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Home My WebLink About3236 IDAHO PL - Building PermitspSTp'NF e Q > S F �Y 'qk.�NnoxmfD d�,e' CITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.costamesaca.aov FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE: B COMBO Sub Type: RES_ALT �os a,00Ress: 3236 IDAHO PL`CM PERMIT NUMBER: BC13-00029 STATUS: ISSUED DATE ISSUED: 01I1512013 ISSUED BY: RMD .� _". Suite/Unitr' APN: 13sosao9 . ,r � �. Zoningt� , , . , - -.. _ . Vicinity: KITCHEN AND BATHROOM ., � �� . ��' ' Primary Occ: ConstType:V-B <+ SQ..FT:= `- 0. "'. .Valuation: $9,000.00 SCOPE OF WORK:HOUSING PROdECT: REP.LACEN/ATER HEATER, SERVICE PAN'EL TO 200A,.(1) GFCI IN KITCHEN AND (3) IN BATHROOM; (6) LIGHT FIXTS IN LIVING.ROOM, (4) IN KITCHEN; REPLACE BATHTUB AND SHOWER, MOTOR FOR GARBAGE DISPOSAL. �.., a :.�,- " OWNER: ALLEN, TRACY�R Address: 3236 IDAHO PL Unit: Phone: ` � - , � ' City/State/Zip:.-,'COSTA MESA, CA , � � � � . - �. , r APPLICANT: MCKINISH, JERRY �� +� � . ��"` Address: Unit:: " � ' � � � Phone: 714-9604052 � � ��;� r, '_' , ',City/State2ip: - " " cON7tuC70R: J K CONSTRUCTION �_ License No:450297ry �_ , Phone: 714-404-9846 CELL � . Address:915 LAKE ST% ,' _ Unit: � � Cell: 714-960-7052 ��• ; City/State: HUNTINGTON BEACH, CAZipCode92648 ARCHITECT: �� - LicenseNo: _;�� ':-,..�` � ->� PHONE: ENGINEER: , . , ' . �� License No. � ,� � t � ... . . " PHONE: COMBINATION PERMIT FEE SUMMARY � � Building Plan Check: � � . $0.00 �;.1r::��.' �� , �, Building Fees: ., $167.25 `" ^ Electrical Fees: - - - `; 4,�$74'.15 �� . � � ` � � � Mechanical Fees: � `�� J;$0.00 ' � � � � , Plumbing Fees: � _,.$52:90 . - � � � � � . � SMIP Residential: � , , � f , $0.90 � ._ t� - - - _ , __ � � � SMIP Commercial: � - :. $0.00 , , � . , ' Bldg Std Admin Fund _, $1.00 TOTAL FEES ^ $296.20 � � � - � ' � "Refer to fee receiots for all fees oaitl for oroiect � � ' , , . . . . _ : - � HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13•279 Monday thru Friday -�:00 am thru 7:0o pm. Saturdays-9:0o am thru 6:0o pm. Prohibited all hours - Sundays and the following Federal holidays: � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAVS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit lo be considered legal, such work must wmply with all applirable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE %. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Finai 81ock/Retaining Wall 202 Final Factory Fire Place 203 � Final Sign 204 Final Demolition DATE INIIIIqLS COOE p INSPECTION TYPE 206 Final Mechaniwl 208 Final Plumbing 210 Final Electriwl 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy DATE INTRIALS WORKERS' COMPENSATION DECLARATIC I hereby affirm under penalty of perjury ona of u,.. �ollowing declarations: ❑ I have and will maintain a ceAifcate of consent to self-Insure for workers' compensalion, as provided (or by section 3700 of the Labor Code, for the pertormance of the work (or which this permit is issued. ❑ I have and will maintain workers' wmpenution insurance, as requiretl by section 3700 of the Labor Code, for the perfortnance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier. 51 V� ( f Nv� � "(This secE'vn neetl rvrot bVe cpndefed i/Ne pertnif is veluedet are hwrtlreC tlollers (EfOp) a less.) Policy�Number. � D D 6l� � �' ❑ I cehify that in ihe pertormance of the vrork for which �his permit is issued, I shall not employ any person i any manner so as to bewme subjec[ to the workers' co nsation laws Califo ia, and agree