HomeMy WebLinkAbout3227 IDAHO PL - Building Permits5
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CITY OF COSTA MESA . . . . .
6lIILDING DIVISION .
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wvnv.ci.cos[a-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: BC11-00033
PERMIT TYPE: B COMBO
Sub Type: RES_ALT
STATUS: ISSUED
DATE ISSUED: 01/2412011
ISSUED BY:
JOBADDRESS: �32�27-1DAHO�PLCM� Suite/Unit:
APN: 13908313 - Zaning: , ,
Vicinity: `,�imary' Occ:
Const Type: SQ. FT: 0 Valuation: $2,500.00
SCOPE OF WORK: REMOVE AND INSTALL A NEW SHOWER
OWNER: GALLOWAY, HUGH TR Address: 3227 IDAHO PL
Phone: City/State/Zip: COSTA MESA, CA
APPLICANT: EITAN NISALI
Phone: 800-0OS-8533
Address: 6931 VAN NUYS BL
City/State/zZip: VAN NUYS, CA
CON7RaCiOR: HOME TOP CONSTRUCTION License fVo. 939788
Phone: 800-405-8533 Address: 6931 VAN NUYS BLUnit: ,
Cell: City/State: VAN NUYS, CA .
:4RCHITECT: License No. �
ENGINEER: License No.
GOMBINATION PERMIT FEE SUMMARY
Building Plan Check:
Building Fees:
Electrical Fees:
Mechanical Fees:
Plumbing Fees:
SMIP Residential:
SMIP Commercial:
Bldg Std Admin Fund
TOTAL FEES:
$0.00
$83.25
$0.00
$0.00
$33.30
$0.00
$0.00
$1.00
$117.55
"Refer to fee recei ts for all fees aitl (or ro'ect
� HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/1
"Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. P�OhlblfE
New Years Day, Memorial Day, Independence Day, Labor Day TF
.... . ....... ._.....
,. ..,�..�-. �
Unit �'.. �... - .,
Unit: :UNIT
. "ia-�'€ .._;t,"'; }.�
UNIT
ZipCode. 91405
PHONE:
PHONE:
Sundays and the following Federal holidays:
�i1 ;;�5
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�NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92) �
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
iNSPECTIONS: In order for fhe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
�equired inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. �
COOER. INSPECTIONTYPE UATE INTITIALS COOEO INSPELPONTYPE ORTE INiITIALS-
1616 Fixed System Final Fire Prevention 206 Final Mechanical
12fi6 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electncal -----�----�-----�
201 Final BIocWRe�aining Wall 2t2 Final Fire Prevention --, ,.�..� ..�;;j,._.. ;
202 Final Fac�ory Fire Place 220 Final Planning Appmval �
203 Flnal Sign 222 Final Site -�y 'n'
204 � Final Demalition � 250 Final Building/Occupancy ���'�I � Iy ��
WORKERS' COMPENSqTION DECLARATION:
i hereby affrm untler penalty of perjury one of the following tleciarations:
❑ I have and will maintain a certificate of consent lo self-Insure !or workers'
compensation, as provitled for by section 3700 of the Labor Code, for the
peAormance of [he vrork (or which (his permit is issued.
❑ I have antl will maintain workers' compensalion insurance, as required by
sec�bn 3700 of the Labor Code, for Ihe peAormance of the work for which �his
pertnit is issuetl. My workers' compensation Insurance carrier and policy
number are:
Carrier:
(�his secfion neetl rrot be �mple(etl il theperm� is valuetl at one nundred dollars (5100) or less )
Policy Number:
�I certify that in the pedormance of the work for which this permit is
is ed, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
become subjec[ ro Ihe workers' compensation pmvisions of Section 3700 of
the Labor Code, 1 shall �Orth th comply wilh lhese provisions.
0�—.Z�1 ^�/
Appliranl's " e - � .
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNIAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FWES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
IICENSED CONTRACTORS DECLARATION:
I here6y aKrm [hat I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Pmfessions Code, and
my license is in fWl force and eRect.
:_Y�% 939'��� � /-�_
� d� `
- t Ctors�nalure � le
CONSTRUCTION LEN�ING AGENCY:
❑ I hereby aKrtn that there is a construction lending agency for the
pedortnance o( the work tor which this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Dale
OW NER•BUILDER DECLARATIONS:
I hereby aKrm that untler penalty of perjury tha[ I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 703L5,
Business and Professions Code: Any ciry or county which requires a permit to
construcl, alter, improVe, demolish, or repair any structure, prior �o its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of Ihe Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business antl Protessions Code) or thal he or she is exempt therefrom and
[he basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant [o a civil penally of not more than
five hundred tlollars (5500).):
[] I, as owner o� the property, or my employees witb wages as their sole
compensation, WILL DO THE WORK, and lhe stmcture is not intended or
offered for sale (Sec. 7Q44, Business and Professions Code: The Contractors
License Law does not appty to an ovmer of property who builds or improves
thereon, and who does such vrork himself or herself or through his Or her own
employees, provided that such improvements are not intended or oRered for
sale. If, however, the building or improvement is sold within one year of
completion, ihe ovmer-builder will have the burden of proving that he or she
did not build or improve tor purpose of sale.).
❑ I, as ovmer of the property, am EXCLUSIVELY CON7RACTING WITH
LICENSED CON7RACTORS lo constmct the project (Sec. 7044, Business and
Professbns Code: The Cont2ctors License Law tices not apply to an owner ot
property who builds or improves thereon, and who contracts for such prqecl with
a contracta(s) license pursuanf to the Contractors ticense Laws.).
❑ I am exempt under sec.
Business and Professions Code (or [his reason:
Owner ID verified by drivm _ ucense. ❑ Ves ❑ No
Driver's License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certdy that no excavation fve (5) or more feet in depth into which a
person is required ro descend, will be made in connection with work authorized
by lhis pertnil, and lhat no building strucNre, scafldding, fafsework, or demolilion
or tlismaNling lhereof, will be more Ihan thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, T�le 8, Califomia Administrative Code).
❑ As ownerbuilder, I will nol employ anyone to do wo�k which woultl
require a permit from the Division of Industrial Safery, as noted above, unless
such person has a permi� �o do such work from [he division.
Applicant's Si9^alure Dale
Division of Industrial Safety Permit Number
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the appticant or present or fuNre building occupant need to file antl
certify a Business Plan for emergency res0onse to release or Ihreatenetl
release of a hazardous malerial? ❑ Yes ❑ No
(Section 25505 of the California Health antl Safety Code requires, wi[h some
eaceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has al any one time during a reportetl
year a quantiry o( hazardous matenals equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperaWre and pressure).
