCk �.i–i�-r�rT��r��–i —F�f Comer Lot Note : See fences and walls handout for setback requirements. 3241�a6 wTtte-Clry,velbw�Ppptant � Complete Section C, OR Section D Section C ❑ IHAVEoblainedihefollowingParryWallAgreemenl: It is hereby agreed ihaf a parry wall wlll be consirucietl on the properry line between (proNde addresses belowJ. �2�� ,nca�Q a�� and - , -� , -�� 227 �dRrlo �c�4 �E, �. �'l, u� �� c��. �� c �,,,,ry waii shall permitted to siraddle ihe properry line. The following parties hwe entered into thls agreement. Properfy Owner Signature: � l l/�ytr� ��7.1 ,�t.il—��t.i�9� PrintName: / / n'l ��,Ti�i.L fi.I�OS Address: Adjacent P�Oper / O er Signature: � �1 Print Name: I�l� � i) l.r R 4� wA 7 Address:.3G2% I��'i}b �L• (.QSI/� /"!t y� Section D ❑ I HAVE NOT obtained a Parry Wall Agreement: Attached are speclficatlons for a masonry wall fo be conshucted entirely on my own properry. Landowner Signature: _ Print Name: _ Address: � pLANfVeNG I� �i-1 � O j� L� C� �,PPROVAL City of Costa Mesa Planning Div. su6iect tc Building Division Regs ,,,.. • -- Required Prior to Buildin Final: �YES O Zoning Inspection ❑YES �No Traff10� Park F s��// N A,G��/Date: � gy;T u-- �""�.� ---�-_r�� Costa 1Vlesa 1V City of Costa .JVlesa BuiCding l�ivision 77 Fair Drive, Costa Mesa, CA 92626 714-754-5273/Fax714-754-4856 OWNER BUILDER VERIFICATION Permit# �X�1 - a�ZZ� Disclosures & Forms for Owner- Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submit ed in your name listing yourself as the builder of the property improvements specified at � 2 z 3 I. a� � � L. We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner-Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. and initial each statement below to signify you understand or verify this information. "�K1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner- Builder° building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. L2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. =�3. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself from pote�tial financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. ��. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contrects. ��5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. � K 6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federai government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. �'�F. I understand under California Contracfors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is pertormed under contract with a licensed general building Contractor. 3148-30 CALBO Jan 1, 2009 OB Packei template 1 of 2 t.. � , / - .�� LCB. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. �t9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the Califomia Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the Califomia Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. � �10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: ��11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner-Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the pioperty owner's driver's license, form notarization, or other verification accepta6le to the agency is required to be presented when the permit is issued to verify the propeRy owner's signature. Signature of property owner ��/`� o.�x. �S Date: %— 2 7—/ � � Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner-Builder. Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy o( the owner's driver's license, form notanzation, or other verification acceptable to the agency is required to be presented when fhe permit is issued to verify the property owner's signature. Property Owner's Signature: Date: 3148-30 CALBO Jan 1, 2009 OB Packet template 2 Of 2 ( (774) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesaFLUMBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 .lob Address: 3223 IDAHO PL Suite No Viciniry: Parcel Nunmber: 13908314 Applicant: Address: Owner: SZABO, KEVIN 17390 MT CLIFFWOOD FOUNTAIN VALLEY KATALANOS, TIM TR Address 3223 IDAHO PL COSTA MESA, CA Phone: 714-241-1414 Zip: 92708 Phone: Zip: 92626-2207 Contractor: COAST ROOTER PLUMBING HTG AND AC Address: 17390 MT CLIFFWOOD Phone: 714-241-1414 FOUNTAIN VALLEY Zip: 92708 License: 529127 SCOPE OF PERMIT WATER HEATER CHANGE-OUT IN AN EXISTING DWELLING. NO OTHER WORK AUTHOR2E0 WITH THIS PERMIT. ISSUE FEE BackOow irrigation Backflow Preventer Bathtub Clarifier, System Connect pce,Soda,etc) Dental Units Dishwasher Drein, Floor Drain, Rainwater Drain, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 ouUets) , Gas Repipe � Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT 823.