that i( I shoultl me subject to th worke c pensa n provisions o( Section 3700 of the La r Code, I sha forthw' mply w' these provisions. I -/y lJ i Date _ NIN ILURE TO SECURE WORKERS' COMPENSATION COVER4GE S UN � FUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEVSFEES. LICENSED CONTRACTORS DECLARATION: I hereby affrtn that I am licensed unde� provisions of Chapter 9(commencing wi[h Sec[ion 7000) o( Division 3 of the Business and Professions Code, and my license is in full force and effect. �`f O 97 �Class # L�7 C y 7 - f^�`�—!.� nVa ors Sig ature �- Date S CTION LENDING AGENCY: ❑ I hereby affrm that there is a construction lending agency for the peAormance o( the work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: SignaNre Da�e OWNER-BUILDER DECLARATIONS: I hereby affrm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW (or the following reason (Sec. 7031.5, Business and Professions Cotle: Any city or county which raquires a permil to wnstruct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires the applicant for such permit to f le a signetl statement [hat he or she is licensed pursuant to the provisions of the Contrec[ors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or tha� he or she is exempt [herefrom and the basis for [he alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry of not more than five 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 intended or oftered for sale (Sec. 7044, Business and Protessions Code: The Contractors License Law does not apply to an owner of property who builds or improves [hereon, and who does such work himself or herself or ihrough his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to consWct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an ovmer of property who builds or improves Mereon, and who wniracts (or such projec[ with a contredor(s) license pursuant to the Contredors License Laws.). ❑ I am exempt under sec. Business and Pro(essions Code for ihis reason: SignaNre Oale 305�a6 (3I07) Owner ID verifed by c ; license. ❑ Yes ❑ No Oriver's License No. Expires: Verification o! Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify thal no excavation fve (5) or more feet in depth into which a person is required [o descend, will be made in connection vrith work authorized by this permit, and that no building sWcture, scaffolding, falsework, or demolition or dismanlling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia AdminisVative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industnal Safery, as noted above, unless such person has a permit [o do such work from the division. Applican�'s Signa�ure Division o! Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and cenify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 0/ the Califomia Health and Safely Code requires, with some exceptions, tha[ a Business Plan be f led with the Costa Mesa Fire Department by every business which has at any one time dunng a reported year a quantity of hazardous materials equal to or greater than a weigh� of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to fle a regis[retion form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials 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 temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program (or awtety hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Sa(ety Code provides ihal [he Costa Mesa Fire Department may require the preparation, certification and fling wi[h the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials wi[h the Fire Departmen[. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for [he work which is the subject of [his application a permit for such construction or modifcation from the South Coast Air Qualiry Management District or from any other air polWtion control district or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code requires that the requested infortnatlon be fumished on applications for non-residen[ial huilding pertnit5). 6. Will any part of the faciliTy to be constmcted under Ihis permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If "yes", the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7. If a pertnit from the South Coast Air Quality Management District or other air pollution control district or agency is required for Ihe work which is �he subject of this application, have all of the disclosures prescribed by California Heal[h and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach cerlificate of compliance from the appropriate air pollution control offcer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the infortnation given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certiy under penalry of perjury that I have read ihis appliration and state thal ihe infortnation given is covecl I agree to comply with all state laws and city ordinances rela�ing to building construction, and authonze representatives of the Ciry of Costa Mesa to enter upon the above-described property for inspec[ion purposes. I agree not to occupy or allow occupancy o( any building authonzed by this permit until fnal insp -cti n. Si ahre of Le I Own Date �-iy-i� tl/w honzetlAp nt L__.Deta 4��p MFs9 o '� ) .,., .. ' � " FF a, o�o+f' � CITY OF COSTA MESA BUILDING DIVISION � �7 FAIR DRNE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.costamesaca.qov FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE PLUM APN: 13908409 JOB ADDR�SS: 3236 IDAHO PL CM Vicinity: ' PERMIT NUMBER: P12-00027 STATUS: ISS U ED DATE ISSUED: 02I09/2012 ISSUED BY: MDM Suite/Unit: SCOPE OF WQRK: INSTALL NEW NATURAL GAS LINE FOR EXISTING METER OWNER: ALLEN, TRACY R �Address: 3236 IDAHO PL PHONE: 714-056-8564 � Ciry/State/Zip: COSTA MESA, CA l+PPLICANT: JERRY MCKINISH Address: . PHONE: City/State/zZip: CONTRACTOR: J K CONSTRUCTION Address: 915 LAKE ST � Ciry/State: HUNTINGTON BEACH, CA �� CELL: 714-960•7052 ARCHITECT: ENGINEER: License No. 450297 . �-j.'�.�?j<� PHONE: 7'14-004-9846 CELL ZipCode: 92648 License No. License No. PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: PERMIT FEE: TOTAL FEES: $0.00 $33.30 $33.30 PHONE:`" PHONE: . . #Z'� �:;> ` 0',f•. .'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, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all � required inspections and fnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. COOE 0. fNSPECPON ME � iennais c� �Nsaecnox rme � ixnnac � 1616 Fixed Systpm Final Fire Prevention 206 Final Mechanical ,I 1266 Pool Spa Final 208 Final Plumbing �� z��" .200 Final Re-Roof 210 Final Electrical 207 final Block/Retaining Wall 212 Final Fire Prevention 2�2 Final Factory Fire Piace 220 Final Planning Approval 2�3 Final Sign 222 Final Sde 204 Finai Demolition 250 Final BuildinglOccupancy p WORKERS' COMPENSATION DECLARATION� I hereby affirm under penalty of perjury one o( the (ollowing tleclarations� ❑ I have antl will maintain a certificate o( consent to self-Insure (or workers' compensation, as provided for by section 3700 of the Labor Code, for the pertormance o( [he