2. Does or will [he applicant or present or fUture building occupant need to file
a registration fortn for acu[ely hazardous materials? ❑ Yes ❑ No
(Sec[ion 25533 of the Califomia Health and Safery Code, with some
exceptions, requires regisiration vrith Ihe Costa Mesa Fire Departmen� by
each business which at any one time has on hantl a quantity of awtely
hazardous malerials equal to or greater than a weight of S00 pounds, or a
volume of 55 gallons, or 200 cubic teet of compressed gas at standartl
tempereture and pressure).
3. Does or will the applicant or present or (uNre building occupan[ neetl to
prepare an RMPP (Risk Managemen� antl Prevention Program fot acutety
hazardous materials)? ❑ Ves ❑ No
(Section 25534 of lhe California Health and Safely Code provides that [he
Costa Mesa Fire Department may require the preparation, certification antl
filing wilh Ihe Fire Department o( an RMPP by businesses which are requiretl
to register acutely hazardous ma[erials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Cali(omia
Health and Safety Code 6een tully complietl with? ❑ Yes ❑ No
5. Does or will the applicant or presen[ or future huilding occupant require for
Ihe vrork whiCh is Ihe subject of IhiS applicalion a pefmil fof SUch conStfUGtion
or modificalion from ihe South Coast Air Qualiry Management District or from
any oiher air pollution control disVict or agency? ❑ Yes ❑ No
(Section 65850.2 0l [he Catifomia Govemment Cotle requires that the requestetl
information be fumishetl on applications fa non-residen[ial building pertnits).
6. Will any part o( [he facility �o be consUuc�ed under this permit be within
1000 feet from Ihe outer boundaries of a school? ❑ Yes ❑ No
Qt "yes". Ihe facility must meet Ihe requiremenl of Sedions 25534 and 42303
of the California Heal[h and Satery Cotle).
7. If a permit (rom the South Coast Air �uality Management District or other
air polWtion control disMc[ or agency is required for the vrork which is Ihe
subject of ihis application, have all of the qisclosures prescribed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", atlach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct I agree to comply with all state laws antl
city ordinances regarding Hazardous Materials and Emissions.
Date
CERTIFICATE OF COMPLIANCE AND AUTHOR�ZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state that
the iniormation given is correct I agree to comply with all state laws and city
ordinances relating to building consWction, and authorize representatives o(
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any builtling
authorizetl by this permit until fnal inspection.
SignaWreo(Legal wner(s) D^aie
SlgnaWre Dale 0� — R1.� �„
3p5]-46 (3I01) qn0/or Aul ri tl Appli nl D�e
��1
i �ooeessaeaiou+o: 322� IDAHO PI,
°w"E"s"'"E'F'°'°"": GALLOWAY, HUGH
moneu: 3227 IDAHO PL
'� r COSTA MESA,CA
_ �vv�. �.u�aw �noness:
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' �RCNRECTOXENtlNEEN:
ANCN.ON FNO.'SIDUXE55:
UNT:
92626
ua xo:
UNT:
��T�SN� ROB' S ROOFING ( 714 ) 842-5397
cwm.croaswuuxc 17092 VAN DYKE LN
�o�s H.B. CA uc.no.: 532516
92647 ur�r:
LICENSED COMPRCTONS OECLANATION: I heraby eflim under penepy d perjury Il�et I em Icenaotl unds poviebne d CMqer 9
(eanmenri�q wilh Saewn )000) d Diroion 3 W Iha Buvrea eed PMeaeiona CaEe. enE mY �� b in IUA laee arq Wetl.
cmuc.no.:051195 uc.cuss: C39 uc.No.: 532516 EXP: 06/96
r
n�a: �O `lc� —�, c�v.da:��f RLUFtn�Cr—
NNEN BUILUEfl DECIAPATION: I hereby elfirtn under peraly d parjury tAet I em eRempt fmm ihe Cantrmore Licanea law la iM
�dbwvq rmwn (�� )031 5&n'vwes eM Proleubm COEe: Airy c1Y a cauNY �� �Vuirea e peim! lo mtnW[�. Mx. impo.e.
Eema'vn, «rev� �' :vuclure, p'wr io bs eweMe. ebo �aVuins IM aDdimnt 1« wch i�410 fib a viBmd Ymamenl Nel M«.M
o Ibenaed W��� to �M pansions d iM Contredare Liceroe Lew �Gheper 91�merciiq with Setlion ]OW) d Orveion � d Ihe
Busrieu vd Prdessvu Cada� a ihet he or ehe ia exemq ihaehom end the ba�ia fa Ne dleped axemptun. My vuletion d Soqion
)031.5 by enY eVd� iw e paemu wbpde ihe appliceru Io e rrvY pe�alry d na maa ihen IHe hunEred ddlen �SSOOp.
� I. m owrer d iM popanY a my empb/ra wth wep» ea Ihei eda oompaiuetion. xill do Na MOA. ud iM nrunuro e nd inteMeA
w ollered lor eele (Sec�ian'lOaa, Buvmas eiM PmleenionaCade: Tha Cmtrmon Licenee lew tloee rwt epply lo en oxnerd qaporry
wlw buids a mprovea iharean. eM who Eoea suM work Ivm WI a henetl n Nraph hu a her own empbysn. po+keE Ihet wch
imD��mema are rot imeMed ar dlend lar ub. tl.lawewr. IM1e buJtlirq a inpm+neM e aok wnhin ons Yeer d oomdabn. Na
owner-buiNx will have Ihe burden d pv.•i�p M a ehe d'N � buiW or impan la the p�ryme d ede�.
� I. o o�mer M iM1a Vw�Y. em utl�wN contrediq xnh kamed wnVecta+ W mWup tln D�led (5oqion �u. Buai�rs ud
r,de.wm coea: rn. wa,mon ucen» le. eom �a wcN a� wn« a nwem �no n�nm « imww« m.eo� w.ro
convecb Iw aM prq«fa wnh e mrurmoHa) IiemeE WnuerY io iM Contreeon Licerea tawl.