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 80.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 orv 0 0 0 0 0 0 0 0 0 0 0 0 0` 0 0 0 0 0 0 FEE SUMMARY AMT Laundry Tub I Washer $0.00 Landscape Irrigation 50.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 R) $0.00 Receptors $0.00 SepticTank $0.00 SewerCap(orDemo $0.00 Sewer Cannec� $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen - $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 gN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS StaWs: ISSUED Applied: 02Y24/2006 Issued: 02/24/2006 ISSUED BY: SumpPump Svnmming Pool Trap Pnmer Urinal Vacuum Brkr Bkflmv(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater! vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 535.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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, § 7, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor 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 Inapectlona and finel epproval must be obtained. Failure to obtain Inspections and final approval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 754-5626 za<e�<e �aw7 WORKERS' COMPENSATION DECLARATION: I �ereby eNirm untler penelry oi perjury o�e ot the tollowing tleclaretions: ❑ I heve e�d will meintein a certificate of consent to self-Insure for workers' compensation, as providetl br by section 3700 of tho Labor Code, for the pertormance of the work tor which Ihis permit is issued. -� I have entl wlll meintaln worker5 compensatlon insurance, as required by section 3700 of ihe Lahor Cotle, for the pedortnance ol the work for whlCh this pertnit is issued. ` My workers' compensation Insurence carrier entl poticy number ere: carrie,r..—sgT%'E 'Fv �I A c � Pu�,icv.. ber. OOoO–�oy–ZoO� (.T�is 5ecno need nof be crompleted i! (he permi( is velued al one hu�tlretl dollars ($700) or Iess.J ❑ I cetlity IPat in the performance of the work br which Ihis permit is issued, I shall not employ eny person in any manner so as to become subjact to Ihe workers' compensation lews qf Calito 4 ree Ihat if I shoultl beGOme subject to Ihe workers' compensati0n provisions ot Section 3700 ot Ihe Lebor Cotle, I shall torthwith wmply wit� Ihesqp/ovi�ion my Y ��pp,Reixr�Slgna�} la Da e7 Z� 2�-i' � lo WAiWINO-fAIC(iFE TO SE RKERS' WMPENSATION CpVERAGE I$ UNLAW FIIL AND SHNLL SUBJECT AN EMPLOYER TO CPIMINAL PENALTIES ANO CIVIL FlNES UP TO IXJE HUNDRED TFIOUSAND DOLIARE (5100, ). IN�DITION TO THE COST OF COMPENSAiION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3lOfi OF THE IABOR WOE, IMEREST, AND ATiORNENS FEES. LICENSED CONTRACTORS DECLARATION: I haieby aHirm Ihat I em licensed untler provisions oi Chepter 9(wmme cing with Section 7000) ol Division 3 of the Business and Pwtessions Cotle, and my license is in full lorco and eflec�.'i1—c�l. I ` CI�S G– ontrector's SIg�eWre: ` ' at � O!„ � CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirtn lhei �here is a construction lentling agency for ihe peRormance of the work for which this permit is issued. (Sec. 3097. Civil Code). Lendefs Name: Lenders Atltlress: Signature: OWNER-BUILDER OECLAFiAT10NS: Date: I heroby aflirm thet untler penalry of perjury ihet I am E%EMPT FROM THE CON7RACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Profession5 Code: Any ciry or counry which requires a permi� to construct, alter, improve, demolish, or repair any stmcture, pnor to its issuance, elso requlres the appliwm for such pertnit to file e signed stetemant ihat he or she is licensed pursuant to the provisions of Iha Contractors License Lew (Chepter 9(commencing with Sectlon 7000) of Division 3 oi Ihe Business entl Prolessions Code) or ihat he or she is exempt therehom and tha �esis Por ihe elleged exemption. Any violation of Section 7031.5 by any epplicant for a permil subjects the app�icant to a civil penalry ot not mow than tive �undred tloUars ($5W).): ❑ I, es owner of the property, or my employees with wages es their sole compensatlon, WILL DO THE WORK, and ihe strucWre Is not intended or oMered for sale (Sec. 7044, BuSiness antl Professions Code: The Contractors License Law does not apply to en owner of pmperty who builds or impmves thereon, antl who does such work �Imself o1 herseli or ihrough his or her own employees, provided that such improvements ere no� intendetl or offered br sele. It, however, ihe builtling or improvement is soltl within one year of completion, the owner-builder wlll have Ihe burden of proving ihal he or she tlid not builtl