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Home My WebLink About3245 IDAHO LN - Building PermitsWEIDENKELL�R, MARY JANE From: KENNERSON, SILVIA Sent: Thursday, March 24, 2005 826 AM To: PETROS, EDWARD; WEIDENKELLER, MARY JANE Subject: RENEW EXPIRED PERMITS JUST WANT TO LET YOU KNOW THE PROPERTY OWNERS FOR 3245 IDAHO AND 511 TRAVERSE DR CAME IN THIS MORNING AND PAID FEES TO REINSTATE THEIR EXPIRED PERMITS. Silvia Kennerson City of Costa Bldg. Dept. 714-754-5G52 March 3, 2005 CITY OF COSTA MESA P.O. 90X 1200 • 77 FAIR DRNE • CALIFORNIA 92628-1200 DEVELOPIAENTSERVICES DEPARTMENT Dan Steward 3245 Idaho Lane Costa Mesa. CA 92626 PERMIT NUMBERS: FOR: PROJECT ADDRESS BUILDING DIVISION EXPIRED PERMITS 604-00622, E04-00306 Window, Re-roof, and Relocate Panel 3245 Idaho Ln., Costa Mesa This is to advise you that since all of the above permits have expired, inspection fees must be paid before any inspections can be made per Ed Petros, Chief of Inspections. The fees to reinstate the above permits will be equal to Y� of the original permit fees for all permits. You may come in to the Building Division Permit Counter at City Hall to pay the fees and arrange for a final inspection. If you have any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff inember will be happy to assist you. We appreciate your working with us to resolve this matter. Sincerely, , L% M Jane Weidenkeller Office Specialist II Building Division (714) 75a,5273 • Code Enforcement (714) 754-5523 � Planning Division p74) 754-52a5 FAX (71a) 754>856 • iDD p75) 75a-52aa • wmr.ci.costa-mesa.ca.us �,�,.7 sT��,2,� �Z4 S l D#`l��-o t.r/-1�^� � COST� �� G``� � 2foZ� � �-�t4) �7R- 2��7 �v�,2c,1-� 2, 2c�f �l Ti�� , �J i:XTi�S �� 2- �'�utt�� t'z-�Q U �ST f` � , � �e-� a�en� � �C. (�"'�2uv� � j r-� +`'�0 4 0 0� z 2 �� 4 0� 3��. � N�I u-i � � ib C� �fi'c �F� �v � 1� S��`" (1 o,J S t�,.`�`� l ti l 5 t� ��'S T �2-1L � V1�.Di" Tt-t I t w 1� �L t_Oi w1� 1 �tnlGL �t(t C��I�ST 1 N� PCG j-10�, �Ttr � � `� o-U , �-(�-„) ST�c � � A �2� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIFi ORIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lob nddress: 3245 IDAHO LN Suile: Vicinity: LIVING RM.BAY WINDOW & COMPLETE REROOF Parcel Number: 13906507 Applicant: STEWARD, DANIEL B Address: 32451DAH0 LN COSTA MESA, CA Owner: STEWARD, DANIEL B Address 32451DAH0 LN COSTA MESA, CA Contractor: O W N E R-B U I LD E R Address: Zip: � Arch : • ' ' - , � AHdress: ' ' � ` Zoning: ISSUED BY: Phone: 714-979-2777 Zip: 92626 Status: ISSUED Applied: 03/29/2004 Issued: 03/29/2004 Phone: �^�� Zip: 92626 � y1• �� `�r/� Phone: Q�'� License: 000000 Eng: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT INSTALLATION 10' X 4' BAY WINDOW IN THE LIVING ROOM OF AN EXISTING SFD. WORK TO ALSO REROOF OF THE RESIDENCE AND ATTACHED GARAGE: T/O EXISTING COMP ROOF, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 30# FELT, APPLY "40-YEAR COMP SHINGLES." 29 SQUARES Plan Check; $6321 Permit; $97.25 SMIP Res; $0.50 SMIP Com; $0.00 Other; $0.00 Inspection; $0.00 Total: $160.96 SETBACKS MAIN STRUCTURE Frant 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o 0 Rear 0- 0 Rear 0-0 Reauiretl: 0 FEESUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 ) $3,696.00 so.00 NOTICE: The work authorized hy this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. g2-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In brder for ihe work authorized under ihis permil to be considered legal, such work must comply wiih all applicable codes, and all required Inspections and tinal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration ot ihis permit. FOR INSPECTIONS CALL: (714) 7545626 ?466-46151001 WORKERS'COMPENSAnONOECLARAnON: I hereDy aNirm untler penalry ol perjury one of �he lollowing tleclarations: ❑ I heve end will meinlain e certificale Of consent to self-Insure tor workers' wmpensatlon, es provitled for by sectlon 3700 of th0 Labor Codo, lor the peAormance of the work tor which Ihis pertnit is issued. ❑ I have end wiil maintain workers' mmpensation Insurence, as required by section 3700 of the Labor Code, for the podortnence of ihe work for which this permil is issued. My workers' campensallon Insurence cerrier end policy numher are: Carner: policy Numbec (This ction need nof be comp/efed il the permit is velUetl et one huntlretl tlollars ($700) or less.) I certity that in the peAormance ol ihe work lor which t�is permit is issued, I shall not employ eny person in any menner so as to become sub�ect to the workars' compansetlon lews ol Celifornla, entl egrea thet il I should become subject to the workers' compensation provislons ot Sectlon 3700 of the Lebor Catle, I sha0 forthwith complY with these provisions. Applicent Signeture: Dete: WARNING: FAILURE i0 SECURE WORKERS' COMPENSATION CAVERAGE IS UNUWFUL AND SHALL SUBIECT rW EMPLOYER TO CRIMINAL PENALTIE$ ANp CIVIL FlNES UP TO ONE HUNDREO THOUSANO DOLLARE (5100,000�, IN A�DITION TO THE CAST OF COMPENSATION, DAM4GES AS PROVIDED FOR IN $ECTIQV 3]OB OF THE LABOR CADE, INiEREST, AND NTTORNEY'S FEES. LICENSED CON7RAC70R5 OECLARATION: I hereby aHirm that I am Iicensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code, enA my license is in tull torce end eflact. Lia A Class q Camractors SigneWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aMirtn that there is a consWction lending agenry tor the pertortnance oi the work for which this pertnit is issuetl. (Sec. 3W7, Civil Code). Lenders Name: lender's Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirtn thet untler penalry oi perjury ihat I am EXEMPT FROM TME CON7RAC70RS LICENSE LAW for the Iallowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a pertnit b consWct, alter, improve, demolish, or repair any structure, prior to its issuanca, elso requires the applicant for such permit to file a signed statement that he or she is licensetl pursuant to the pmvisians ot the Contraaore LJcense Lew (C�apter 9(commencinq with Saction 7000) ol Division 3 of the Busi�entl Professions Code) or that he or she is exempi therelrom and the basis for the elleged exemption. Any violation of Section 7031.5 by eny applicant for a permit subj s the apPlicant to e civil penalty of nat more than five hundred dollars (5500).): I, as ownar ol ihe propeny, or my employees with wages es their sole compensation, WILL DO THE WOFiK, antl ihe stmcWre is not imentletl or otteretl tor sale (Sec. 70a4, Business end Prolessions Coda: The Contractors License Law does not apply to an owner of property who Duiltls or improves thereon, antl who does such work him f or herseli or Ihrough his or her own employees, providetl Ihat such improvemems are not intended or oNeretl �or sale. If, however, Ihe building or improvement is d wilhin One yeer ol complation, the ownerbuilder will have the burden ot proving that he or she did not build or impmve tor puryo5e of sele.). I, as r ol ihe