� I em emmp uMer Ser�ion: B. 8 P.C.. br ihia rmaon:
i ao ne�w �v u� i� e�.e.a d.�e ��ni�e me rea��«m a ceuomv H..en �d s�mr coas s��. uws. usv..m
255J6. xd Nat 1 a enY Mun budEuq ocapem ll / wil rwi (mcb wn) neetl to comdY w�� sek tlela mEm enG �M iaGvimmend la
epem+nl«mutrumm�amotlifwionhaniMAi u3�l�iy.aapemem0i¢tria.Re�kmiieloumruaioneppirmioroereaxmmqlmm�Mes
m��,..
o,�a: nwr�m:
WOAKEfl'S COYPplSATON DECLIHPTION: I heraby dl�m under perelly d pxjury aw d Ne lolbxi�p Eedumiona:
� I heva ard W meimv� e cenA' ma W mmm� lo vYinvva br xvken' camperoetion. m pwded In try Seuion 9)00 M tM Lebar
coa.. i« ms oen�e d�� i« wtn inm �n o a,�,a.
'] inaed,d��meime:�..w�a.•�w���•�..+�ea�veeMswin,a�ooam.ieno,cme.m.ineo«�wmencean.
, wak I« xfi'rl� tlua G�n e emued. Ah wvten' romGa�ian irourvca oerwr eM W�Y ewmber ve:
ca,a,: cTnTF pnnm EXPIRES
PdryNumbar. �non�no_oc 09/O1/96
(Ih'v secfiai rmC � de mnP'med / �heC�1 u b me hurdred datlen /SiOol w bn.l
� I wnh � in IM parlwmeMe d IM w«k la whch �hia paeme u ieeued. I ehell mi emplvy anY Oe� M e�Y �^a^^a A n to
Eeeome aubjm lo IM xwF s' wnpen�atan laws d CeNamie. arM eGeaa Nel E I�hautl beeome aml� lo tM waken'
compame�ion Po+�+iom d Seqian 3]00 d IM Lebor CaEe. I ahell lat�wuh canW wiN iMee piwma/n.�
ome: �U��U cC � Aod�: �--1(\ :�i..,_aQ C.( '.i a.i.%�
Wemlrq: Fellvn ro wcun wroM1eri ro�pw.non cov..,p. �. unuwnn, .na.nen.�e/.cr an smaiyw ro ama�w psiwau.ne
dvn M., w ro an. nure.ee Mou,.ne ew�.n lsla4000A �n .ee�uon ro m. co,r or rnmy.n..tan, am�p... pov�e.e ror �n
Sxtlon �1P6 0l ifrs LaborCotle. Intwest, �n0 ettom�y i Nu
CONSTRUCTION LENOINO �GENCY: I hnaby elffm uMer parieM1y d perjury ihm �hrs e e mrutivaion Wdiiq epancy la tM
peripmerce d �M wA fa whidi ihe pertni u esuaE (�� �]. Cv. C).
LENDEN'S NAME:
LENUEH'S �DOPE54:
I cen��Y tlw I heve read Nia mV�retion enE sWe �lal Ne ebove iNametion e mnae. I epree lo candY xvh e0 etYaM coun�Y ad'vierw.ei
uW sle�e kxs mlatiq lo dakiq w�rumon ard Mreby euiM1rc¢e repeeentdivef d Ihif tiry lo eNx upan IM ebwe-maNuned peopMy
tw ieupafion purpoaes.
MIKE CHASE
� (� PrvN Nema
�� SC.o.¢�l C-- ��.2 ove: � 0—KJ •ri S
sro�n,re a o.,�«ino,wnw��aa
IS�S�e6.WP) Whuo-EuJdiq8Salery:GrearFb:Gvwy-AppiraN:Pink-Rr.enue:Gakerva�A�aesv
CITY OF COSTA MESA — bUILDING PERMIT
PERMIT NO; B 074494 PLA�] CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB UESCRZPTION : T/OFF, REROOF W/COMP SHINGLES
CLAIM VALOE: 4,500.00 CALC—VALUE: 4,SOU.00
PE:RM NO: B 074�!'J4
GOVt: N SUPP: N
PURPOSE: OTH
SQ FT: 4,500
GROUP c]CC: R-3 IM-1
COMMENTS: SMOKE DET REQ PER 91UHC, REROOF 2700SF RESIDENCE �MOK� D�l'EC1�OF�
**+�**�rx*�*ac******�*�ie******x�******it*+��-+E�t*�i�**�c-+�*�+F����x-**�-�t*v a 4 e -
Z O N I N G R E Q U I R E M E N T S
---- MAIN BUILDING _____S—E—T B A C—K_S_ _ ACCESSORY BUILl�- N��RED_ ;
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: 13908313 ZNE: REF NO:
PLANNING NOTES>
i
aE iE ik if 1ElE iE �klE iF iE if 7f if if if 3E iE iE 1E if if iE iE 1E 3E if * ff 1E iE 3E �E 3f iE 3E fE fE �E 1E iE iE �E aE iE iElE if iflE 1E 3E if 9E 3E K IE iE IE iE if �E if if 3f a! �E iE iE �E �F iE �E 3F iElE aE jE i!-
D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N T S
ZONING APPROt'ED BY DATE:
�:I�� �� � �l�'� � �Z�� i�:r�i
APPLICATION ISSUEG BY:
iE if iE aE ff iE 1E iE iE iE?E if iF IE 1E iE 3E fE jf if i6 k
LEGALIZATION:N � F E E S U�M M A R Y
BLDG PMT PLUMBING ELECTRIC�f:�MECHANIC =�. FIRE SMIP/RES GRADING
PERMIT 72.00 �„ �� : . � _ 50
•i' � SMIP/NON—RES
PLAN , , . � ' . -; .