work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, (or the peRormance o( the work for which this pertnit is issued. My workers' compensation Insurance carrier and policy number are: Carrier (This sec(an neee nof be cnmplefed ll f�e permrt is valuetl a( one huntlied tlollars Policy Number: ❑ I certify that in the performance of the vrork for which Ihis permit is issued, I shall not employ any person in any manner so as ro become su6ject to the workers' compensation laws ol California, and agree iha[ if I should 6ecome subject to the workers' compensation provisions of Seclion 3700 0! the Labor Code, I shall forthwith comply with these provisions. Applicanfs SlgnaWre Dale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm tha[ I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. # Class # Contractor'sSgnaWre • Date CONSTRUCTION LENDING AGENCY: ❑ I hereby a�rtn that there is a consWction lending agency for the pedortnance oi the v.ork fa which Ihis pertni[ is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: . SignaWre Daie OWNER-BUILDER DECLARATIONS: I hereby aHirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business antl Pro(essions Code: Any city or county which requires a permit �o conshuc[, alter, improve, demolish, or repair any s[ructure, prior to its issuance, also requires the applicam for such permit to file a signed statement that he or she is licensetl pursuaN to Ihe provisions of the Contraciors License Law (Chapter 9(commencing with Section 7000) o( Division 3 of the Business and Professions Code) or that he or she is exempt therefrom antl Ihe basis for ihe alleged exemption. Any violation o( Section 7031.5 by any applicant (or a permit subjects the applicant [o a civil penalty o( not more ihan five hundred dollars ($500).): ❑ I, as ovmer of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the stmcWre is not intended or offered �or sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves [hereon, and who does such vrork himself or herself or through his or her own employees, providetl that such improvemems are not intended or offered for sale. If, however, the building or impmvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve /or purpose ot sale.). ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRAC70RS to consiruct ihe project (Sec. 7044, Business antl Professions Code: The contractors License Law dces not appty to an owner of propetly who builds or impmves ihereon, antl who contracts for such project with a contractor(s) license pursuant to the Contractas License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Owner ID verified 6y driver� nse. ❑ Yes ❑ No Driver's License No. Expires: Verifcation ot Ovmership by (rype of document, i.e. - property tax bill or deed�: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cert'rfy lhat no excavation fve (5) or more leet in depth into v.hich a person is required to descend, will be made in connectbn vnth work au[honzetl by this pertnit, and that no building structure, scaHolding, falsework, a demolition or dismantling Ihereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2. Art 2. Sec. 341, TiUe 8, California Atlminist2tive Code). ❑ As ownerbuilder, I will not employ anyone to tlo work which would require a permit from the Division of Industrial Safery, as noted above, unless such person has a permit to do such work from Ihe division. AppllcaN's SignaWre Oate Division of Induslrial Safery Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will Ihe applicant or presen[ or (uWre building occupan[ neetl to fle antl certify a Business Plan for emergency response ro release or threatened release of a hazardous material? ❑ Ves ❑ No (Seciion 25505 of the Califomia Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has a[ any one [ime during a reportetl year a quantity of hazartlous materials equal to or greater [han a weight of 500 pountls, or a volume o( 55 galtons, or 200 cubic feet of compressed gas at standard temperaWre and pressure�. 