property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the prolect (Sec. 7044, Business and Professions Co Th contractors Licanse Lew does not epply to an owner ol property who builtls or Improves Ihereon, end who contrects for such pmject with a contractor(s) lice se pu uant to the Contrac�p�s License Laws.). ❑ I am xem t unde c. _ Signature: _ Owner ID veri ietl 6y tlriver'Slicense. ❑ Ves � No Business and Pmfessions Code br this reason: Venfication of Ownership by (type of daument, i.e. - pmperty taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION: Driver's License No. Date: Ezpiras: ❑ I hereby certlty that no axcevatlon five (5) or more fee� in tlep�h into which e person Is requlratl to tlescend, will be mede In connection wi�h work euthorizetl by Ihis pertnit, and that no building siructure, scaflolding, talsework, or demolition or tlismantling thereol, will be more than thirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomla Aaminisiretive Cotle). ❑ As owner-builtler, I will not employ enyone to tlo work which would require a permlt from the Division of Indusirial Safery, es noted ebove, unless such parson has a permit to do such work irom t�e division. Signature: pate: � Division of InduStnel Sefery Permit Number: ERTi A7E OF COMPLIANCE AND AIfTHORIZA710N OF ENfTiY: I certity under penalry ot perjury thet I have read this epplication entl state that the infortnation given is orrect. egrae lo comply w II state laws end city ordinances relating to builtling construction, antl euthodze representatives of iha Clry ol Costa Mesa to enter upon the ve-de cdbed roperty to n Pection urposes. 1 agrea no� �o occupy or allow occupancy of any building authonzetl by tnis Dermit until tinel inspection. �- �� -Dl�- SianaWra f Leaal Owner(5I � Date CODE I. �HsvecnoxTrve 1616 12fi6 200 201 202 203 AnNOr Authodzed Appliwnt Fiaed System Final Fire Prevention Pool Spe Finel Finel Re-Roof Flnal Block/Retaining Well , Final Fectory Fire Plece Final Sign 204 Final Demolition PdIE INRfIALS P E yODE� INSGECTIONTYPE 206 Finel Methanical 20B Finel Plumbing 210 Finel Electncal 212 Final Flre PreveNion 220 Final Planning Approval 222 Final Site 250 Final Builtling/OccuOency D�h I[�LS � 1 C,� � L''� �� 's�:��y D�� OWNER-BUILDER VERIFICATION r , . -- A city or counry, which is rcyuired �o give notice pursuant ro Sec[ion 19R30, shall a[[ach lo such nolicc, and, as a condition precedent to issuing a building permit, require the,c�mpletion and require the retum of, an owner-builder verificatian. � Attention Property Owner: An 'owncr-builder' building permit has been applied for in your name and bcaring your signature. Please complete and rewrn this information in the cm�elupc pmvidcd al your earliest opportunity �u avoid unnecessary delay in processing and issuing your building permil. Nu building permi� will he issued until this verification is received. i. 1 persnnally plan �o provide mujor labor and matcrials fur construclion of lhe propused property improvement. Yes ❑ No 2. I(have/have not) �/��E signed an application for a building pertnit fur thc pmposed work. . 3. I h�we cuntrncted with thu following persun (lirni) to provide Ihe proposed construction: Namc Addretic Phonc ( City — Contraclor's Lic. No. 4. I plan tu provide portiuns o(the work, but I havc hired the following person to cuordinaic, supervise and provide !he major worA: Namc Address Phone ( ) City — Contractor's Lic No. 5. 1 will provide some of the work but I have contracted (hirecl) ihe follou�ing persons to pro�•ide �he work indicated: Name Address Phonc Tr�pc of Work o �� _• ;. � M L .1 ,/ : .� S�f L 'w �'y i I (�/ i■ �. r -- -- — INT�a6 (REV 95P� March 3, 2005 CITY OF COSTA MESA P.O. BO% 1200 � 77 FAIR DRIVE • CALIFORNIA 92628-7200 DEVELOPIAENTSERVICES DEPARTMENT Dan Steward 3245 Idaho Lane Costa Mesa, CA 92626 PERMIT NUMBERS FOR: PROJECT ADDRESS: BUILDING DIVISION EXPIRED PERMITS 604-00622, E04-00306 Window, Re•roof, and Relocate Panel 3245 Idaho Ln., Costa Mesa This is to advise you that since all of the above permits have expired, inspection fees must be paid before any inspections can be made per Ed Petros, Chief of Inspections. The fees to reinstate the above permits wili be equal to Y� of the original permit fees for all permits. You may come in to ihe Building Division Permit Counler at City Hall to pay the fees and arrange for a final inspection. If you have any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff inember will be happy to assist you. We appreciate your working wiih us to resolve this matter. Sincerely, , J M Jane Weidenkeller Office Specialist II Building Division (714) 754-5273 • Code Entorcement p14) 75a-5623 • Planninq Division p14) 75a-52d5 FAXpt4)75«BSfi • TDD(7t4)75a-52aa • www.ci.costa-mesa.ca.us 1 (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant Address: Owner: 3245 IDAHO LN 13906507 STEWARD, DANIEL B 3245 IpAHO LN COSTq MESA, CA STEWARD, DANIEL B Address 32451pqH0 LN COSTq MESA, CA Contractor: O W N E R-B U I LD E R Address: . . ISSUE FEE Temp service test Res. a/c package New Res ('I-2 uniLs) New Res (3+uniLs) Pool / Spa Lightlng Fixls Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 7000a Motors to 1 hp Motors to 10hp Mo[Ors lo SOhp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a ELECTRICAL PERMIT ISSUED 8Y: Phone: 714-97&2777 Zip: 92626 Status: ISSUED Applied: 03/29/2004 Issued: 03I29I2004 Phone: v� y� �S ' v' Zip: 92626 y � �� >�v� o� , . Phone: Zip: License: 000000 SCOPE OF PERMIT RELOCATION OF ELEC PANEL WITH MISC ELEC IN AN EXISTING SFD. 15 LIGHT FIXTURES, 5 OUTLETS, 2 SWITCHES, 1 RES APPL (WATER HEATER), 1 SERVICE TO 200A $23.50 $0.00 50.00 $0.00 $0.00 $0.00 $16.50 $5.50 $2.20 $0.00 5a.75 $30.50 $0.00 $0.00 $0.00 30.00 50.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 15 5 2 0 1 t 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Sfanding Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 70 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Cirws ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Quantity 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 50.00 $0.00 NOTICE: The work autFronzecl by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) EXPIRA710N: This permit sha11 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 ihe work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and (inal approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 24a&a8 (8�00) WORKERS' COMPENSATION OECLARATION: - I hereby eHirm untler Oenalry 0� Perjury one oi t�e lollowing daGarations: ❑ I have end will maintain a certificete ol consent to selt-Insure for workers' compensetion, as provided for by section 3700 of Ihe Lebor Code, lor the pertortnance of Ihe work for w�ic� this permi� Is issuetl. ❑ I heve end will maintain workers' compensetion insurance, as requlred by section 3700 of ihe Lahor Code, for t�e pedortnance of