ISSUE FEE ' �
BUILDING—DIV—> PERMIT ISSUE PliADY—CHECK i_�' TOTAL PAID DUE
TOTALS----> 72.50 0.00 .,- ' Ot.00 "� 72.50 � , 72.50 .00
REVENUE DIVISIOD] TOTALS--> COLLECTEI�:� /� 72.50 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC M�CHANdCI FIRE SMIP/TOT GRADING PLAN—CHECK
72.00 '; , ; .50
/ 7 r`�
iE iE iE 3E if IE 3� iF iE �E?F �E iF if iE if 1f jF 1E iklE if 1E iE 1E if iE?E iE iE iE �E iE iE'1E dE iEiE 1� if�'lE?E!E 9h 3E'1E iE �7(�iE iE 1E iFi�iF if aE i(� �f dE iE aE jE 1E iE iE fF iF iE �E aE iE 3E dE 3E dE 3E 3E -1F 1F
I N D I V I D U A•L ` F E� E � B R E A K D' O W N
TYPE QTY D E S C R I P T I Q N��� i` UNIT COST TOTAL COST
( �
SFR 4500 REROOF BY VALUE RESIDENT�IAL NOZONE. 1.00 � 4,500.00
END' OF. F.EES� . ,
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DATE:
DATE: ��( �O( � Y
iE 1E aF iE iE 3E if fE�atiF�iF1�iF3f jE
STRUCTURAL SEGMENT:Y
\
ol p9291i;Y.—C��92739 '�o) 7
LAT£: .0;1o'v.`• TILE: :7:7L
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CUNSTRUCTION AND PIANNINI. � -�L & SPA
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
1, Temporary Electriwl Service or Pole 52. Poo4 & EquiAment Locacion
2. Soil Pipe�Undrgrnd. _ - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. ElectriGal Conduit�Undrgrnd. 55. Electrical Bonding
5. Steei Relnforcement 56. Raugh Plumbing & Pressure Test �
6. Eleetrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE .
7. Footings 56. Electricai ConduiFUnd�grnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P•Trap, O Undrgrnd.
10. Structural Floor System • 67. APPROVAL TO DECK
11. Property Sewer Line & House Conneciion 62. Backwash & Receptor-FinaF
12. Sewer Gap 63. Heater & Vent�Final
73. Roof D�ains 64. Plumbin9 System � Final
14. Rough Plumbing 65. Electrical-Final �
15, fiough Electrical-Condu�t 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PIASTERING -
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Ro�gh Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping OGas �Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof F�aming 73. Undergrnd. Storage Tank O Gas ❑ OiI
25. Roof Sheathing 74, Overhead Hydro
26. T�Bar Geiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywail Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. PINAL INSPECTION
32. ElectriCaf Power MeterFinal 80. FOOt� CEATIFICA?E ISSUED
33. FinalE�ectric Notes�p�+f/�} /j�Of �0✓t�y!• L�/�'��..//
34. Final Heating & Air Conditioning �`
/�(/$��l_o�-� ��,•-L �ff�ia�C .
35. FinalGasPipe•Test �i,�,�v �� g��S ���,
36. Hood or Canopy � - �
37. Finai factory Fireplace ���L/Q,S �0/F /7wS�� �-'�✓trJ p/�y!�•-„�i�
38. Final Plumbing �/� �( -� � ��
Cb.rr ri• . r�f7 � .-<_q/_9 -s%��%O - •
39. lVater 5ervice-Final
.lL•o_F%.
40. Gas Service-Final �O • 7 • �%F f�f- . (0 iG `�� �%,�� �
41. Solar pomestic-Final
42. Backflv�' Preventer
�o .- i6 = iG_ �1� � -���,/.���
43. Backflow Irrigation
- . _lf_i� /�� - - ' �
44. Landscape Irriqation5ystem �
45. Sound Attenuation "`
v
46. Handicap Regulation � '"�'
��"
47. FINAL STRUCTURE`& F �� DING .,
48. FINALPLANNING�
..._
49. Etectric Release to ison,.
50. Gas Release to SouU� (�al�omia Gas Co
51. CEFiTIFICATEOF��UPANCY
No. + j7ate
�
�J
I
�oon�ssaewiova: 3227 IDAHO PL
avrhrrswweica�v.vx: GALLOWAY, HUGH
woxrss: 3227 IDAHO PL
COSTA MESA.CA
�vv�. �wtwo �uox[ss:
AXCIIIfECT OP FNm1EFA:
JICLL OP FHaY 100RE53:
UNT:
92626
ue w,
YNf:
camucrarswu� PACIFIC AIR COMFORT (714)937-1333
camucrars �uiwo 1 3 2 7 S L EW I S
moxrsa ANAHEIM CA ucru, 500236
92807 uNr:
LICENSED COMRRCfOP4 OECIAH�TON: I hereby dl�m uMs proly d pspvy tIW I am 4m�M ivder pwiwm d Cheqx 9
(oommenen0 xqh Sedian ]000) d Oiv'vion � al Na &amam W Pmlmenu Code. end my fnems b in hA bce end W W.
emuc.No.:09228.1 uacuss: C20 uaxo.:S00236 &'JCPi03/97
��N BUILDEN DEClAP1T10N: I Mrtby elfi�m uMer penary d perjir4ihet I em e�anq han IM Comreaol��tlee'(a lew la IM
Idb'niq iee+on ISeeian )OJt.S &niw� end Hdeamaia Code: My UY a wwtY xAidi nVwm e D�G to mmhucl, alla.'vnpo.e.
Eemd'eh, a npaz eny niucturo, qbr l0 4s'vwvxe, e!u repwree iha epplirent la euch permn to Rb a eqmE �talemem Ihet M or eM
ie IiuneW pumient io tM poMwu d Ihs Cavimaa Liiane law �CAeqr 9(ovnmenenp w¢h Setlion lOW) d Div'sian J d �M
Bus'viesa eM Rdmbm COEeI a tlut Ir u ehe o eaemq Ihere/mm enE iM bem la tM Nbpad uemqian. Nry vulaion d SWion
�adi.s W e�y epp:xm t«. w�a eubpa+ �ne .aWiem m. ova varel�v d �a mon �nm Irvs nimdroe emen �ssoop.
❑ I.noxiwrdtMpW�YumYamNW�wvhweY^+nthaiealecompenWan.wiGdoEswoM1.xdtM�M1utlun's�wl'vqeMed
«mmee br wa (seimm �ou. eumm.nd vrdenom coee: The cavreaan limma Le. mm m wcNm en o.iwa o�openy
who Wids a inpows ihaem. W w10 Eoea euch wark h"vnaeE u haraN a Mwpt� hu a Mr oxn amMW��. p�b �hea wM
'vnpwwnws ve na uverded a afbM la eW. tl. howavar. tM dritl'uq a inqnamwtl u mtl wdh'vi ons YK d mmpW ion. the
ow�wa�ae.� Mn n� ine wre� a c�+�c ne w.no ad m wad a�w� eo, m. awo.. a w.l.
❑ i... �., w in. ww.m..�,� da,awr �w�n:a wn 5o.we cono-.na. m oo�.vw m. www ts«+� row. an:,.. ene
a�d�e coa.: m. comnad. ��.,. i.. dom oa mar m.o w�w a ww.nr w�o daa.> �o.m m..d,.oa �,no
conveds /a aM pGw� wli e mmaeMs) Gcemsd ae*wea m �hs Camamn liows lewl.