or improve for purpose ol sale.). ' ❑ I, as awnBr oi the property, em EXCLUSIVELV CONTRACTING WI7H LICENSEO CONTRACTORS to conslruct the pr0lect (Sec. 7044, Busine55 and Prafessions Cotle: The comractors License Law does not epply to en owner oi property who builds or Improves Ihereon. and who contracts tor such pmlem wit� a conlractor(s) license pUrsuant to the Coniractors Licensa Lews.). ❑ I am ezemp� under sec. Siqnature: Owner ID verifi�d by driver's license. ❑ Yes ❑ No Business and Protessions Coda tot IhiS reason: Verification of Ownership by (rype of tlocumenL i.e. - property �ax bill or tleed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: Drivefs License No. Data: Expires: ❑ I hereby cenity ihat no excavation five (5) or more feet in depih in�o which a person is requiretl to descend, will be made in connection with worN authonzetl by �his permit, and that no 6uilding stmcture, scattoltling, falsework, or demolition or tlismantling Ihereot, will be more than thitly-six (36) feet high. (Chap. 32, Grp 2, Ah 2, Sec. 3a1, 7tla B, California Atlminisira�ive Gode). ❑ As ownerbuilder, I wilt not employ anyone to tlo work which woultl requi�e a permit imm ihe Division ot Industrial Safery, as noted ebwe, u�less such person hes a permit to do such work from the division. SignaWre: Date: Division ot Indus��al Safery Permit Number: CER7IFICATE OF COMPLIANCE AND AIlT}iORVATON OF ENTRY: I certify untler penalry ol Oerjury that I have read this application end state thet the infortnation given is correc�. I agree to comply wit� all state lews end ciry ortlinances relating to builtling construction, entl au�hodze represen�atives ol Ihe City of Costa Mesa to enter upon �he ebove-descnbed P�aperly for inspection puryoses. I egree not to occupy or allow occupancy of eny building authonzed by Ihis permil until finel inspec6on. CO�E �. INSPECTIONTYPE i6t6 Fixatl System Final Fire Prevention 7266 Pool Spe Final 200 Finel RB-Flooi 201 Final BI�k�Retaining Well 202 Final Faciory Fire Place 203 Final Sign 204 Final Demolition QSjE INiITIpLS � COOEI INSPECTIONTYPE � 206 Final Mechanical 208 Final Plum6ing 210 Final Electricel 212 Final Fire Preveniion 220 Final Planning Approval 222 Final $ite 250 Final Builaing/Occupancy QAiE IMRULS �. �� . �vu.i - � o.. �. �� ..l. � ...... .......�..��.� ...___'__.__ MECHANICAL PERMIT JobAddress: 3223 IDAHO PL Suite No Vicinity: LEFT SIDE YARD Parcel Number: 13908314 npplicant HOLMQUIST, JUSTW Address: 29736 AVE DE.LAS BANDERAS R4NCH0 SANTA MARGARITA, CA Owner: KATALANOS, TIM Address: 32231DAH0 PL COSTA MESA, CA Contractor: ALISOAIRINC Address: 29736 AVE DE LAS BANDERAS Phone: 949-589-2021 Zip: 92688 Phone: Zip: 92626 Bhone: 949-589-2021 RANCHO SANTA MARGARITA, CA Zip: 92688 License: 526420 ISSUED BY: Status: ISSUED Applied: 09I20/2001 Issued: 09/20I2001 SCOPE OF PERMIT MECHANICAL PERMIT TO REPLACE AN EXISTING FAU & ADD AN A/C UNIT IN AN EXISTING SFD. NO OTHER WORK TO BE DONE. - - . ISSUE fEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <700 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers � Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50. $14.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEESUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercial I ncinerator Domestic Incinerator � Compressors / Absomtion Svstems �Upto3hp/700kBTU 3To15hp/500kBTU i5 To 30 hp / 1,000 k BTU 30 To 50 hp /�1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $14.70 1 $0.00 0 so.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 $0.00 $0.00 TOTAL CALCULATED FEES $53.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized 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 automatirally 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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlona and final approval must be obtained. failure to obtain inspections and final approval will result in the expiralion of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2CdW6 (N00) WORKERS' COMPENSATION DECLARATION: . . I hereby ettirm under penalry of perjury one of the following declarations: ❑ I heve entl wlll maintain e certificata ot consent lo sell-Insure for workers' compensetion, es provided tor by section 3700 of ihe Lebor Code, for the perfortnance ot �he work for which this pertnit is issued. �' I have and will maintain workers' compensatlon Insurance, as required by section 3700 0l the Lebor Code, for Ihe peAortnance of tha work far which ihis pertnit is issuetl. My workers' compensation Insurance carriar end policy number are: Cardor: Policy Number: (This secNon neetl not be completed i/ fhe permit /s velued ef one hunOred tlollars ($700) ar less.) , ❑ I certify that in the perfortna •e of iha work for which this permit is issued, I shell not employ any person in any manner so as to 6ecome suhject to the workers' compensetlon laws of Cali7 rnia, end egree ihat If I should become sub�ect to lhe workers' compensation provisions of Sectlon 3700 oi the Labor Code, I shell forihwith comply with these provi '6 s. q Applir.ent Signewre: Date: 7— Z.V`� ('�'j � WARNINO: FAILURE TO SECURE F S' M N CAVERAGE IS UNLAWFUL AND SHALl5U8JECT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TOONE NUNDRED TIqUSAND DOLLARE ($100,OW), IN DDI IIXJ TO THE COST OF COMPENSATION, OAMAGES AS PqOVIDED FOR IN SECTION 3]W OF iHE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereDy ettirtn ihat 1 am force entl eXect. Lic. a Cantractor's Si9neture: Chapter 9(commencing with Section 7000) o� Division 3 of ihe Business antl Professions Cotle, and my licensa Is in full Class N Date: CONSTRUC710N LENDINGXGENCV: ❑ I hereby ettirm that ihere is a construction lending agency for the performance of the work tor which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lendor's Name: Lentler's Adtlress: Signalure: OWNER•BUILDER DECLARATONS: Date: I hereDy eHirm t�e� under penalry oi pe7ury that 1 em EXEMPT FROM THE CON7IiACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5. Business ana Protessions Code: Any ciry or counry which requires e permit lo consiruct, alter, improve, demolish, or repeir eny sirucWre. Pnor to its issuance, elso requires the applicant tor such permit to file e signed stetement that he or she is Ilcensed pursuent to the provisions of ihe Contractors License Lew (Chapter 9(commencing with Sedlon 7000) of Division 3 of Ihe Business an0 Professions Cotle) or that he or she is a:empt therefrom and the basis for the elleqed exemption. Any violatlon ot Section 7031.5 by any appliwnt for e pem+' subjacts the applicant to a civil penalry of not more Ihan five huntlretl tlollars ($500).): ❑ I, as owner ot iha properry, or my employees with wages as their sole compensetlon, WILL DO THE WORK, and the structure Is not inientletl or olfered for sale (Sec. 7044, Business and Professions Code: The Contrectors License Law dces not eOPly lo an owner of property who builtls or improves Ihereon, flnd who does such work himself or herself or through his or her own employees, provitletl that such improvemems ere not intended or ottered for sale. If, however, the building or improvement is soltl wit�in one year of completion, the owner-Duilder wiil have the burden of proving that he or she did not builtl or improve for purpose of sale.). ❑ I, es owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and Profassions Cotle: The coniractors License Lew does not apply to an ownar of propeny who bullds or Improves thereon, and who coniracts for such project with a contractor(s) license pursuant ro the Contractors License Lews.). ❑ I am exempt undar sec. Business and Professions Code tor this reason: SigneWra: Date: Owner ID venfied by dnvefs license. ❑ Yes ❑ No Driver's License No. Verification of Owners�ip by (typa of dwument, i.e. - property tau bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Ezpires: ❑ I hereby certify ihat no excavation tive (5) or more feet in depih into which e person is requiretl to descend, will be made in connection with work authonzed by this pertnit, and that no building sWCWre, scaHolding, talsework, or demolition or dismantling thereof, will be more ihan thirty-six (36) feet high. (Ghap. 32, Grp 2, Ar12, Sec. 341, Title B, Calitornia Administretive Code). ❑ As owner-bullder, I will not employ enyone to tlo work which would require e pertnit from ihe Division of Industrial Safety, es noted above, unless such person hes e permit to do such work from the division. Signature: Date: Division of Intlusirial Safery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AUTMORVATON OF EMRY: I certify untler penalry oi perjury ihai I have read this application antl siate that ihe information given is correct I egree to comply with all state laws and ciry ordinances relating to tuilding construction, antl authonze representatives oi the Giry of Costa Mesa to enter upon the ebovo-tlescnbed property for in�ection purposes. I agree not to occupy or ellow occupancy oi eny buildinq authonzed by Ihis permit until tinel inspection. CODE N. INSPECTIONTYiE 1616 Fixed System Fina