the work for which ihis pertnit Is issued. My workers' compensatlon Insurenca carrier end policy number are: Carder. policy Number. (J7hi�5 eclion need not comp�efed ll the permit /s velued at one hundred dollers ($100) or less.) p I cenify that in t e pe omienca oi Iha work for which ihis pertnit is issued, I shall not employ any person in eny manner so as to become subject to ihe workers' compansation I s o Celifomia, and gree Ihat If I should 6etome sub�ect ro the workars' compensatioa provisions ot $eclion 3700 at the labor Code, 1 s�all torthw%h comply with ihes pr 'Sian �/� S/6 � Applicant SigneWre: �ete: WARNING FAILUFE TO SECURE W�ERS' COMPENSAiION COVEPAGE IS UNLAWFUL AND SHALI SU&IECT AN EMPLOVER TO CRI NAL PE TIES AND GVIL FlNES UP TOONE HUNDFED i/KK/SAN� OOLLARE (E100,000), IN ADORION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOfi IN SELTION 31060F THE LABOfl CODE, IMEREST, AND ATTORNEY'S FEES. LICENSEU CONTRACTORS DECLARATION: I hereby effirtn ihat I am licensed under provisions of Chaptar 9(commancing wlth Section 7000) of Division 3 of lhe Business and Professions Code, anA my license is in tull torce antl aHect. Llc. a Class a Comrectors Signeture: Dato: CONSTRUCTON LENDING AGENCY: ❑ I hereby affirm that there is a conslruction lentling agency for Ihe peAormance of �he work for w�ich Ihis permit is issued. (Sec. 3097, Civil Cade). Lentler'S Name: Lender's Atltlress: Signature: Date: OWNER•BUILDER DECLARAT��NS: I hereDy affirm ihat under penalry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or wunry whicd requires e pertnit to construct, al�er, improve, demolish, or repair eny structura, prior to its iuuance, also requires the applicant for such permit b tile e signed stetement Ihei he or she Is licensetl pursuant to the pmNsions of Ihe Contractors License Lew (Chepter 9(commencing with SecNon 7000) of Didsion 3 of ihe Business entl Professions Cotle) or t�at he or she is exempt therelrom and ihe besis br the alleged exempNon. Any violation of Section 7031.5 by eny applicant for e parmit s�uble �the applicant to a civil penalry of not more than five hundred dollers (5500).): L7 I, es owner of Ihe propeAy. or my employees wit� wages as their sole wmpensation, WILL DO 7HE WORK, antl the struaure is not Intentletl or oXeretl for sale (Sec. 7044, Business and Pro}essions Code: The Con�ractors License Law does not appty �o an owner ot property who builds or improves iheraon, en0 who does such work h' elf or herselt ar through his or her own emplayees, provided thet such improvemenis are not intended or oNered for sale. If, however, the building or improvement is old within one year of compietion, Ihe owner-builtler wiil heve ihe burden ol proving ihat he or she tlid not build or improve tor purposa o� sala.). I, es o r af the propeAy. am E%CLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7046, Business and Professions Cod e ontractors Ucense Lew tloes not epply to an owner ol propeny who bullds or improves t�ereon, end who coNracts lor such pmject with a conhector(s) licen e purs ant to the Contrect rs icense Laws.). ❑ I em xemp under s c. Business entl Professions Code tor this reason: Signature: Owner ID verifietl by tlriver's license. ❑ Ves ❑ No Dnvers License No. Ezpires: Venfiwtion of Ownership hy (type oi dxument, i.e. - property taz blll ar deed): DIVISION OF INDUSTRIAL SAPETV PERMR CERT7FICATION: ❑ I hareby certiy that no ex�evation five (5) or more feat in deplh imo which e person is required m descend, will be made in connection with work euthorized by this permit, and that no building simcture, scattoltling, falsework, or demolition or disman�ling ihereol, will be more ihan ihirty-six (36) teet higR (Chep. 32, Grp 2, Art 2, Sec. 341, Ti�le B, Califomia Adminls�ralive Gode). ❑ As owner-builder, I will not employ enyone to tlo work which would raquire e permit from the Division of Intlustnal Selery, as notod ebove, unless such person has e permit to tlo such work trom the division. Signature: Date: Division of Intlusirial Safety Pe�mit Number: COOE1, INSPECTIONTYPE 1616 Fixad System Final Fire Preventlon 1266 Pool Spe Final 200 Final Re-Roof 201 FIna181ocWRetaining Well 202 Final Factory fire Placa 203 Final Sign 204 Final Demolition I7Ji�L'tlilf.l4j CODEA INSPECTIONTYPE 206 Final Mec�anical 208 Finel Plumbing 210 Finel Elecirical 212 Final Fire Prevention 220 Flnal Planning Approval 222 Final Site 250 FinalBuiltling/Occupancy u u: � G� ��%�' �r.��.�.��.� .�..�...�.�.. __________________________ JobAddress: 3245 IDAHO LN Suite No Viciniry: Parcel Number: 13906507 Appiicant: BRIAN SIMKO Address: 778 NEWTON WY COSTA MESA, CA Owner: STEWARD, DANIEL B Address: 3245 IDAHO LN COSTA MESA, CA MECHANICAL PERMIT Phone: 949 54&5665 Zip: 92627 Phone: Zip: 92626 Contractor: ALLTEMP HEATING AND AIR CONDITIONING Address: 778 NEWTON WY COSTA MESA, CA Phone: 949 548-5665 Zip: 92627 License: 708775 SCOPE OF PERMIT REPLACE FURNACE, < 100K BTU. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refng Sys <100 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 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $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 n cinerator Domestic Incinerator Compressors / Absorplion Svstems Uplo3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp I Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 04/19/2004 Issued: 04/19/2004 �. � �/ . . •,,i � Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 $0.00 $0.00 $0.00 $0.00 0 0 0 0 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 TOTAL CALGULATED FEES $38.30 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ortl. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authonzed under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and final epproval must be obtained. Failure to obtain inspections antl final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2d66d6(N00) WORKERS' COMPENSATION DECLAFiA710N: I hereby aflirm untler penalty of perjury one ot the following tledaretions: ❑ I heve end will maintain a certificate of consent to selt-Insure for workers' compensation, es provided for by section 3700 ot the Lebor Code, for the pertormence of the work for which this permit is issued. ��—I �ave antl wlll meintain workers' compensetion insurenca, as required by sectlon 3700 of ihe Lebor Code, for the peAortnance of Ihe work for which this pertnit Is issuetl. �--My.wolkers' compensati n `In�urence card end olicy number are: � Certier: ^ ��( � l�/`� � Poliry Number. (Th"s sectlon need nof be cromplefed il fhe permu Is v/ued at one hundred dallers ($100) or less.) �= ' v7�n I certity that in tha peAo nce of tl ork lor whi is ertnit is issued, I shell not employ eny person in eny menner so es to becoma subiect ta the workers' /\compensetlon lew alifomi ntl egrae tha :.ehould become subject to the workers' compensation provisions o1 Section 3700 0l