� I em uanq urder Seebn: 8. d P.C.. br Ne �eawn:
i ao n«wr �«wr uw i.m .�..�, a.m �w�e ub �.m:�.m«+, a c.uo�:. wmn w sdw cm. s.u�. usos. nsa�. �a
?55]I. enE Uut 1 a em� Mun Luidep m�am. mT / wll na (acb one) � ro aomply HI+ ui0 tltle eodw md �M nyiu�m�mb br
. vrn+�>mnwtlu�> ndi(ra�iono-anY,.A.'�mewmi+Dinriu. Re:a.ar mnvrusiu, aPO�ion..�..zana �min thm.
„�..
om.: �wr�n:
W OPKER'8 COYPEN9ATON DECL�N�TIOM: I Iweby effvm wder pmW y d pw�uy ar d tM Idbxinp ErLratbn:
❑ i nme �a..0 �i.:�. c.nnicme a cmw�� m..n.�. w wv�s: mn�e�wwn... w� �a M s.ab� a�oo d m. ien«
eod.. ia m. �n�. a me .ax i> .ud� im. o�e e m.�.e.
i n....nd vri� mdm.�.akr,• oomo�� �.�. m�+a�b W swbn a'!ao M Ne Len« coa.. a� ine w�«m.�o. d �n.
Ww��a�,n�n�w,.�rm�e.MY�«�+G�LDENw�EAG E 'd��m��� EXPIRES
c�..:
rw� r+�,c„ 11 / 2 5/ 9 6
(ilrw �ecfion mW ro� M �vnplMM I �Ir i^^�� u M ms hunm�d dofen R1P01 n Im.J
❑ I wnA' Nm in �M ox�mrerca a �M wk b whitli �liu V� e muatl. I Ne1 no� omVM e^v w� n em' mennar o n to
bscome eubjee to iM waMn' canprimlian bws d CdJm�ie, eM eprse tl�n ! I�hpup'LR: n� abjetl b IM xwlan'
ca/��y{�� m /c�y /�d /s.ec� a�oo a m. tee« coa.. i nn.w aomoM •a�y6 w�.� ..
Dqs: / � �"7 �Y (n Mvr�:
WamIM: F�Nun b ucun roik�n' cmp'e�tlon cmvnT �*d .,�e.�m�.�e1M.� rm�m� o�NMw w�.m.. w
uw nnu w ro m. nwr.d moww enr.. lt�xtaooA m.mwn ro rn. co.� or ronpru.wn �w n pvraw ro• N
s«aon aro6 or m. wo, coe'. �nt.�.t .�e.rcoms�', n...
CON9TpUCiION LENDINO �GENCY: 1 hreby elfum unds psietly d perjry �IW �Mn e e odut�ion MnGrp epanry br tlw
VM�ura al tM work lar MiiM ihe P�� e ewsd lSWion 36�. Cw. CI.
LENDER'9 N111E
LENDER'9 IIUOPE34:
I m�IN ihet 1 Mv� rud Uo eppfmion uM tlme ihet Ne abova idametion n carstl.l �yw �o camNY wuh Y'LYrk mmtYadhwior
uM eWe 4w� reltln0lo WikM canMxiion aM hereb�' einhor¢a mP���v» W �M aryb xuw Wm iM ebwa�memionW p�opa�ry
�� �"0'�" °�`0"� JAC K I E RAZQ
Dele: -z�L��+
(515t-IB.WP) While-Buildiq 8 Selery: GreeMFle: Carery-Appireni: Fnk-Revanue: (3alEmiaFbaeaor
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: E 078676 PLAN CHECK NO; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE
JOB DESCRIPTION : INSTALLATION OF NEW A/C 6 FURNACE
CLAIM VALUE:
CALC—VALUE:
PERM NO; E 078676
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GAOUP OCC: R-3 /
COMMENTS; 3.5 TON A/C 6 42K BTU FURNACE / REF M-78675
**�*�r�x *x*�r�r�r�r�rx �rtx �x *x �rx�****rt�r*�rrt�r�r�*�r�r�ex�it+tir+���r*��r**��w *r�rx x�x��r+r*�rx��r���rx x rtx�itit*
Z O N I N G R E(J U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
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: 13908313 ZNE: REF NO:
PLANNING NOTES>
i
if 1E if 1f iE IE 1f 1E IE 1E IE iE iE 1E 1E I! 1E IE fE fE f! �E fflE fE fE 1E fE fF IE IE if �E IE 1F ik �f 1f 1f iE if iE if 1E 1E iE if iEif IE 1E fF iE iE 1f iE 1E 1f iF 1F if iE iF Ik fE 1E iE 1E iE �E 1E fE iE 1E �E fF iE iF iE
D E V E L O P M E N T S E.R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED HY ; DATE:�
APPLICATION ISSUED BY: � DATE: "/ �7 %,�j
�*�**�***��*��*r�*�r��* **������*�r��F��F��
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 11.00
SOt SMIP/NON—RES
PLAN
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 11.00 22.00 0.00 33.00 33.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33.00
1f 1! 1k iF fE IE if if iF 141F Ik 1E iE 1F 1f IF iE iF 1f if iE 1E iE 1E 1E 1f iE 1E ik 1f 1F iF ik iF ik 1f 1F If IF if 1k 1f 1E it 1E 1k 1E iF IE If 1E ik 4 4 if iF 1! 1! ik iE 1F iE 1F iF 1f k ik i! 4 iE ik ik 1E iF Ik iF 1f 1E
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 MOTOR/POWR APPARATUS 1.1 — 10.0 HP 11.00 11,00
END OE FEES
CONSTflUCT10N AND PIANNi. l'OL & SPA
APVROVALS Permit # Date Inspector qppROVAL� Permit # Oate Inspector
t. Temporary Electrical Service or Pole 52. Poo� & Equipment Location .�
2. Soil Pipe•Undrgrntl. . ' 53. Steel Reinforcement , � •
� 3,�Electrical Conduit lhilitv-Undtgrnd. 54, Forms •
�4.�Electrical Cond�+L�UOdrgrnd. , 55. Electrical Bonding � - '
y5,�$teel ReinforcemepC 56. Rough Plumbing & Pressure Test �
� 6;'Electrical UF6R Gmd. 57. APPROVAL TO COVER�GUNITE
-'7: Footings - ` 58. Electrical Conduil-Undrgmd. - .