ire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final8locWRetaining Wall 202 Final Fecfory Fira Place 203 Final5lgn 204 Final Demolition OATE INTRIALS �7'-ZU•o`7 Date CO�E� INSPECTIONTYiE ,�// p�r 206 Final Mechanical 7�Q 20B Finel Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency pia� �sa-s2�s • Faz (�ta) �sa-aess • www.ci.costa-mesa.ca.us 77 FAIF OHIVE, GOSIA MtSA, GA 926Z6 Job Address: Suite No Vicinity: Parcel Nunmbec Applicant: Address: 3223 IDAHO PL LEF! SIDE YARD 13908314 HOLMQUIST, JUSTIN 29736 AVE DE LAS BANDERAS ELECTRICAL PERMIT R4NCH0 SANTA MARGARITA, CA Owner. KATALANOS, TIM �- Address 3223 IDAHO PL ' COSTA MESA, CA Comractoc ALISO AIR INC Address: 29736 AVE DE LAS BANDERAS RANCHO SANTA MARGARITA, CA 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 to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Phone: 949-589-2021 Zip: 92688 Phone: Zip: 92626 Phone: 949-589-2021 Zip: 92688 License: 526420 SCOPE OF PERMIT ELECTRICAL PERMIT TO ADD AN A/C UNIT IN AN EXISTING SFD. 1 MOTOR TO 10 HP. NO OTHER WORK TO BE DONE. ' $23.50 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 §12.30 50.00 $0.00 $0.00 50.00 $0.00 50.00 50.00 50.00 50.00 �uantity FEESUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 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 VOIt Wiring System / Ckl Misc Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 09/20/2001 Issued: 09/20/2001 ISSUED BY: ' Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.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 50.00 $0.00 $0.00 TOTAL CALCULATED FEES 535.80 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Californla statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall allomatically 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 lhe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. fOR INSPECTIONS CALL: (714) 7545626 zanws �sroo� WORKERS'COMPENSAnON DECLARAnON: � I hereby aHirtn under penalry ol per�ury one oi the following declaretions: ❑ I heve end wiil malntein a ceNficate of wnsent to self-Insure lor workers' crompensation, as providatl for Cy section 3700 ot the Le6or Code, tor Ihe pedortnence of Ihe work tor which Ihis permil is issuetl. � I have entl wlll meintain workers' compensation Insurance, as requiretl by sectlon 3700 oi Ne Lebor Code, for Ihe pertortnance of the work for wlilch this pertnit is issued. My warkers' compensatlon Insurance cartier end policy number ere: Carrier: Policy Number: (Tiiis socfion need not be canpleted il the permit is ve/ued ef one hundretl dollers ($700) or less.) ❑ I canify Ihet in Ihe F compensation lews comply wlth ihese Applicant Signature: � WARNIAG: FAILURE TO SE( THOUSAND DOLLARE (5100, LICENSEDCONTRACTORS of iha work for which this permit is issued, I shell not employ any pereon in eny manner so es to become sublect ta the workers' , antl agree thet if I should become sub�ecl to the workars' com0ensation provisions of Sectlon 3700 of the Lebor Cade, I shell fonhwith � Da�e: `l � � ' V � ' COMPENSATION COVERAOE IS UNLAW FUL AND SW1LL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO dJE HUNDRED ION TO THE COST OF COMPENSATION, DAMhGES AS PROVIDED FOR IN SECTIIXJ 31060F THE IABOR CODE, IMEREST, AND FTTORNEI"S FEES. I hereby eflirtn that I em lican untler provislons of Chapter 9(commencing with Sectian 7000) of DiNsion 3 0l ihe Business and Prafesslons Goda, end my license is in lull force end eHect. Lic. a Class # Contrectofs SlgnaNre: Date: 9 —Z�7�l�i CONSTRUCTION LENOING A Y: ❑ I hereby effirtn that there is a construction lending agency tor I�e peAormanca of ihe work lor which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: ' Signalure: OWNER-BUILDER DECLARATIONS: Date: I hereby ettirtn Ihat under penelty ol perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business end Protesslons Code: Any clry or counry which requlres e permit to consWcL alter, impmve, demolish, or repair eny sirucmre, pnor to Its issuance, elso requlres Ihe epplicant for such permit to tile n slgneA stetement thel he or she I5 Iicensed pursuant to ihe proNsions ol iha Contrectors Llcense Law (Chapter 8(commencing wlth Sectlon 7000) of Division 3 oi the Busineu entl Professions Code) ar t�et he or she is exempt theretrom enA the besis for Ihe elleged e:emption. Any violetion oi Sectlon 7031.5 by eny epplicant for a perrt+' subjects the epplicent to e ciWl penalry of not more than five hundred dollers (5500).): ❑ I, as owner of the property, or my employees with weges es Iheir sole compensation, WILL DO TME WORK, antl �he siructure Is not intended or oHeretl