Ihe Labor Code, I shell forthwith comply w_ith thes hsn AppllcanfSigneture: �--Dete: WARNINO��fA1WRE TO SE RE RS' COMPENSATION ODVERAGE IS UMAWFUL AND SNALL SUBJECT AN EMPLOVER TO CRI PE ES AN� VIL FlNES UP TO ONE HUNDRED T/iOUSPNDDOLURE�51 ,000),INADDITKKJTOTHECOSTOFCOMPENSATIIXJ,DAMNGESASPROVIDEDWRINSECTION3%OBOF EUBORCODE,IMEREST,ANDATTORNENSFEES. LICENSED CONTRACTORS DECLARA710N: I hereby aMirm Ihat I am licensetl un�er provisic )orce.erM enect: Ltc: a �j1 Contrectors Signature:�� 9(commencing wllh Section 7000) of Division 3 of the_Busine� antl Professions Cotle, anA my license is in full CONSTRUCTION LENDING AGENCV: " ❑ I hereby aNirtn �ha� there is a consiructlon lending eqency for Ihe peAormance of lhe work for which this permit is Issued. (Sec. 3097, CiNI Code). Lenders Name: . Lentlefs AOdreu: Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirm that under penalry oi per�ury ihet I em EXEMPT FROM THE CON7RACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Cotle: Any clry or county w�ich requires e permit to consimct, alter, improve, demolish, or repelr eny stmcture, pnor to its Issuance, elso requires ihe epplicam tor such pertnit to Ille a signed stetement Ihat he ar she Is Ilcensed pursuent to Ihe provisions ol ihe Contractors IJcense Law (Chepter 9(commencing with Sectlon 7000) of Division 3 of the Business and Professions Code) or t�et he or she is exempt therafrom entl the Desis for the alle9ed exemption. Any violation of Section 7031.5 by any applicant for a pertnit subjects Ihe applicam to a civil penelty of noI more than flve hundred dollers (SWO)J: ❑ I, as owner oi Ihe properry, or my employaes with wages es their sole compensatlon, WILL DO THE WORK, enA the structure Is not Intentled or oHeretl lor sale (Sac. 7044, Business and Protessions Code: The Contractors License Law tloes not apply to en owner of property who builds or improves thereon, and who tloes such work himselt or herseN or ihmugh his or her own employees, provided ihat such Impmvemenis ere not intendetl or oMerad for sale. N, however, �he building or improvement is soltl within one year of completion, ihe owneo-builder will heve the burden of proving that he or she did not builtl or improve for purpose ot sale.). ' ❑ I, as owner at the praperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct tha project (Sec. 7044, Business and Prolessions Coda: The conireciors License Law does not eppty to an owner ol pmperty who builds or Improves ihereon, and who contracts for such pmject wit� e cantractor(s) license pursuant to the CoNractors License LawsJ. ❑ I am exempt under sec. Business entl Proleulons Code tor this reason: Signeture: Date: Owner ID verified by tlriver's license. ❑ Yes ❑ No Driver's License No. Expires: Verlllcetlon oi Ownarship by (type of document, i.e. - propeny taz bill or daetl): DIVISION OF INOUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cartify ihat no excavation tiva (5) or more faet in depih into which e person is required to descend, will 6e matle in wnnection with work euthorized by Ihis pertnit, antl tha� no builtling sirudure, scaHoltling, talsework, or demolilion or dismantling Ihereot, will be more then Ihirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, Califomia Atlministretive Cotle). ❑ As owner-huilder, I will not employ enyone to tlo work which woultl require e Oermil lrom ihe Division of Intluslnel Setery, as notetl ebove, unless such person has a permit to tlo 5uth work from Ihe divlsion. Signeture: Dete: Division of Indusinal Safery Permit Number: CERTFlCATE OF COMPLIANCE AND AUTHORI2ATON OF EMAV: I certity under penalty of perjury ihat I have read this application and state ihat the Infortnetion given is correct. 1 egree t mply with all stet laws end ciry ordinances relating ro bulltling construction, and authonze representatives of the Ciry ol Costa Mese to enter upon tha ebove-d ' etl pr erry tor insp on Duryoses. 1 egrea not to occupy or ellow occupancy of eny building authorized hy this permit until final insDec�ion. CO�E I, INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Finel Re-Roof 201 Final BIocWRetaining Wall 202 Final Faciory Fire Place 203 Finel Sign 204 Final Demolltion i�Aooncem�-- -. Qej$ 7�$ �Q.Q�� INSPECTIONTYPE 206 Final Mec�enical 208 Final Plumbing 270 Final Electncal 212 Final Fire Preven�lon 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupency 7.\I wL14 _ • �.l (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, WSTA MESA, CA 92626 \ , PLUMBING PERMIT , lob Address: 3245 IDAHO LN Suite No Vicinity: Parcel Nunmber: 13906507 npplicant: STEWARD, DANIEL B Address: 3245 IDAHO LN COSTA MESA, CA Owner: STEWARD, DANIEL B Address 32451DAH0 LN COSTA MESA, CA Contractor. OWNER-BUILDER i . ,� � �Address: Arch / Eng : Address: ISSUE FEE Backflow irrigatiqn Backflow Preventer Bathtub Clanfier Sysiem Connect (Ice,Sotla,etc) Dental Units Dishwasher Drain, Floor Drein, Rainwater Drain, Roof Drinking Fountain Expansion Tank Phone: 714-979-2777 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: 000000 Phone: Zip: License: SCOPE OF PERMIT RELOCATION OF WATER HEATTER IN AN EXISTING SFD. 1 GAS OUTLET (7-0), 1 WATER HEATER AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 FEESUMMARY QTY AMT Laundry Tub / Washer $0.00 0 Landscape Irrigation $0.00 0 P-Trap $0.00 0 Pressure Regulator $0.00 0 Process Pip'ing (per 10 k) $0.00 0 Receptors $0.00 0 Septic Tank $0.00 0 Sewer Cap for Demo $0.00 0 Sewer Connect $0.00 0 Sewer Private Line $0.00 0 Shower $0.00 0 Sink, bar $0.00 0 Sink, commercial $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 03/29/2004 Issued: 03/29/ 004 ISSUED BY: SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Cbset (Toilet) Water Heater / vent Water Piping pnst or Rep.) Water Re-pipe AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 N0710E: The work aulhorized by this permit shall comply with all applicable handicap access requiremenis under California slatutes and relafed regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: �This pe7mit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspentled or abandoned tor a period of 780 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 24464fi (6/00) WORKERS' COMPENSAnON DECLARATION: I hereby etti�m undar penalty of perjury one of the toliowing daclarations: ❑ I heve antl will maintain a cenificete of consent to self-Insure tor workers' compensation, as providea for by section 3700 ot the Lebor Code, for the pedormance of ihe work for which this permit is issuetl. ❑ I have antl will maintain workers' compensetion insurance, as required by section 3700 ot ihe Labor Cotle, for the pertortnance of the work for which Ihis permit is issued. My workers' compen�ation Insurence carrier antl policy number ere: Cerner: ``� Policy Number: ',(.T./his section neetl not be �omplefed il the permit is velued at one hundred dollars ($100) or