'_8. Foundation � _ ' 59. Gas Pipe, O Updrgrnd., Test �
S. Water Pipe�Undrgmd.' 60. Backwash �ine's, R-Trap, � 1.Fndrgrnd.
10. Structural Floor Svscem � 61. APPROVAL TO DECK
t t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final '
12. Sewer Cap - � , 63. Heater & Vent•Final �
73. Roof Drains i 64. Plumbing System � Final
14. Rough Plumbing . 65. Electrica6Final l
15. Rough ElectricaGCoadu�t � 66. Solar System-Final '� '
16. Rough Electric Wiring •� 67. Fencing & Access AnProval , • �
17. Rough Wiring Sign � ; • 68. APPROVED FOR PLASTERING
78. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYST.EMS FINAL '
79. Rough Heating & Air Conditioning FIRE DEPT, fiEQU1REMENT i
20. �Rough Fyctory Fireplace - • ' - APPROVALS Permit # � �
,. - -
2L �uStS, in�Structufe , ,.. � �- 70., Undergrou�d Hydro
22. Ducts, Venti�ai��g- ' ._ r � - 71. Product,-Piping'QGis OOiI
23. Gas Pip2�Rough & TPst : � � 7y, Underground Fi�{sh �
24..Roal,Framing � - - � � ' ' 73. Undergmd.Stora�'eTank OGas �Oil
25. Roof Sheathing _ '. • � • '� � - ' � 7q, Overhead Hyd'ro - '
26. T-Bar Cefling (5vaciuraq & Menocoat . - 75. Dry Chemical ' °� �
27. Frarpe and Flashirtg� . . 76. Dry Standpipe':. '
' 28. Lathing$� Siding - ' � ,_, • 77. FIXED SYSTEM FINAL
29. Insuiation � - '� ' � ,- 78. FIRE PiiEV. F.INAL � '
30. Drywall�Nailing � k � � HEALTH DEPT, REQUIREMENT
37 . Plaster Brpwp Coa't , 79. f I NA L�I.N5PECT�1'QN . .
--c.--�---
�. 32. Electrical Power Meter-Final � x: � 80. FOOD CERTIPIC0.TE �SSUED s
33. Fin�j Electric� � �'. ,r 8/2/ � /AK.�' Notes: � . � - ' _ "
.• ,�y�,. .
34. Final Heating_$ Air�Cor?ditioning ' . i � � _ r =
� a.
� 35. Final Gas Pipe-Test � _ � �_ � ' " � - � ' _ �
V Y .. �
� 36. Hoodor�CanopY; � _ -,�- _ • . � . -
�" 37. Final�Pactory Firepfa2'e' ` -- - � ' ` '�
, , . r -
38. Finai� Piumbing a n� _ - ' '
39. Watee Scrrvice-Final' � -- - - - -
c
-. 40. Gas Service-Final-. ' , � �, � ' � - � �
. 41. Solar pomestic-Final � ' ��• -� � •
42.'8ackflow Prev¢nter� ,= � ,� - ;
43. Backflow Irtigation � -": ' � � '� '
A4. Landscape Ihiaacion Sys[em; - . .
"A5. Sound Attenuationr - . - - . . -, '
-46. Handicap Regulatio�s ' - t � � = - - �
a7. FINaL STRUCTUR� & BUILDING � '
48. FINAL PLANNING _ _ . - -.
0.9. Eleccric Release to Edison
50. Gas,Release to Southem Califomia Gas Cn , .. ,
b1. CERTIPICATE OF OCCUPANCY' , • .
No Date
anoxrssaew�m+o: 3227 IDAHO PL
NVNER4HWEIFRlOWN: GALLOWAY HUGH
�ooxess 3227 IDA�iO PL
COSTA MESA,CA
1VM.IWIdlO AWNESk
1qCXITECTOXENtlNHfl:
AIMX.OH F110.'8 AUURESS:
caxmncroirsruuE: PACIFIC AIR COMFORT
cwm�crars�uimc 1327 S LEWIS
uxr:
92626
uc xo.:
UNT:
(719>937-1333
,�� ANAHEIM CA �G�,; 500236
92807 u�:
1JCENSED CONfN�CTOH9 UECLAHATION: I Mreby etfvm unEar per�elly d parjury Nm I em licensed uMer pro+iriona d Gheqs e
(mmmmdnY xilh SMion )OW) d Divoion 3 d Ma Buvr�sa eM PMessime Coda. ard mY 4mnae e in lu lorce md eHeq.
cmuc.No 42281 /uc.cuss: C20 uc. . 500236 •} : 03/97
nm.: �O comraaor.
V/NEN BUILDER UECLAflATION: I hneEy eifiim �Mm pandy W jury Ihel I em e�emq han the Cwnmaa cerme lew In iM
�dloxin8 �� (�� �a�� �5 Bueirrese eM Proleeeione Coda: Any cily a munty xi�ich rpuiree e permit to oonNiuC, ellm, imprwe,
Eemd'eh, w repai eny s��ucture, prior b iU eauenca, abo rpuim �he epplirenl lw euch pmmd to fib e eip�wd eleleman� Ihm ha a ehe
n IicemeE pu�ien� to �M provisions d IM1e Cantrmon Licenx law ICheqm 9(�mendip wil� Setlion 1000) d Diwion 3 tl �he
B�eine� end Proleseons GOCa� a �het M or she ie exemq ihxelran end �he baaie Iw �ha dlaped uemqion. My violelion d SeGion
]031.5 by enY aVP��^� I« e parmn wEpde ihe epplira�t ta e tivil penelly M nd mwe ihen tNe huMrtd Edbn �f500ll.
❑ �. ae ownar mme vmwM or mv «nWwaee �.en weaes e. �ne: sde wmven.mion. wi�� eo �ne wak. ene �ne swcM1,re e na Imendea
a Merad M eda (Seclbn )Oad. Bueimsa eM Proleaeione Cotla: Tha ConVeqwe limme lawdoea mt epply io en owrcr d pope�ly
who WMs a inM� �heeaon. eM x10 doea sudi wak NmaNi a MnN or Nraqh hu a Mr own emWvAs+. pa'� �IW aM
impmvemeMa ve m� imerdad a dleied t« eab. tl, Mwo-ror, iM Wikiip a inpiovemem ia eotl xnhin wre yeer d mmpletion, tM
owmrbuikler will heve iM burden d qovi�p he ar ehe did na build or impewa lor iM WT�e d eeb).