for sela (Sec. 7044, Business end Protessions Code: The Contractors License Lew tloes not appty to an owner of properry who builds or improves thereon, end who tices such work himself or herselt or thmuph �is or her own employees, provi0etl ihat such Impwvamenis ere not Intendetl or offered tor sale. If, however, ihe builtling or improvement is coltl wit�in ane year at completion, the owner-Duilder will have ihe burtlen ol proving ihat he ar she tlitl not build or improve lar purpose ol sale.). ❑ I, es ownar ol the pwperty, am E%CWSIVELV CONTRACTING WIT11 LICENSED CONTRAC70RS to construct the proJect (Sec. 7044, Business and Profeuions Code: The coniractors License Lew does not epply to en owner ol property who builds or Improves thareon, and who contracts for such prolem wilh a contractor(s) license pursuant b the Contractors License Laws.). ❑ I em exempt under sec. Signature: Owner ID venlied by drivefs license. ❑ Ye5 ❑ No Business and Prolessions Gode tor this reason: Ventication ot Ownership by (type oi document, i.e. - properry tax biil or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivefs License No. Date: Expires: ❑ I hereby cartify ihat no excevetlon tive (5) or more feet in dapih into which e person Is required to tlescend, will be made In connectlon with work euthodzed by this permit, and ihat no building sWcture, scaflolding, talsework, or tlemolition or dismantling thereof, will be more �hen ihirry-six (38) feei high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title B, Californla Atlministrative Cotle). ❑ As owner-builtler, I will not employ enyane to tlo work which woultl require e permit irom the Division of Industnel Sefery, es noted ebove, unless such persan hes e pertnit to do such work Irom the division. Signature: Date: Division of Industrial Sefery Pertnit Number: CERTIFICATE OF COMPLIANCE AND AUTMORIZATON OF ENTRV: I certify under penaly ot perjury that I have reed this epplicalion and state that the infortnation given is correcl. I agree to comply wl all stete laws and ciry ordinances releting to building construction, end authorize representatives ot t�e City af Costa Mesa to enter upon the above-described property lo spec�ion purposes. I agree not to occupy or allow occupancy of any building authonzed by Ihis permit until fnal inspection. CODE I, INSPECTONTYPE \ / Q� IiIIIDSL$ �/ 1618 Fizetl Sys�em Final Fire Preventian 1266 Pool Spe Finel 200 Finel Re-Rool 201 Finel BIocWReteining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition o ,a� �—�_� Data COOE I INSPEC710N TVPE 206 Final Mechanical 208 Final Plumbing 210 Final Electricel 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building�Occupancy Q�j� INIIfL1L3 �oonasaeN�owc: 3z23 IDAHO PL avxeasru�eiv�warx: K�TALANOS, TIM �� KATALANOS, ANTHI 3223 IDAHO PL COSTA MESA,CA 1DPL. YAlI1X01DDPE59: MCNRECi OP FNtlNFEN: urcx on u�o.•s moxess: ear�rn�erarawu�:NOCR PLUMBING CONIPACTOASYYIIIl011610 SEAHOARD CIR UNT: zL L' 92626 uc. xo: urrt: (714)895-1246 �oowEss:STANTON CA ucxo: 511971 90680 uxr. LICENSEU COMN�CTOPS DECLAN�TION: I MroEy MFm uMer paiuYy d pae'ryry Mm 1 em IiceneW uMm pwmm� ol Cheqm H (mm aitlrq wiih Ssction ]000) d Dir'vun 3 d Ne B�dMw uM P�c/uebna CaEe. enE my liceme o in lull laro eM Nlae. c c.No.:050386 uc.cuss:C-36 uc.no.: 11 71 y�E�X1P�; 02�/y9�7 o �� i cwreaor: �.�i �i�%N/N�o t //v�-� NEF BUILDER UECLAN�T�ON: I Mieby elfirtn uMar perely W psrjury Ilai I un emmq hom Ihe Cont�eem liosms Lew fa ihe i bv.mp reawn (�� 10�1.5 Bue'vwae eM Proleaione Code: AM tiY a�ntY �� n0�b e psrmil lo muWCY. ellar. imqow. '�mdah, m repe'r eny elrucluro, pia io na bauerka, eleo reQuirm Ihe epplirani tm vuch peimA to fib e�ippmd eWement �hPo ha a ehe �en�ed Wn�eni �o Ihe povbim� d iha Conlredon Lioeme �ew jCheqm 8(cammend'q wilh Saabn ]000) ol DHeion 3 ot tlr anen erd Prdenpna Code� a�� M m Me u exemq Apehom aM tM beeis Iw tM eNeqed exempion. My vidolion o1 Sedim �J31.5 Ey eiry eppliunl for e permil wbptl� iM epplcent to e rnil panelry d nM mon �hen Me hundrsd dollen �f5W�1� ❑ I, ee owiror d Ihe O�W�Y a my empbyeee wth wepee ev Ihai eole aompenmlion, will do ihs work, end �hs el�uc1uro u nd inteMed n ollrad M eW (Sxibn )OM. Bmmu erd Prolneions CoEe: The Coniredas Lioensa Lew Eros riot epplyto a� owiw d propeMy wM10 WIUs a inpwee IM�. �d Mn dom �uM xark NmMI a Mnel a ihraph he a hm own mmplv�w�. poviEad thm wch impwemwus va nd inl� a oHaad laWs. tl. however. iM buitlinp a inpmmnem u edd xnhin awYw d oompblion. tM ow�w�woe« Mo n�,. �h. wm.o a o�w�a ne «.ne ew �a wue « MUW. r« m. wwo.. d.w�. ❑ �... o.n« a in. aw.n. �..aarverv ooiumfnu �.an �;<�»a m,uana. ro w,.mw u» wq�+ (s.aion ro... e�.ins. ene PMauiuu Code: The Guurrfm licenn lew dm m� epply b en owror tl V�WMY xfio bu� a impn'u thaeon and xfio conUecb la aidi pqad� � a m4raCor(ollicanaW punuw to tM Cammtla� Lioeme lew). � I em uemp undar Saeti�: B. 8 P.C.. loe ihu rseean: Dem: Ow�w: 1 do hereby ae�ity �htl I em ewere d end uMentend Ihe reQuiromama M Celfoinie Heell� erd Selny Code Sediom 25505, 25533, end 25594, end ihu I a eny Imure builEirp oaupenl will / will nn (dmb one) neeE lo compy wilh vaid etete oodw enE iha rpuiromenb Iw e parmn Iw mneWclion or mod��ionhwn I�s�'r�epem�m OiNria. RmMenl'iel oonsliuGon ep0�� exempt irom thesa prarisione. WOPKEN'S COMPOlS�TON OECLAHATON: I haraby dfirm uMv paeW y d pxµvy ons M Ns blbvriry ddvmiom: � IhmenCWmeiMenecenfr�adoausvio�W+mw�brxaMsieampemtlian.mproM�Elab�9Wcn3l00diMLebor CoM. la IM qelpnwWs a �+ �M ta wlirh Nu perm4 u u�ueE. _Cl inm.w.ameim.�x��+'oomv�a,�,..nw...nm+o.aMswionarooameLm«cm..ro.mew�«m.n»am. K' work lor whiN thb p�m� m��. MY wa�n' wmpemqbn ieuurviee mrwr enE pdiry numEer va: c�o�: STATE EXPIRES Pw�vN�m�,: Nwr�� i ai�n 09/30/96 �ie aecTiwr neeE na bs cwrlp�ero! / fhe pemi,t is Ia orro hvMred dollen (f100/ or bu.) ❑ I cenM �hei in �he perlamarwe o1 ihn work br whkh �hie pannn ie iuueE. I eMll emdM �Y Ve�n in enY menner eo ea to becoma wbjaa �o iha �Mere' companemion lexv M Celibmie�rM�prea � ehoulv become euaee io �M vrorlmre' i. compenwion�roviebn9d Seaion 3100 A Ihe Lebor CoEa, I eyAll6rhytlh oom wnh 1 roviams. J/.minv: F.uun ro ucun wA�n• mmoM��tlen rownq l. un4wnn..ne alull ub/�ct an �nWlm'w ro cNmlrol vwltlu uM NW Hn�s tp ro am Mntlid �� +n lSfOqOWA M ME/tlon ro tln rost ol ronpr�utbM1 Wnvp�s �s povMSC ror In Sxtlm J106 0l Ih� liGor C�. IMwI. �nC �ttomry'� Ira CONSTRUCTON LENOINO �GENCY: I hseby elfirm uMar pwulry d per'Wy Ihel IMn e a n�w�uaion bMinp apaM.y M tla penormarce a �ne wwx �« wnitl, me pertn� u e.uea (s«ao� ws). civ. c�. LENOEX'S NAME: LENDEN'S AtlDPE55: I cerliN ��d I heve ned ihia epdK�� d pme ihet ihe ebwa inlorme�ion ia correU. I epree to compty wilh ell rny uW ooumy ardinencee arM ewe levn relnnB �o buiki�6 �^^a��upion ud hareby eulhorrse rapreaenietivee W thie cny to anter upon �he abwe�maMioneE propeity forin.o�ion Gurpoees. RON NOCK N Neme f � Date: // .... . _.._ ....._"",�.__1._��_�__..� (5151�6.WP) Whne-&+ikiq 8 SelelY: GreerFle: Cererydppicent: Pink-Revanue:OoNmmd-baa.r PEAMIT NO: P CITY OF COSTA MESA — BUILDING PERMIT 076567 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU JOH DESCRIPTION : C/O WATER HEATER CLAIM VALUE: CALC—VALUE: ERM NO: P 076567 GOVT; N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: X +��t�********�*****+�***�+t*+�**x�r��t��*+�*+�********�**�r*****�*�t**�t**x��t*****�*�t*�t�� Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 13908314 ZNE: REF NO: PLANNING NOTES> � �:,� '✓. �E K 1f iF M!f 1E IE IE iE 1E fE �ElE 1E if 1F iE IE 1E iE 3E iE iE iE iElE 1E 1E 1E iE iE �ElE 1E IE dEAE.iE �ElE �E 1E if 1k 1E 1E �E iE 1E if iF iE iE iE iE �E iE 1E if iE fE fE iE iE 1E 1F 1E fE 1E 1E if IE �E 1E iE 1E ff iE D E V E L O P M E N T S E R V I C E S L R E Q U I R E M E N T S ZONING APPROVED BY '� �� DATE: BUILDING APPROVED BY � �1 �� DATE: t � _F-�� APPLICATION ISSUED BY: '��'/ �i DATE: � � 1EKifiEiflFlEiE1ElE1EiElE1E1E1E7FififiElEiE lE1EfE�E1f1ElE1flEff iEiF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL EGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7.00 25� SMIP/NON—RES PLAN ISSUE FEE 20.00 �'� BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7.00 20.00 " 0.00 27.00 27.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 27.00 1k Ik 1E iE 1f iE If 1E iE fE jE fE fE IE iE if if !E ik �E')E 1E 1E iE 1E iE iF 1f 1E fE 1E 1E iE iklElF 3F 1E iE �E iE 1F 1E i! 1F 1E IE iE if'!f!f 1f 1E iE iE iE �E IE 1E 1f !E IF IE 1E �E �E if ik if 1E fE iE iE'1I� if 1E 1k iE 1E I N D I V I D U A L'. F E E B R E A K D O W N `['YPE QTY D E S C R I P T I O�N UNIT COST TOTAL COST � PLU 1 WATER HEATER AND/OR'VENT 7.00 7.00 ENA OF FEES /�� -!r t- � �- CONSTRUCTION ANOPLANNING POOI PA APPROVALS Permit # Date inspecior qppROVALS Permit # Date Inspector 1. Temvorary Electrical Service or Pole 52. Pooi & Equipment Location � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � . 3. Electrical Conduit Utility•Undrgrnd. � 54. Forms � 4. Electrical Conduii-Undrgrnd. 55. Electrical Bonding 5, $teel Reinforcement 56. Rough Plumbing & Pressure Test -?. � 6.. Electrical UFER Grnd. 57. APPflOVAL TO COVER�GUNITE 7: Footings � 58. Electricai Condyit-Undrgrnd. "B..Foundation 59. Gas Pipe, O Undrgrnd., Test , 9. Water Pipe�U�drgrnd. 