Iess.J y„Q 1 certity Ihat i ihe p Aortnance of the work �r whlch this permit is Issuetl, 1 shall not employ any person in any manner so as to beCome sublect to ihe workers' �,7� compensatio laws Califomia, and egre at it I s o Id bacome subject to the workers' compensatlon provisions of Seaion 3700 of t�e Labor Cotle, I shall forthwith camply with th se p� �sion �� /O � Applicant Signature: � Date: G+� �� WARNING: FAILUFE TO SEGURE WORKERS' CAMPENSATION VEPAGE IS UNL4WFUL AND SHALL SUBIECT AN EMP�OVER TO CRIMMAL PENA[TIES AN� CIVIL FINES UP TOONE HUNDRE� TiqUSAND DOLLARE (8100,�). IN ADOITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O6 OF THE LABOR CADE, IMEREST, AND ATTOFNEY'S FEES. LICENSED CONTRAC70RS DECLARATION: I hereby eHirm that I am licensed under provisions of Chapter 9(commencinq with Section 7000) oi Division 3 of tha Business and Professions Coda, anA my license is in full force end ettect. Lic. # Class x Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: - ❑ I hereby aflirm ihat Ihere is a consimction lending agency for �he peAormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lentler'S Neme: Lender'S Address: Signature: Date: OWNER•BUILDER DEC4ARATIONS: I here6y ettirm ihat under penalry of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professions Cotla: Any ciry or counry which requires e pertnit to construct alter, improve, tlemolish, or repair any siructure, pnor to its issuance, also requires the applicant for such pertnit to file a signetl statement that he or she is licensetl pursuant to the provisions of the Contractors License Lew (Chapter 9(commencing with Sactlon 7000) of Division 3 oi the Business and ProfessionS Coda) or that �e or she is exempt therefrom and the basis for the alleged ezemption. Any violation of Section 7031.5 by any epplicant for a permit subjec �e applicani to a civil penalry of not more than five hundred dollers ($500).): I, as owner of the properry, or my employees with wages as thair sole compensation, WILL DO THE WORK, and the siructure is not intentled or oHeretl tor sale (Sec. 7044, Business and Protessions Code: The Coniractors License Ww does not apply to an owner of property who builds or improve5 ihereon, and who dces such work him If or herself or through his or her own employees, provided ihat such improvements are not Intended or oflered for sale. If, however, ihe builtling or improvement is d wnhin one year oi completion, the owner-builder will heve the burden of proving ihat he or sho did not buiitl or improve tor purpose of saleJ. I, ow er of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the pmject (Sec. 7044, Business antl Professions Co e: Th comractors License aw tloes not epply to an owner of propetly who builtls or impmves ihereon, and who contracts for such project with a coniractor(s) lice se p suant to [he Contra r License Laws.). ❑ I am xe pt und >ec. Business and Professions Code for this reason: SignaWre: te: � Owner ID venfied by dnvers license. ❑ Yes ❑ No Dnvefs License No. Ezpires: Verification of Ownership by (rype ot tlocument, i.e. - property taz bill or tleed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby certity Ihat no ezcavetion five (5) or more feet in depih into which a person is required to descend, wiil be made in connection with work euthorizetl by ihis permit, antl ihat no Duilding stmcture, scaHoltling, falsewo�k, or demolition or tlismantling ihereof, will be more than ihirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califom�a Adminisirative Code). ❑ As owner-builder, I will not employ enyone to tlo work which would require e permit from ihe Division of Industrial Satery, as noted ebove, unless such person has e permit ta do such work from the division. Signature: Date: Division of Industnal Safary Permit Number: eooe ", iNsrecnoxTrve 1616 Fixed Sysiem Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final BIocWRetaining Well 202 Final Factory Firs Place 203 204 Final Sign Final Demolition onr 1Ni¢1A4@ 1N lA COUEt INSPECTIONTYVE 206 Final Mechanical 208 Final Plumbing 210 Final Elecincal 212 Final Fira Prevention 220 Final Planning Approval 222 Final Site 250 Final BuiltlinglOccupancy �LI . 1111: j �+l� C.L� (714)754-5273 • Fau(714)754-4856 Job Address: 3245 IDAHO LN Suite: Vicinity: Parce� Number: 13906507 Applicant: VALDEZ Address: 1106 N. MARLES DR S.A., CA ownec ALLEN JACK Address 3245 IDAHO LN CITY OF COSTA MESA � BIIILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT C.M. CA Contractor: VALDEZ AND SONS CONST Address: 1106 N. MARLES DR. SANTAANA,CA Zip: 92706 Arch : Address: � Phone: Zoning: Phone: 714-5543907 Zip: 92706 Phone: 714-034-7468 2ip: 92626 Phone: 774-5543907 License: 290411 � Eng: Address: , ., 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 03/20/2000 Issued: 03/20/2000 Phone: Zip: . License: License: SCOPE OF PERMIT 93 LF OF 6' HIGH BLOCK WALL ON LEFT SIDE AND FRONT YARDS, NOT WITHIN FIRST 10' OF FRONT YARD Plan Check: $43.03 Permit: $66.20 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $109.73 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 20. 0 PARKING Existinq: o NOTES: Rear 0. 0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0. 0 s�,aso.00 so.00 NOTICE: The work authorized 6y this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a poriod of 180 days. . , . INSPECTIONS: In order for the work authorized undar this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeetiona end flnal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiretion ot this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I hereby eHirm untler penelty of perjury one of the following tleclara�ions: ❑ �eve antl will maintein a certiticate ot consent to self-Insure for workers' compensation, es provided for by section 3700 of ihe LeDor CoOe, for the pertormence ol tha ork for which this pertnit is issuad. I have antl will maintain workers' compensation insurance, as required by section 3700 0l ihe Lebor Code, tor the pedortnence ot Ihe work for which ihis pertnit is issuetl. My workers' compensation Insurence carrier entl policy number are: Carrier Policy Numbec (This secfion neetl nof be completetl i/ the permif is valued et ane hundred dollers ($100) or /e55.J ❑ I certity that in the peAormance of tha work for which this permit is issueQ I s�all no� employ any person in eny manner so as to 6ecome subject to t�a workers' compensation laws of Calitomia, antl egree thet if I shoultl become subject to Ihe workers' compensation pmvisions of Section 3700 of the Labor Cotle, I shall forthwith comply with these provisions. n� - / ApplicemSignaWre: /A�X.