2. Does or will [he applican[ or present or future building occupant need to fle a registralion form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 0( the Califomia Health antl Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantiry of awtely hazardous ma[erials equal to or greater than a weigh[ of 500 pounds, or a volume of 55 gallons, or 200 cubic (ee[ of compressed gas at standard temperature and pressure). 3. Does or vnll the applicant or present or future building occupant neetl to prepare an RMPP (Risk Management and Prevenlion Program for awtely hazardous materials)? ❑ Ves ❑ No (Seclion 25534 of the Cali(omia Health and Safety Code provides that Ihe Costa Mesa Fire Departmem may require the preparation, certifcation and fling with Ihe Fire Department of an RMPP by businesses which are required [o register acutely hazardous ma[erials with [he Fire Department. 4. If an RMPP is presently required, has Section 25534 of lhe California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will Ihe applicant or present or future builtling occupanl require for ihe work which is the subject of this application a permit for such construction or modification fmm Ihe South Coasl Air �uality Management District or (rom any other air pollution control district or agency? ❑ Yes ❑ No (Sectbn 658502 of t�e Califomia Govemment Code requires that the requested information be fumished on applications for non-residential building pertnits�. 6. Will any part of the (acility to be conslructed under this permit be within 1000 leel (rom the oUter DOUntlarie5 of a SChOoI? ❑ Yes ❑ NO Q('yes", the Faciliry must meet the requirement o( Sections 25534 and 42303 of Ihe Califomia Health and Safe[y Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution conirol district or agency is required for the work which is the subject of this appiication, have all of the tlisclosures prescribed by California Health and Safety Code Section 42303 been matle? � Yes ❑ No 8. Q('yes", attach certificate of compliance from the appropriate air polWtion contml oRcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to wmply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Sgnawre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certi(y untler penalty of perjury [hat I have read this applicalion and state that the information given is correcL I agree to comply with all state lavrs and city ordinances relating to building constmction, and authorize representatives of the City o( Costa Mesa to enter upon [he above-describetl property for inspection purposes. I agree not to occupy or allow occupancy o! any building authorized by this permit until final inspection. SignaWre oi Legai Owner(s) 30A-46 (3/0]) AnQlorAulhonzetl Applicanl Dale o�ecraooRess: 3236 IDAHO PL OWNEH'SNAME: EST OF PHYLLZS noonEss: TRACY STACK 3236 IDAHO PL COSTA MESA,CA ABCHIENGINEFR: S 4 6— 3 4 z 3 FODPE55: V STACK 92626 flEG.NO.: uNir: CITY OF COSTA MESA - HUILDING PERMIT FERMIT NO: B 059621 PLAN CHECK NO; N CONSTRUCTION TYPE: V-N