� 1. ea owrer M iM V�Y. em ead�dveN oon�reGM vrilh licensed conVec�as ro wiuhw tM G�I� (Seaion )WI. &»'vma eM
PMmmone Cab: The Con�redac lironse Lew Aom not epply lo en ownx d propeMy xfio buiNa w impovw ihe�eon eM who
coM'ecla M wd� WM�s � e oonlretlar�s) licenaed WnuaM lo IM Conl�o�e liceme Lawl.
� I em exemp unEer Seciion: B. 8 P.Q, lor ihia reeeon:
Dale: �
i eo nerenr ��N ��•m e•„e a ene ��mrm�a,d u,e mawrem<n� a ce��omie H.ew, ene smmr coee seaon. zsws. zssa3..�e
25531. eM Nm I a eiry iNun Wildiiq oodipenl xill / WI no� (a'ck om) neaE to comyy x'vh eeid mme ooda end �M rt�u'vemWs M
epeimillamnarcucinnamodifiralionhanihaR'v u�y.enepemenlDietrid.Reakanlielconetvdioneppketiwreanssamqiramthaee
poviaona.
oma: aooiw�:
W ONKEP'S CONPENSATION DKL�R�rION: I Mreby dfirtn uiqer penelly d pejury me d tM IoOowi�q detivei'vu:
� I heve uM xil mein�en e<erlifrale d mmenl to eeM�inauro br xakere compenealion, n pwidad Iw by Seman 3]OD d tM Lebar
Code. in ihe pmlarmeme d tM xwk la wlw:h �hu pemia ia uauad.
i{] I haw eM wil meintein woMere wnpeneeton imurence. m reQuired by Sadion �]00 d tM Lebor Code, br the perbrmeMa oi tM
.�nia,.n�mmw�a��a.uv��'G�EN ���°wwv��mn...�.: EXPIRES
Cemec
Poin. N„mn�,: 11 / 2 5/ 9 6
(ihis seaion neeC na de comMmed I theGa'mAis M me nuMred eolbn (SioJl w bnJ
� I eeelty Nel in Na peRamienee d tM wak /a v.fich �hie pxmn u ivued, I ehdl m� empby erry��eiry mennm m n to
necam wbjeu �o �na woAe�s• canw�im bwe a cmiromie. ene ea�ee uw n � enwk ei,ia m in. wawu�
ome: y'//Y/Y/9 �vW�:�
W mlrp: F�Nun ro��cun woM�w�i romperu�tlon roverp� la unq irl, �ntl alW/ Wb/�cf+n �mplo ro ml pwltlu uW
�M� nn.. �y ro m. nu,ered irouwro ewrn (sra0.aooA �n .wilon ro tln cwf ol rompwu�tbR d • a� provMM br In
Ssetlon 9]W ol Ms Lebor COM. Infsie�f. antl nttomsya /su.
CONSTpUCTON LENDIN(i A6ENCY: I Aereby eifiim uMm pendy d pe�jrty ihei tMn'v e mwivabn bdirp epem.y br tlro
penom,eMe a �n. work �a wnich �ne re^^� �• m•�aa (seaoo �osl. ca. cl.
LENDEH'S NRME:
LENDEP'S ADDPE55:
1 eenilY tha� I Mw eud Nia epq�atian end sYate ilut the ebova iMammion u eaneq. I pree to wmply Mil� eA ary eM eouMy adineneee
uM etete kwe mletip lo buikm8 ����^ ��eEy eNMr¢e repreeentelrven d Iho dry to mtar upm iha ebwe�memioneE propeily
'«'",°°d'°" °"'°°a°'. JACK I E R�P.7`O
o�e: �j �91�
(5151<B.WP) While-BuiN'vq 8 Setery; oreerFle; Cenary-Appirant: Pink-Rewnue: (3aldenmd-Naeav
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: M 078675 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC
PERM NO: M 078675
GOVT; N SUPP: N
PURPOSE: OTH
JOB DESCRIPTION : INSTALLATION OF NEW A/C 6 FURNACE SQ FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: .3,5 TON A/C 5 42K BTU FURNACE
it�**�*�at��*atitat�at�at**�t*�*��at*it�atit**�itie+tit+t+t�atit*it**�ratx�at*it**at**�it�r***xatit*�tit��at�t�+t�r*
Z O N 2 N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ----------
FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN
--------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 13908313 ZNE: REF NO:
PLANNING NOTES>
%
1E ik k 1E iE 1E 1E if 1E iE iE �E 1E 1F 1E'k if iE aE 1F af 1E 1E if i!'IE iE iE iE iE 1f jF iE iE iE 1E�1E iE 1f ik iE iE 1ElE 1f 1E 1f if 1f 1E if IE ik 1E 1E 1E 1h iE 1E iE'lE iE 1E ik if iF 1E ik iF iE iE'lE 1E 1E iE iE iF 1E if
D E V E L O P M E N T S E R.V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY . � DATE:
HUILDING APPROVED BY :
APPLICATION ISSUED BY:
LEGALIZATION;N F E E S U M M A R Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
PERMIT 26z54
PLAN �%
ISSUE FEE 22,00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL
TOTALS----> 26.50 22.00 0.00 48_50
DATE:
DATE: "� " %
1E1E1EiE1klEiEiE1E iF1f
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON—RES
PAID DUE
48.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 48,50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
48.50
1F 1E 1F 4 iE iE iE iE 1E iE iE �E 1E iE iE 1E ik 1E 1E 1E 1E 1k iE iF 1E 1k 1k �E 1t iE 1E 1f iE ik 1E 1E fE fE iE iE iE iF 1E fF iE IE'lE k k if 1E iE 1F iE 1E'k ik 1E 1E ik 1E iF 1E iF if 1E �F iF'k if 1E 1E 1E iE 1E 1F'k 1f if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