�� F� Date: �-7i0� Z�%� WARNINCa: FAILURE TO SECURE WORI S' COMPENSATION fAVERAGE IS UNL4WFUL AND SHALL SUBJEGT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVIL FWES UP TOONE MUNDRED THWSAND DIXAARE (5100,000), IN ADDfTION TO THE COST OF COMPENSATION, OAM4GE5 AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CADE, IMEFEST, AN� ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm Ihat I am licensed under provisions ol Chapter 9(commencing with Section 7000) of Division 3 ot the Business end Professions Code, and my license is in full force antl eflect Lic. N ' Class tt L�Z �% � C f7 CONractor's5ignaWre: �)b._A . � Date: —ZrY_o CONSTRUC710N LENDING AGENCV: ❑ I hereby attirm that there is a consiruction lentling agency for the pertormance of Ihe work lor which Ihis permit is issued. (Sec. 3097, Civii Cotle). � Lender's Name: Lentler's Address: ' � ' ' Signature: Date: ' ' OWNER-BUILDEF DECLARATIONS: I hereby ellirm Iha� under penalty of perjury t�at I am EXEMP7 FROM 7HE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which repuires a permit to consimct, alter, improve, demolish, or repeir any siructure, pnor to its issuance. elso requires the applicant for such permit to file a signatl statement ihat he or she is licensed pursuant to the provisions of the Comraaors Licensa Law (Chapter 9(commencing wit� Section 7000) of Division 3 ot ihe Business antl Prolessions Code) or that he or she is exempt therefrom and ihe basis for the alleged exemption. Any violation of Section 7031.5 by any applicant tor a permit sub�ects the applicant to a civil penalry o( not mora than five huntlretl tlollars ($500).): ❑ I, as owner of the properry, or my employees with wages as iheir sole compensetion, WILL DO THE WORK, and the structure is not intendetl or oNeretl for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law tloes not epply to en owner of properry who builds or improves thereon, antl who does such work himself or herself or through his or her own employees, providetl ihat such improvements are not intended or oftered for sale. If, however, the builtling or improvement is soltl within one year of completion, ihe owner�builtler wili have the burtlen of proving that he or she did not build or impmve for purpose of sate.). ❑ I, as owner ol the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Professions Code: The coNracbrs License Law does not appry to en owner ot property who builtls or improves ihereon, and who comracts for such prolect with a comractor(s) license pursuent to the Contractore l.icense Lews.). ❑ I am exempt under sec. Business and Professions Cotle for ihis reason: Signamre: Date: Owner ID venfietl by tlnvefs license. ❑ Ves ❑ No Onvers License No. Venfiwtion of Ownership by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CER7IFICATON: Expires: ❑ I here6y certiry that no ezcavation live (5) or more teet In depth into which a person Is requiretl to tlescentl, wlll be made in wnnection with work authorized by this permit, and Ihat no building structure, scaHolding, falsework, or demolition or dismanNing lhereol, will be more than thirry-six (36) feet �igh. (Chap. 3.2, Grp 2, An 2, Sec. 341, Ttle 8, Califomia Adminis�rative Cotle). ❑ As owner-bullder, I will not employ anyone to tlo work which would require a permlt fmm Ihe Division of Indusinal Sefety, as noted above, unless such person has a permit to do such work Irom Ihe division. SignaWre: Date: Division of Intlustnal Safery Pertnit Number: CERTFICATE OF COMPLIANCE AND Al7THORIZA710N OF ENTFiV: I certiy under penalry of perjury that I have reatl this application and state that the information given is correct. I agree to comply with all s�ate laws and ciry ortlinances relating to building construction, antl authorize representatives of ihe Ciry of Costa Mesa to enler upon the aDove-tlescnbed pwperty tor inspection purposes. I agree noi ro occupy or allow occupancy of eny building authonzad Dy this permit until final inspeciion. COOE �, INSPELTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Ra-Roof 201 Final BIxWFietaining Wall 202 Final Factory Fire Place 203 FinalSign 204 Finel Demolition 2446 dfi on INTITIRLS � / / /�/3�� COUE I INSPECTION TYPE 206 Final Mechenical 200 Final Plumbing 210 Final Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 FinalBuilding/Occupancy Date 'Z ' O o� INTRIALS • n-us s�ra-t is Fox wFox�.u.noNnt rtrnrnPosas ONLY. APPLIG7�7 LS RfSPONSIBLE FOR PROVIDAIG AN ACCURATE REPRFSFNI'ATION OF 7}�IIt PAOPFR'[Y IN GISE Ti� SHAPE AND SIZE DO NOI' ODRRFSPOND WI[H TI-IE WFORMA770N PROVIDID ON TFDS SF�Ef. DIVISl(JN OF BUILDING SAFETY GITY OF COSTA MESA APPROVEll __..( /�-� Date �' �� is set of lans and specAic�UST bz kepl on this job at all limes and il is unlawlul to �Ce n es or al =ratia on same wiihoN wrmen pertnissbn hcm the DNision of Duil�ing anY 9 d Saf°Iq CAv ol Cost Mes . , Fi�u -- --- dlor Stata la . the 6uilding r ;y5 0� I5EU2� . �dOEIICF _' '_ ' " _' � i i � � � � � I � The stamp�g of thi ol Ihe viol lion ot These ota s ard C work is on 2nd become null and voii � UBC §�3W (d) wi!hin 190 RE OCMQ • SOLiD WALIS/FENCFS BEf WEQ�12'fi• k 6' IN }IDGtiT SHALL BE SEIBAIX AT LFASf 30' FROM FRONC PROPERTY LfNE • SO[.m WALIS/FFN�S SHALL NOT HX� 2' 6' IN FIDGHT WIIHIN SV OF IHE FRONT PROPER7Y LINE (NO'i CIJRB LiNEj. • VERIFY Db7AN� FROM CURB 7'O PROPEKIY [.AIE AND giOW ON PLAN. VFRff(GTION FROM 77� Q'iY5 FNCINEF+RA7C DN6ION LS RF,Q�UIRED. CAIL Q14) 754S74i pox n,rFow�,+non�. RF9DEwCE � ."""'"'.. \ �__ F:, � '.'" � ': r. � -� ,-T"�� ' ._ � i�-� t',.CJiJ� �, C �- �� >�,:�.:BLOCK V :%6J`CT ?p BLDG. Dc?T. R_G, ��_D.AT� 3 1G U �jl-rc1' (O�N.��l, ��t':�wr�� {�c��—ou34� M9DENCl STREET RE90FMQ J2.,�-��=Ua,,��c Lw . � t � g� RE90EM(i I '_""""'_"""• i i LAYOUT FOR BUILDING PERMIT PLANNING DIVISION Cemenl Coping Optional � Channel Block With 1�3/8� Hori:onul Top ol all • - Fences - . For Fences 5' or Leu � Ven. Bars 3)B"Qi a� 4'��0". O.C. For Fencea Higher Than 5' ,. Vert. Ban 7/B"� at 32"�O.C. - Fi41 CeNs Solid With Grout ' Where Steel Occurs Rcinlorcing Sleel Shall Conlorm ro SecA�15�39 A.S.T M. All Stcel to be Lapped 24" or to Code NATUflALGRADE T�YPICA`L �� TWO 7/9"O E1A{i$ L CONTINUOUSTOP I 6 BOTTOM y.� HOD�iSTEEI MUST BE TIEO IN PLACE AT TIME OF TPENCN INSPECTION. a x: ' � � ' u Y w a t > i( ;. r -• a F `� , . w O . u � . . � 4.. �'� ' . n 'U N / •A - - D � K IDT H � SEE CM� ( = BEIOW 0 WIOTH THICKNESS . . DEPTH OF EARTHTOOTN SPACIfJG OF EARTHTOOTH 6�� CONCRETE BLOCK FENCE I4 10" 2 4" 12' FOOTING REQUIREMENTSCHART 14. 10" 20" 14' BUILDING DIVISION 12 8" 16�� 16� GENERAL- NOTES MORTAA: pie port Plastic Cement, and Three Parfs Sand GROUT: One Port Cement TNee ana One Half Ports S�and COPING: One Port Cement, Three Ports Sand CONCRETE: We�l M�red 1:2-I/2:3-I/2 MaM of 7- I/2 Gal;cns of Waler Per Sack ot Cement GROUT MAV f1E POUflED FHOM THE TOY OF THE FENCE IN CELLS WHEfiE STEEL occuns. CELLS AtJD AREASOF MOfit20N�At RE�N PoRCEMENT SMALL BE CLEAN, CIEAN 8 FREE OF ALL N10RTAR OEBRIS, ETC. H CV CARTMT(;OTH �!` IME HEIGTM OF FENCE �LOW BOTTOM OF fOGTiNG SCALE: I/2'�= I' 12" B" 12° 16� . ei, v� �v�� vi1��v�•v _ .. - " , .. -. -:, , _ . .