PERMZT TYPE: STR I JOB DESCRIPTION ; T/OFF REROOF W/ COMP UNIT: CLAZM VALUE: PFPMITTEE: �IACIFIC COAST WEATH. PROOF ( 714 ) 969-828E PERM NO: B 054621 GOVT: N SUPP: N PURPOSE: ALT SQ FT: ;i,200 3,200.00 CALC-VALUE: 3,200.00 GROUP OCC: R-3 / aooness: 8z32 MALLOY DR COMMENTS: SMOKE DETECTOR RE�UIRED IN THE FiOME H.B. CA 92646 *x**+�+�*�******�+r*�r�x**�r*x�t* �+r*�*�r�r*�r*�r��*�r*��e**�****�r�x****�+��r�r*�******xxx•�*** uLENSEo CONTBnCiOB oELIABaTION: I nereby ailirm mat I am licensed unAer pwdsions of CnaD�er 9lcommencing wim Section Z O N I N G R E Q U I R$ M E N T S 7000� ol avision 3 0l Ine Business an0 Pmlessions CoOe. ane my license is in IWI force anG efiea. S E T B A C K S c�rruc.: 049777 sTaTeuc.:464841 cuss �-39 �:s//)'Z/�y� sqnawre:_ �d�7�7 G�� -`---`---- MAIN BUILDING ---------- --------- ACCESSORY BUILDING — --------- WOBKEflS'COMPENSATIONOECLAflAT10N: Iher¢Oy rm�nauna�kacemiicateolc 5ent�osel4insureoracertilica�eolWorker5' FRNT; F7' IA1 REAR• FT IN FRNT; FT' IN FiEAR: FT IN ComcenSatiminsurance,oraceNlieEcooYthereol�ec�ion3800.�ab.C�. LEFT: FT IN RGHT; FZ' IN LEFT: FT IN RGHT; FT SN Paucrxo.: 1091407-91 E%P.DPTE: OZIO1�92 comraNv:STATE FUND PARKING AEQ• PROV: PARCEL: 13908409 ZNE: REF NO; ❑ Cemrea cooY is nereey wrnisnee. � Ceni�iea copy is eied witn tne ciry euiminq oivision. PLANNING NOTES> - ��_ y E%EMPiION FflOM WOBHENS' CUMPENSpT10N OECIABATIOy� �This section neea not De compkle0 ii Ue perrtut is �w one huMrM (3100) or less�. I certily ihat in ��e pedarmance of Ihe work �or w�ich this permit is i5sue0. I shall not employ any person in any manner so as �a become Sub�etl lo Ihe Workers' ComOensation LavS oi CalilOmia. �ale: SignaWre: NOTICE: 1�, alier making ihis detlara�ion, you Shoultl become subleti Io ��e Worker3' CAmpenSalion pmvisions ol Ihe Labor Cotle. you must lort�vnl� [omply wii� suc� pmNsions or lN5 Oermi� shall Ge tleemeG revoke0. CONSTflUCTION LENOING AGENCY: I �ereUy afiirm Ihal lhere is a conslmc�ion lentlmg agency lor the pedormance of lhe work lor w�ich 1�¢ permil is i55uetl ($¢ction 7097. Civ. C�. LENOEfl: AOOflESS: OWNEB BUILOEfl DECLFHATION: I hereby allirm Ihal I am exemp� �mm �he COnlrattors' S�ate license Law �ar Ihe following reasan (Section 7031.5 Business an0 Pmfessional CaEe: Nny tiry oi couniy whic� repuir¢5 a permii Io conS�mcC ai�¢r, impmve. Eemolis�, or repair any 5lmclure. Orior lo its issuance, also requires the applicant �or 5uch permii to lile a 5igneE statement that he/she is licensed pwsuam lo I�e pmvisions ol t�e Comraclors' Sta�e License Law (Chapter 9(commencing vnlh Section 7000) ot �ivision 3 of tAe Business antl Pmfessions Code) or ihal �e/s�e is exempi I�erelmm antl I�e �asis �or the alleged e�emption. Any viola�ion af Sedion 703L5 Ey any aD0licanl lot a permil SUGjetlS Ihe apD�itani Io a civil penalty o� not more �IWn �ive �unGred Jdlars (55110�. I, as awner of ine pmpeny or my emoloyees wilh wages as ineir sole compensalion, will do ine work. antl the ❑ Slmciure is no� intenEeE or o��¢rea lor sale (Seclion 7044, Bu5me5s anA Pm�essianal Cade: The Cantra[tors' State Licenu Law Eoes not ap01y Io an owner af a pwpeny wM Uuilds ar impmves ��ereon, and wAo Uaes such wotlt himsetl/herselt ar thmugh his or her own emDloyees, provitled Ihai sucA impmvements are not intendetl or oflereA br sale. I�, hawever IAe AuilAing or im0�ovement i5,5ola wilhin one year ol completian. I�e owner will have �he buraen oi pmving he/she Oitl not huild or impmve lor I�e purpose a� sale). I, as owneroi Ihe O�operty, am exclusively conlrac�ing wilh Iicen5e0 coniraclors to constmct lhe pmlecl (Section 7044, Business ❑ and Pmiesvons COAe�. The Comramors' S�ate License Law aces no� aDPW �o an owner o� pmpeM who huilAs ar impwves IAereon and w�o mnlracts lor such projecls vni� a conlractoqs� license pursuan� lo lhe COntractors Siate LRense Law�. I am aware t�al pmot o� Iheir Worker'S COmpenSaiion insurance s�ould Oe pmvi0e4 �o me. � I am exemp� untler $ection: 9. 