MEC 1 INST FORC—AIR/GRAV��FURN <= 100 K HTU 13,25 13.25
MEC 1 REFAIGERATION SYSTEM <= 100 K BTU/H 13.25 13,25
END OF FEES
CONSTRUCT�ON AND PLANNI� JL & SPA
APPROVALS Permii # Date Inspector APPROVALS Permit # Oate inspector
7. Temporary Electrical Service or Pole . 52. Pool & Equipmeni Location �
2. Soil Pipe•Undrgmd. . 53. Steel Reinforcement • �
3. Elearical Conduit Utlity-Undrgrrtd. 54. Forms • - '
- 4..Electrical Condui[�Undrgrnd. • 55. Electrical Bonding ' . �
�,5, Steel fteinforcemenC 56. Rough Plumbing & Pressure Test ' �
� 6..�Etearical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �
- 7. Footings � 58. Electrical Condult-Undrgrnd. - j
.� 8. Foundation _� � 59. Gas Pipe, O Undrgrna., Test
9. Water Pipe�Undrgmd,- � 60. Backwash Lines,P-Trap, � Undr,�md.
70. Structural Floor SYstem - � 67. APPROVAL TO DECK �
1 i. Prcperty Sewer Line & House Cormection 62. Backwash & Receptor�Finai :
12. Sewer Cap " � 63. Heater & Vent-Flnal � •
13. Roof Drains � ' 64. Plumbing System � Final �
14. Rough Plumbing . � 65. ElectricabFinai
15. Rough Electricai-Conduit � 66. Solar SYstem-Pinal , , ` ,
16. Rou�h Elearic Wiring . ' 6�. Fencing & AccQs`s'Approvai. - .
17. Rough Wiring Sign - '' ' f�$. APPROVED FOFc PLASTERING •
18. Raugh Electrical-T Ba� Ceiling � 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. R[QUfREMENT
20. Rough Factory Firep�ace � � - � �- _� APP.ROHA�CS.�.. Permit � -
27.' DuCS;, in StruCture �� �. { ' �' 70.`UnBerground Mydro .
22. Ducts, Ventilatin� _ 71. Product=Pipin� OGas OOiI
23. Gas� Pipe-RoKqh & Tesc _ � _ 7z, Underground FiuSh � ;_,
24. Roof Framing � -� -.- - • 73. Undergmd.Stora�'eTank C�Gas �Oil
25. Robf Sheathing . , ' .. 74. Overhead Hydro c
26. T�Bar Ceilin9 (StrucFural) &�Monocoat 75. Ory Chemicai - .- ' ^
27. "Frame and Ftashing ' _ _ ' 76. Dry Standpipe _. � , - `� _
.. 28. Lathing & Siding � - � - . - . . .. ^ 77, FIXED�'YSTEM FINAL -
�
29. Insulatioo ' ' � � � ' � ', 78. FIRE PREV. FINAL � �- �'- ;
30. D:yv.�all Nailing - � � � ' .. -� -HERLiH DEBT. REQUIREMENT
-�--
37. Plaster Bro4vn Coat . �. � 79. FINAL.INSPECLION i
32. _Eiectriwl Power PTeter-Pinal � .-� , 89;. FOOD CER7IFICATE LSSUED _f.• _
33. Final Eleciric � Notes: � ^�J
- � Sr-?1 �6=-� �-,aEz.::__ - -
3A. Final Neating & /Sir°Conditioning- : l2 j! .Ti�� - , _ ,_ _ . , _ p ' _
- b c.l o �
35. Pinal Gas Pipe•Tesi^ . - - ' ' � - '- - �
r.
36." Hood or Canopy . -_ _. � . ' ; ^ � - �. -.
-� 37. Final �actory F'rreplace - � - ' " - - � '
38. Final Plumbing -• ' � � . • -i -.
39.11+atarService•Final� � ` -= �� - ' � - -
i • -
. 40. Gas Service-Finai �' , . � .. . - _
41. Soiar pomestio-Finaf �_ � �� � � � = '� '�
�� A2. Backf{ow Preventer� - ,- - � �, _
43. Backflow Irrigation � - ' - "' ' - . -. ,
44. Landscape Icriqation System:_ .- a, - , - - � �� � - � - �
'45. Sound Attenuation - - ' � � �' ' � - � - _.
r.. • :- .
46. �'Handicap Regy�lations ' ' " � � � - - � _ -
47..F3NAL STRUCTURE & BUI�DING • ' • � '
4$.',F4NALPl.ANNING � . -� "
-49. Electric Release to Edison . -.
50. Gas Release to Southem California Gas Co , ' � � ,_ -� .`
51. CERTIFICATE OF OCCUPANCY' � _ ..
No. Date
�oT �H - TRAGT 3625
� �:���3
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX J17 C08TA MEBA. CALIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
BUILDING z2 �DAHO PLACE
ADDRE68
COSTA MESA. CALIFORNIA
owNER KENKOL CONSTRUCTION C0.
wooRess �555 PLACENTIA AVENUE
CITY NEWPORT BEACH N0: MI 6-3�
ARCMITECT TEL.
CONTHAGTOR K.W• Ko��
• j555 pLACENTIA /�VENUE
ADORE65
���„� NEWPORT BEACH
�;�TNo. 6tt95 Na: MI 6-3z27
s�=E 65 x�oo I NO.OP BlDOB.Q
OF LOT NOW ON LOT
uHe vnoM ��
p 9ipHgT � REAR YARC
RD I LEFT '�� I RIGHT v�
DESCRIPTION OF WORK
X II e� reaeTinu I II enmm���
�L�' ����P`�7�� .
,
`<<' s-i� h�
�1N�fVCE DEPB.
�ITY OF COSTA MES�
APPLIGATION FOR PERMIT
r. ,
BUILDING
For Office Use Only
REC8IPT NO. PCRMIT NO.
COSTA MESA. CALIFORNIA
APPROVED
ZONING
NO. OF USE OP NeW
ruHs�y auitoirypj>
LEOAL
�YARDS EVES
APPROVED ALLC
25 � �eeemn i�we or.� ��
BUILDING � NO. OF
61ZE � • SF ROOMS STORIES �
EXTERIOR WALL STUCCO I ROOF ROCK
COVERING COVERING
USE OF BUILDING AMD WORK TO BE PERFORMED
SINGLE-FAMILY RESIDENCE AND ATTACHED
GARAGE PLAN 2-E
I�
I H6ReBY ACKNOWLHbG6 THAT I HAVE pEAD TH18 MPLIWTION TXE AMOUNT BXOWN UNOE0. VALUATION IB FON TMH
ANO BTATE THAT TXE ABOV6 19 CORPECT AND AGREH TO COM- pUPP086 OP EBTABLIBHINp A PERMIT FEE ONIY.
vLY w�TM ALL GITY OMGINANCE9 AND 6TAT6 lAWB ReOULATING
9u1LDIHo CONBiRUGT1oN. VALUATION
SIGNATURE OF PERMIT FEE $ ��
PERMITTE
S /� /� �' PLAN CHECK $ � � �
AUTHORIZED A�ENT ��N , �'�' _ ___ _ �--��