-..... ... - :.... .... -.. . - � . 4.---..�� . _ ' "' ' ' - . . . '. . ,.. ... . :. '. ._... . . AYl' ' . ._. . " . . �. ' 'I. . - - . � . ... . - - � -. . '. ' Q� . _ _. . , � . .: . .. " - . .. .. . . i , - .� �. ._ _ . 4 ._ .�;. , .. . _.. " . .. � . � _ -- _ �', � _ '.. '. V'.�� "�/. �� .�..�".. �. �� : - ' - Y. _ 111 .. ' . ., - _ " . . . � u•� � - � � � � - � Y FIAT ROOF Sh'iEM � Y � _ � PfTCHED �ROOF SVSiFM . . .. _ SYSTEM . _. ; � . :. . . _ � `Model. . 628, Soiar Syphoa"" . �t: _ ' Dry WeigM ,r .: 21.3 Ibs. . ` . ._.'.'. : , ....: . � RIIed Weighf . . ' ; .4.`A lbs: � . . • . Deslpn Pressure _ . 150 PSI Tesf Pressure 300 PSI • Operating Temperature 35° - 270° _� . Finish Dark bronz� oven baketl poiyester (collectoc a ��--e - ��AL' APPROVAL ONLY � SOLAR COLLECTOR : ,. . �lardan lSC-0� - ��RARAi�..P@fiiNITS'ARE Rc`?'JIRED �ross Area 219'sq. ft� FOR. EL''CTR'Cq� o� ��"161�9,, �y we� ht 79 Ibs. q g tA�IACEAL�, `�iV+�ILJ�iPlG AitD . Rued weignt � �bS ' IiEFRIG�R.RiIDN WOP,K ' Huld copacity 0.50 gal. :- . . � No Flow Temperature 270° F. ;' - Cover., 5�32" patiemed tempered solor glass. � . � ' Transmissfvitq 89.6% ��-rr ��.OL ' - � ' �, �^�� .�O?'Onurale (f2�13) Tk1ALL �'� �n,,�r' ',��` � �C�O;�]�ANY ' � � InsulaTion � � g Case: = �- Gaivanize� sfeeP; x • � � F�t fsEQUESTS C - ; ;. ,� -,� � : , '- : y- . � r� _ ABSOqBER ,r '` . "' � �. � --> � � x�" � �; : :;_ � r,:_,,._-,� _ � t < >�x • tnrdGn Hea1 �aE}"� _ K urnque piafe�l9A absorUer ynth copper tu�mritl A7�minump -� ` �` '� '� _ �(ns reduce� Corr�e,�hve tiedt loss bnd prwid'e �&ra'�,fianaltpnnuc�u �� ' •fi � . ' ��Y -'� P6(iOfR10I1i:B .- _ _. . - ��i �� 4',�YeY�� T j}� � ._, , . . �. . . . I ��iL �" .� �' G'{�� t Absorber Coating Fbt blaCk ` � � STORAGE TANK i tvfode�: ` s2s " " t �?�, - p • �ry � -. 1.Q�1Qi'rl�t ;� .. .; -->` �V � 'KY i^ �. -a! . - t , t i ''` , Dry H19�9hi' -: �,- „ �iitf ID3. ,a��u. - � '�v� •< -' ;, _� : ,qft8d �el9F�i , _ � 835,I�is � :r. ,_ - . ' " • -�-- - , . .- _--... �length- � .::. r.; . d2 * -:,: P _ ,� '� - '�-- -- .,� : . . . , _... : _ .. ., ; ._ Diameter . . '. _ 14" ' s: - ; . �- Vessel Mild steel = corrosion resistdnt . . � _: .. insubilon Injectlon rtiWded Isoc,yqnuraie (R-14j preatry reduces odem�qM heaf bss �, : „�bdd(hp :�,� K � AcMla d ivontied ste9{ _ .. ; � '"�;_. -- � P°: , ,- t��rp,r, .�r,,� `. ��,, � 61a;s Il"nede�ame� unique process insures complet"e cop�iq �� . ' f r C9€hodic �btec�� " N�7o9nesrum o�ode ,': - - "� " - S. ' �y-. �: :<s 'rry.... � ' .. - . , .,. ::.,�r ... " '' - 1�OaTei ConriectionY 3�4" fema(9 ffiieod ,'. MOUNTING RACK - ' - � CONNECTING PIPES ' ,,._, .. . Model ._ . PD-28. ;. . FD-28 5�8"ODcopper.pipes x .. . . Applicatlon Wfched roof ,. _ Fiof roof �. � . , ; ,_ ;' weiant, _ _ ta 1b�, t �2 ibs . DECORATIVE COVERS _ ,,: . :. tilt `;:: � `„ tq'_.60° F ., 30° ':_ < ' ' , '�GGIv4nited st@el.� .. _ .. - Cons'frucfion ..:' ... . 1•1f2" L sha sfeel ossembled with 1!4 bolh.. : . .. q:, � .. , � . . „',.,, , -. ' '. . . .. . �� .��.:.� : . � '_ .. �M . .. . . :. ��C. : : ... ::'' . :' . SENSON __. �.�:. � COIIFCTOR � . O�EM / ' i : � P-T I„ I j��R ..... I � I � �IN VFNT FREEZE I-i � � � MI%WG VAIf� � .. r �. a I SENSOR --_.-__ .. ' ��CNECK � _ � n vuvE i �i I MY ` ::>"i::ii:i �. 1 ::�<;�A:<'�; ........... .... _ SiOR.\GETANK WATFRlE�TER ' ^ ti.u. vws t.mwa�we aw weu. � ua+��a�e � �,� ,a,w� , v��.�� i �� .�a.. � Mn"9 ON! / / �1 ia � CmwmwlWp+ r .�. ,�.o.�,.� ��.�.. tvu 6p� a �• • P � -�_ . � . , , � _ , .. . . , , ;. � . . ., . . ` - * - i' \f . � _ �. a -a � � ' r. � � �' ... .._. ., � . . . . . i. � S, ... �. :l " ,� .. ._.... ......_ ..�. . ., -� _. , . , . . . , . _.,. . . �.� . , .e•:. ,.. . ... , . -. . . . . . . . _ . .. .) . _....._s .... ... . Applicant to fill in all spaeez exeeo� enose witnin heavy boraer lines antl sign al1 apDrooriate tleclarations. 4975 I/04/85 I I�0" T�_ CITXOF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. - � ProjectAddress ��US �Z�a�O �- �� Z ' ' I Applican�'S Mailing Adqress �(�1�F TVPE OF CONSTRUCTION NEW /�DD ALTERATION REPAIR Owner's Nam¢ �t�.(Z p�� (�� /� � ��NVERSION ❑ DEMOLISH ❑ OTHER q_p, �j6 Zone a Phone7�LLflL / DESCRIPTION OF WORK/USE OF BLDG. O/iY��ulL �r91A CL Address d��L�'�- S Main Building: Accessory Building: E Z Arch/Eng. License No. TVPE OF PERMIT • GRA�IrvG FOUNDA710N STRUC7URAL T Front p Addre55 � ❑ TENANT ❑ ELECTRIGAL � PLUMBING ❑ MECHANICAL A Rear N Convactor'sName Phone�.Z/_Lai_7 � OTHEP p pi ht N PROJECT DESCRIPTION SQ. FT. OCCUPANGV 9 Addresslmailingl �-'��b ��%th'� AI�� K Le{t �' �^�� CON59"RUCTIONTVPE VALUATION$ S R Ciry License No. _ �X ZONE GRADWG GU. VDS. ACRES LICENSED CONTRAC70R DECIARATION Ping. REf, # Pa�king R2q./P�OvidCd E I hereby affirm thal I am licensetl untlBr provi5ions ot Charte� 9(commencing Remarks: C Z� � s �' �� Planning Notes: � M with secllon J000) of Division 3 of the Bu5ine55 antl Prof¢ssions Cotle, antl my Iicense is in �uu forcp ana etfect. � ��a� S: License Class License No�— Date �Z-� "� 5ignature PLUMBING FEES WORKERS' COMPENSqTION DECLARATION � I hereCy affirm that I ha�e a certificate oi consent to selt-insure or a cartificate Bar Sink . Showers ELECTRICAL FEES of Workers' Compensation Insurance, or a certi(letl copY �hereof (Section BackflowPreventet Sefvi[eSink Automatic Washer Transformer ❑ 15-50 KW 3800, Lab. C.) ��Q��-F,`� O 50 + Kw ' ao�icy No.�� .3�� Comoany � Backflow Irrigation Sewer Cap Construciior Pole Sub. �erti/1eC cooY Is herpby turnished. . ertzieStlopy�l� filetl with the city uiltl Div si i. Bathtubs Sewer Connection Cooking Unit Met2r ❑up to 700 amps Date_I •�t� —_ APPlicant� � � EXEMPTION FROM WpRKERS' COMPEfySATION OECIARAT�ON Clarifiers SOId1 C0112CtOf5 Di5hw25hBf MEt¢f ❑OVE/ 100 amps (Thissection neetl not be completetl II the permit is for one huntlretl (E300) or less�. Dishwasher � ' Solar Piping 2 Dryers �Gas ❑Electric Sub Panel I Certify that in IM1e pe�to�mance of tM1¢ work ior which [his pe�mi� i5 i55u¢tl, I : sha11 not employ any p¢rson in any manner so as to Decome subject m tne Drinking Fountains Solar Tank Fan Motors �0-1 HP �1'h - 8 Wo�ker5' COmpensation �ws ot Calltornia. Date S�9�ature Floor Drains Swimming Pool w/Spa P.q,U. Ine Solar �9-15 HP �16-75+ NOTICE: If, after maki�g {his tleclaration, you shoultl become subject to tha Wofk¢rs' Comp¢n5dtioq p�pyisions Ot the lSbol Cotle, y0u-must forfhwith F�OOfSinkS 'UfiOd) - Fixtu�¢5 MicfOwdv2 comply with SUCh prOvl5ion5 or tnls.permit shall ba tleemetl revoketl. , CONSTRUCTION LENDINC. AGENCV ('iaSService OUtl2t5 WelerCloset DeviteBOxeS I hereby afflrm that tnere iz a construc[lon lentling agency (or the performance POIe Light of tha wOrk tor wh{�h Mis permit is ISzuetl (SeCtiOn 309] Civ. C.) Inl¢�C¢pt0�5 Wacer Heater DuUEtS Leneer'z Name Range LenGer's Adaress Kitchen Sink � Water Service $witches Sign OWNER BUILOER DECLARATION I hB�¢by df9�m tha[ I dm ex¢TP[ trom the ConVattOr`s