8 P. C. br Ihis reason: Oale: Owne[ ' I Oo �ereby cenity t�al I am aware ol antl untlerslana Ihe requiremems ol Calitomia Heal�� and Satery CaOe Sec�ions 25505, 25533, antl 25574 an0lhai I or any iWure builtling occupant willlwill nm �circle one) nee0 m comply with saitl state codes antl the requiremenis for a pe�mil lor consimclion ar moEi6cation imm Ihe Air Ouality Management DiSUicL Hesiden�ial consimction apP��on5 are eaempt tmm mese omvisions. � Oale: Fpplicanl: I �ereby <enilythal I havereatl this apDlicalion antl s�a�e I�atthe above inlormation is correci. I agree�o compty with all ci�y antl coun�y ortlinance5 antl sialelavrsrclaiingta building conslmciion anA hereby author¢ere0�esenla�ives of��is cityto enterupon�he above�men�ioned pmpeny lor inspeclion ourposes. �J /� lWo� �/l '-�i� � �/ SignaWre'. Y�fJ" � �/l/J O!L Driver's L¢ense or Social Sewrily a: — t64��46 Whne—BUAtling: Green—Code Enforcemem: Canary—Applicanl; Pink—Revenue: Goltlenrotl—Assessor > **��*��,�***��*��*��*��*��*�*,�*��**�*��*��.��*��*�;�*��*�� 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,�f' S ZONZNG APPROVED BY DATE: BUZLDING APPROVED BY :_ DATE: r. �± APPLICATION ISSUED BY; � DATE: /O-a/— 7 it iE iF iE if k iF IE iF iE 1E 1E 1E if 1E 3E if IR 1E iF iE if�FiFifiFiF7FTr'TiiF iF±i-iFif�3fiF�Fif7F £iFif3FiF�i iFiFi!'iFif3F 1F if �F 3E i(� iE iF 3E iF iF�iF iF ifiElEiflEiElFiE1EiElFifiEiE�ElE1FiFiE1E1F3EiElflfiflEM�EiEifififikiEaFiE ififiEif3F�flfiEiEfEiFlEiFaFiElfiElfifiFifieiEiEiE?4lE�EiFie�Y3f3fiFlFiFaFi��i(��i(� LEGALIZATION;N F E E S U M M A R Y STRUCTURAL� $�GMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES'!-'S'iit'ADING PERMIT 63.00 50 r SMZP/NOI�,�RES �' PLAN � o ISSUE FEE ; `� �.:, � ��' ' BUILDZNG-DZV-> PERMZT ISSUE PLAN-CHECR TOTAL PAID�� .;^� DUE TOTALS----> 63.50 0,00 0.00 63.50 63.50 _.}� r• :�-00 � �' REVENUE DIVISION TOTALS--> COLLECTED: 63,50 OVER/SHORT; ��% :�1U.' BLDG PMT PLUMBZNG ELECTRZC MECHANIC FIRE SMIP/TOT GRADING,PLAN.-'�H�CK 63.00 .50 �.�; : 1.;/ ��.�� . i �. if iF ii 3F iE iP iF aF iP iE IF 1E iE aE iF % iF iE if IF iF iE if iF iF 3E 1F if 1E if jf if �E aF iF aF M iE iF IE iP iF if iE lE if iF *� 3E if iP 3F if iE if 3f �F �E if #�if if if iFjE iF If )F"a'E iF i(�9E i4�I, e 3E 1E if 3E I N D I V I D U A L F E E B R E A K D O W N - y 1;%�f �. r= � % TYPE QTY D E S C R I P T I O N UNIT COST TO?AL',COST SFR 3200 REROOF HY VALUE RESIDENTIAL NOZONE 1,00 ' 3',200�:00 END OF FEES �"�.�� . ; ; � ,�, t � i . � : qy ,�. : .. � � �� : i �l...11. _- I' � :�� - J �CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector � 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location � " 2. Soil Pipe•Undrgrnd. - 53. Steel Reinforcement � . � � 3. Electrical Conduit Utility-Uridrgrnd.'. ' 54. Forms � 4. Eiectrical Conduit�Undrgrnd. 55. Electrical Bonding , 5. Steei Reintorcement 56. Rough Plumbing & Pressure Test , 6. Electrical UFER Grnd. . 57. APPROVAL TO COVER�GUNITE 7. Footings .' f � 58. Electrical Conduit-Undrgrnd. 8. Foundation � y- 59. Gas Pipe, O Undrgmd., Tes[ � � 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. . 