60. Backwash Lines, P•Trap, G' Undrgrnd. 10. Structural Floor System _ 67. APPROVAL TO DECK ��' 11. Property Sewer line & House Connection 62. Backwash & Receptor•Final 12. Sewpr Cap � 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing - .. 65. Electrical�Final . 15. Rough Elect�icai-Conduit , 66. Solar System�Final 16. Rough Elec[ric Wiring 67. Fencing & Acce;; Approval � • 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING � }$, Rouc�fi Electricai-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT 20. Rough Factor��Firepiace - � - _, APPROVALS _ Permit # - 21. Dutts,in Structure � 70. Underground Hydro 22. Ducts, Ventilating � � 71. Product Piping p Gas ❑ Oii _ 23. Gas Pipe�Rough & Test - � 72. Underground Fiush 24. Roof�Framing - . � 73.' Undergrnd. Storaye 7ank O Gas ❑ Oil 25. Roof_Sheathing . .�- � 74, Overhead Hydro- 26. T-Bar Ceiling {Structuraq & tdonocoat 75. Dry Chemicai . _ 27. Frame and Flashing "� � 76. Dry Standpipe - - 28. Lathing & Siding _ 77. FIXED SYSTEM FIPIAL' 29. Insulation . -, 78. FIRE PREV. FINAL � - 30. Drywall Nailing • _ HEALTH DEPT. REQUIREII9ENT 31. Plaster Brown Coat ' 79. FINAL INSPECTION 32. Electrical Power Meter�Finai 80. f00D CERTIFICATE ISSUED 33. Final Eleciric , - � � Notes: 3 -..5 �� y��_ _ 34. final Heating & Air Conditioning •-S' �L ,� 35. Final Gas Pipe�Test - ' 36. Hood or Canopy _ � � � � � � 37. Finai Factory Fireplace. • 38. Final Plumbing �i�� _ 39. Water $ervice-Final � - 40. Gas Service-Final ' �41. Solar pomesticFinal " � 42. Backflow Preventer ,. � 43. Backflow Irrigation ' _ M1 44. Landscape Irrigation System - � � , . ' �- 45. Sound Attenuation 46. Handicap Regulations . . 47. FINAL STRUCTURE & BUILDING . 48. FINAL PLANNING . 49. Electric ftelease to Edison r 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date " i � H � � `LY� �� P.Y �ITY O� GO�T,� N+ESA ---gt,'=. ��r � '�� g�E 7 TO f.LUG. DEPT. R G. b� � - DATE1�^— H� uF THESE �T UCTURAL P�qN� �OT GONSTIT�:TE ,q�PP p� CONTIN� N�TG;� �tEC7RiC INSTl�I�AT,1� �c� � -�._ �� , tt�,s Nurt��,w � �l� �?U1'ST. iFdE. 11�7;:�e,�,��b R Airn o, WORK �`� ctl7lyr�y�,� � 60DAYS p� p.a'�' '�;°�� AT �EAST � U._� E6'" � FNS ''�—�,�o = .i„�a � �- HEIGHL ST;iti ; "`� `--- (6") AB �titc��'vi °�X� sT�eEr. �£ � .�� CosEa�Mese Buildin� Dep� � �/-=�� - � � @ATE - � 19� ,_: NS M819T � OW UOB AT ALL TIMES x1tv.GES vMIR!4f0W�' PqIOR APPROVAL i it • M1NC� �IIR iBi:A9f@iH£ �fJf R'P�RMIY OH APPIiOVAC Nlb SFEOIfICAftdOPJ£ S(ARLL N07 BE COWSTRtlEp � A' - h1iT fiDR, 0R ;A10 R�PRD'VAL OF; klti' VI�JLATIOfd . ' F SHE P.ROYlSRDRS udF 90CIS CDDE. NO PERMIT PRE• ING - GIVf AUlkXORli11 lYi V:OLAi€ OR CANCEL THE 4S70R OF T}115 COD£ SN�1Ll OE V.ILID, EXCEPT IN S(i AS THE WOfiA OR USE {YNIGX It AU�HJR7tES 19 LAWFU�,. � �S59ANCf OF A PERA7iS HASED UPON PLANS AND '�SHALL NOT PREVENT THE BUII,DIN� OFFICIAIr TER REQUIRING TNE CORRECTION OF EAf10f1$ PLANS ph0 SPECI�iCA�lONS OR fRGA1 PfiEVENTINd GING OPERAiIONS eEInG CARRt£D OY THEREUN�ER WHEN IOLATION OF TkIS CODE OR Of ANY OTNER OflDtNANC�� NE CITY, �or 47 - TRACT 3625 •' ' ��.�42 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALIFORNIA For Appliean} to Fill In Complefely TYpE OR PR{NT BUILDING 3223 �DAHO PLACE ADDRESS COSTA MESA. CALIFORNIA OwNER KENKOL CONSTRUCTION CO. nDOREss �555 P4ACENTIA AVENUE ,..,, NEWPORT BEACH TEL.�_�.�.J7 K.W� KOLL �555 P4ACENTIA /�VENUE NEWPOR7 BEACH 0>>95 No:M� 6-3227 65 x 100 I NO;.OF.BI.DG9. O APPROVED zoNe L86AL ir a �� Fg� � ��Il�E� �� S-�.�i-�1+c FINANCE DEPT. APPLlCATION�'��R�PERMhTA MESA t'� BUILDING -....,., ..._.._...... �: ' ... . -. .v.. ......._ For Office Use Only PECEIPT NO. PHRMIT NO. COSTA MESA, CALIFORNIA ZONING NO. OF U9E OF vuHe �/ eu��nui 9HTBACI( LJHL FROM 5Q � LQ < <C8NT8H LIN6 BT.) CeNTER OP BTReEi REAR YARD FRONT �I � 10' � 5' SIDE YARD LEFT RIGHT R.e1DE I DESCRIPTION OF WORK S L. SIDE .,�... � ic ��.,+roer,nu � ��.nn,_,..0 � __� —)A� APPROVED 8 ZE DING ��g5 SF NO. OF 6 � ROOMS STORIES EXTERIOR WA{.j� ROOF ROCK COVERING JIUCLO COVERING USE OF BUILDING AND �✓ORK TO BE PERFORMED SINGLE-FAMILY RESIDENCE AND ATTACHE GARAGE . PLAN �-B S I HEREOY ACKNOWL8OG8 THAT I HAV6 READ TH�B APPLIGTION' 7Hg AMOUNT BHOWN UND¢N V�LUATION IB POR TH6 ANO BTATE THAT TNH ABOVE i6 CORRECT AND A6qHB TO COM- PURP08H OP EBTABLIBH�N6 A PBqMIT FflC ONLY. PLY WITX ALL CITY OR�INANCEB AND BTATE LAWB R60UlATINO 9u1Lo1No CONBTRUCs VALUATION ______ �i �1 �.._.....____ .n it_ $/�� v��_ I PLAN CHECK S ��. u