10. Structural Flooi System , 61. APPROVAL TO DECK 11. Property Sewer.Line & House Connection •• 62. Backwash & Receptor-Final � 12. Sewe� Cap : a , 63. Heater & Vent-Final 13. Roof Drains y 64. Plumbing System • Final 14. Rough Plum6i�g � 65. Electrical-Final i 15. Rough Electrical�Conduit 66. Solar System-Final ' 16. Rough Electric Wiring 67. Fencing & Access ApProval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIFiEMENT 20. Rough Facto.ry Fireplace 1.� � ' ' APPROVALS ' Permit # 21. DuCts, in Structur,e � � . ' 70. Underground Hydro �� 22. Ducts,Ventilating � . 71. Product•Pipin9OGas OOiI 23. Gas Pipe-Rough &�Test . 72. Underground Flush , � ' 24. Roof Framing . ' , - " �73. Undergrnd.StorageTank OGas ❑Oi� 25. Roof Sheathing , ? ' '- 74,-Overhead Hydro � 26. T�Bar Ceiling (S[ructurall & Monocoat 75. Dry Chemical 27. FrameandFlashing ' 76. DryStandpipe ' � ' � � � 28. Lathing & Siding . - _ •� � 77, FIXED SYSTEM FINAL - . ' 29. Insulation ` '� � 78.; FIRE PREV. FIMAL � 30. Drywall Nailing _ � I__. HEALTH.DEPT. REQUIREMENT 31. Plaster Brown Coat' � � 79.•FINAL INSP_ECTION - "' ��32.. Electrical Power Meter-Final� � I .rl �80.�FOOD CERTIFICATE ISSUED 33. Pinal Electric _ ' � ' � � - Notes: - � _ 34, Final Heating & AirConditioni�g. � � f . ' � _ 35: Final Gas Pipe�Te'st - - � ' � � � 36. Hood or Canopy . . . • ,-� ' � . 37. FinAI Factory Fiieplace, - • • . � � � � 38. Finel Plumbing � � . �. ' . � 39. Water Service-Final � � � � 40. Gas Service-Final , , ; , � � � . ; � �41. Solar pomestioFinal - - � � 42. Backflow Preventer � 43. Batkflow �rrigation �- � , 44. Landscape Irripation Sysrem _ - • . - , _ . � ' 45. Sound Attenuation - � -46. Handicap Regulations ' � � . . 47. FINAL STRtJCTURE & BUtLDING .-/�p s(,��//. ..��l� ��(,`(� f 1 ��`L 48.'FINALPLANNING � � � .�_�� "� _ �� , • 49.: Electric Release to Edison � I �w� _ i�. 50. Gas Release to Southem California Gas Co ' j � ,� ( W�. � 51. CERTIFICATE OF OCCUPANCY - No. Date �OT 5� - TRACT 3625 .. � COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MHBA. CALIPORNIA For Applieanf fio Fill In Complefely BUILDING3236 IDAHO PIACE ADORESS COSTA MESA. CALIFORNIA OWNER KENKOL CONSTRUCTION C0. MAIL �555 PLACENTIA AVENUE ADDRESS DiFWPORT BEACH �ra� T@L. CONTRACTOR K-W• Ko�� ADDREsS � 55 PLACENTIA AVENUE C�.n, NEWPORT BEACH �� No. 6� i 95 No: M i 6-3227 61ZE 63Yg9 X �� IRREGINO.OPBLD08.Q OF L�T NOW ON lOT SHTBACK IJMB PROM 50 � L5 � ceNTeR OF BTReET REAR YARD I �o� I 5� 81DE YARO LEFT RIGHT DESCRIPTION OF WORK _._... I X II..��e._.�..I II.�..,_,�., I BUILDING �59i 91ZE EXTERIOR WAL 1 COVERING U E OF BUI�p ING �INGLE-FAMI GARAGE SF NO. OF 6 ROOMS CO IROOF OCK GOVERING D ORK TO BE PERF ESIDENCE AN � ACHED l .� � �..�F�,n_ .i.3J '-Q'� �h 5-13�� - �� '�I.';, .__ - -. . � � /"^.r — r;�. — ' • -- �5'� ��eS'. APPLICATION FOR PERMIT BUILDING For Office Use Only 0.lC8�PT NO, Rl0.MIT1NO.n DATE 188UED COSTA MESA. GALIFORNIA FIRE ZONE APPROVED ZONING ZONE NO. OF f19E OP NEW ( eurvs'/ aw�o�xa � LHGAL �� T�,3 a oesca�pno � A. P. NO. YARDS EVES APPROVED ALLOWED (CHMHR LIN¢ 8TJ Q t �30 A ,O F S s- 1 MeRBBY ACKNOWLCDGE TNAT 1 HAVE RGD THIB MPIJGTION TMe AMOUNT BXOWN UNOEq VALUATION 18 FOR TX! •!!D 9TATE TNAT THE �OV¢ IB CORPEGT ANO AOPEE TO COM- pUPP08E OP E9TABL�BH�NG A P¢RMIT FEE ONLY. PLY WITN ALL CITY OR��NANCEB AND HTAT6 lAW9 HHOULATINO Bu1lDING coNeTRurnPN. VALUATION 816NATURE OF PERMIT FEE s 36 - PERMITfE / /J p ^ $ � i �S / � pLAN CHECK $ �G � AUTHORIZED AGE C , A ti�`�'�� . 1'//