Ucense Law fo� th¢ �evdtOYi¢5 Garba ¢ Di5 OSaI followin9 reason (Section �031.5 Businesz antl Professional Cotle: Any city or 9 P Standing Sections county wnich requires a permit ro tonstrucq alter, improvo, tlemolish or repalr P—Trgp - '' Generator �0-5 KW OS-15 KW Trash Compacmr any Sl�uc[ure, p�lor to its is5uance, dlso �equirEs the applitant fo� SUGn Pe�mlt to tile a si9netl statemQnt that he/she Is licensetl pursuant to the provisions of Roof Orains � the COn[ractor'S Llcens¢ �yve (Chapter 9(comm¢ncing With Section ]000) of Oivision 3 of the Business antl Professions Cotle� or that he/she i5 exemPt lheretrom antl lhe basis for the alle9etl exemption. Any �iolation ot Sectlon 7031.5 by any appliCant for a permit Subject5 the applicant [O a civil �e�alty of not mo�e thdn five huntl�etl tlollars ($500). U I, as owner o� the property or my employees with wa9es as their sole 'ReinSpeMion Fee $15 -Issue Fee $ 3 compenzation, will do the work, antl [ne ztructure is not intentletl or offeretl Reinipeetion Fee S75 Issue Fee $ 3 for sale (Seclion 7046, Businezs antl Profezsional Coae: The Contraccor's MEQHANICAL FEES . LiCenSe Ldw tloe5 not dpplY [O en owne� of a p/opE�ry who builtls or improves th¢reon, ana who aoes sucn work nlmsel(/herseli or Mrougn his oi ner own DEVELOPMENT SERVICES REQUIREMENTS: employ ees, Owvitletl that such improvements are not Intentletl or oNeretl for 8oiler HoOd or Type I ❑ sale. If, now¢ve�, the huilGing cr improvemenl i5 soltl wlthin one year of com- C2nOpy Typ2 I I ❑ Zoning AppfOved By DatO oiet�on, the owncr will have Ihe burtlen ot provin9 he/she tlitl not buila or Im- Duct - Under Ground Building qpproved By � Date ��Ove fo� tne purpose Of Sale). I, az owner of the property, am exclusivery <oniracNn9 with Ilcensetl mn- Duct - Structural Refrigeration System Appliration luuad By �LL� Dat ttactO�s lo [onSV utt the Project (SectiOn 7044, Businesi antl Profes5ions CoOe: � The ConVactor's License Law does not apply to an owner of pronerty who Duct � Ventilating ❑0�700,000 BTU ❑100,000 BTU SUMMARV OF FEES builtls or improves th@reon, antl who contracts for such O�olects with a con- Vactor(sl license oursyant co the ConVactor's Litense Law). I am aware that Exhaust System ❑ Mul[iple ❑ System Repair/Alteration BUII.DING PERMIT $ SMIP $ pro0f ol tneir Worker•s Compensation insurance shoultl be provitletl to me. PLAN CHECK $ PERMIT ❑ I am exempt untler S¢ction B. & P. C. for this reason Firepl/FacL Blt. ICBO # PLUMBING $ � � .li� ISSUANCE $ Date Owner Heating System & Ducting PLAN CHECK 25% $ ENERGV P.C. $ i hereoy certiry tnat 1 have reaa this appiication antl state that the above ❑P100,000 BTU �100,0008T ELECTRICAL $ GRADING 5 information is correct. I a9ree ro comply with all Uty antl county ortlinances ana state lawz relating to buimin9 consVucNon, antl hereby autnorize repre- PLAN CHECK 50% $ MICROFILM $ sentalives � this city ente� upon the above-mentlOnetl prope�ty for inspectlon p ose 12_� � MECHANICAL S TOTAL FEE $ � r•Q� Si9nature � Date Drivers• Litense or 55 � - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46, rev. 4/84 White - Building; Canary - Applicant; Pink - AccounHng; Golaenrotl - Assessor � CONSTRUCTION AND PLANNING POOL & SPA �APPROVALS Permit# Date Inspector p�ppROVALS. Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE , 7. Footings 58. Electrical Conduit-Undrgrnd. � 8. Foundation � 59. Gas Pipe, � Undrgrnd., Test _ 9. Water Pipe-Undrgrnd. � • 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Dreins 64. Plumbing System - Final 14. Rough Plumbing � 65. Electrical-Final 15. Rough Electriral-Conduit 66. Solar System�Final 76. 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. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating ' 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Shea[hing � 74. Overhead Hydro 26. T-Bar Ceiling (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. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster•Brown Coat 79. FINAL iNSPECTION 32. Electrical Power Meter'-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 3�/�`d'6" (,��"Cq2Q (^„Ep 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final �/� (�� 42. Backflow Preventer 43. Backflow Irrigation . . . 44. �Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING � 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CEFTIFICATEOFOCCUPANCY No. Date OWNER �ppqpSON� N. 16B ADDRESS 3245 Idaho Lane 'GENERAL CONTRACTOR Santa Ana Tent AP No. _ ( _ LOT TRACT �INSPECTIONS S� �a*� SOIL G AS W ATER FOUGH PLUMBING PROP. $WR. LINE Q HOUSE CON. � SPFINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONOITIONING TEMPORARV SERVICE OR POLE UNDERGROUNO � POWER � liOUGH WIFING TRENCHES � FORMS � STEEL PEINF. � FLOOR SVSTEM BONO BEAM STEEL REINFORCE SNEATMING FRAME PNO FLASMING LATHING - IN OUT P�ASTER, BROWN COAT STRUCTURAL FINAL HEATING, VENT., REFRIG. ANO A PLUMBING, FINAL AN� GAS TESI ELECTRIC, FINAL 9111L01NG. FINAL F DATE BUILDING PERMIT NO. 28152 SUBCONTRACTOR � . 28152 COSTA �ESA BUILDING-SAFETY DEPARTMENT P.O. BOX 91] C08TA M@BA, CALIFORNIA For Applicant fo Fill In Completaly TYPE OR PRINT eui�oiNo ADORES9 , � COSTA MESA. CALIFORNIA � MAIL TEL. Jf � NO. TEL. SIZE � � OF LOT USE OF �. pESCRIPTION OF WORK BUILDINO � � � �� NO.O 61Z8 ROON EXTERIOR WAL�, I ROf COVERING CO\ USE OF BUILDINC ANO WORKTO � ! �w Zs °-�ao��a,a a�*••3.00 APPLICATION FOR PERMIT BUILDING For Ofiice Use Only 116C6�ITN0, pFqM1TN0._ CY OAT6' /- z; 3 Z 5�S- ZONING ZO H NO.OR U880PNi � � � PL�NB � o111LO�N0 LEOAL �f n i ' a L s-I , �. NO. / J , — CJ ID `✓ �' G � • fE: NO EAVE OVERHAN6 SHALL BE LE88TNAN ' TO 81OE @ REAR P. l. 'ES .OWED fU.B.C.REOUIREMENT] YARDSAPPROVED YARDSAPPROVED MAIN BUILDIN6 ACCE6SORV BUILDINO VAR. ?C DATE � HERBBY ACKNO�yLEC6E THAT 1 HAVB qEAD TH�B APPLICATION TH! AMOUNT BHOWN UNOBH VALUATION IB FOp THE AND 8TAT8 THAT THE ABOVH 19 CORqECT AND AOFEB TO COM• PUHP08H OP 88TABLIBHINO A PERM�T FPE ONLY. PLY WITM ALL CI{y OF�IN E9 A D BTATi WB R60ULATINO ypLUAT10N /J ew�mHo coHeTpurnon. PERMIT FEE a rOO SfGNATUREOF ^' PERMI7TE � � V " � g n n J AUTHORIZED AGENT a'v .'�, OD T TAL FEE � � Lor 2 j rR 37z�., • . ��3�8 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 C08TA MEBA. CALIFORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT au1LDiNc 3z45 (DAHO LANE ADORE6S COSTA MESA, CALIFORNIA owNER K& E DEVELOPMENT CO.�INC. MAIL Ne�,r�ort Beach TEL. 1555 �lacenCia Avs � c No. 61195 No: Mi 6—j227 S'ZE 6z.4 X80.86 IRREG, I NO, OF BLD�9. OF LO7 HOW oN LOT use oF None EXISTING BLDG. S�Ae �v n�esvON �O' pFGR VARII ��' n� L LEFT �(� RIGHT ✓ DESCRIPTION OF WORK I x II ., r�e.r,,,u II e��,r,� BUILDING, � ^" NO. OF SIZE I �. �HSE ROOM6 STOF EXTERIORWALL IROOF ROLK COVERING C GOVERING USE OF BUl1�.QING A ORK'r� BE PERFORMED �in�le �'amil.y Residence e 1 PLAN 2-ER i HER6BY ACKNOWLEDGE THAT 1 XAVB p6AD THIB MPLIWTION AND BTAT6 THAT THE ABOV¢ 16 CONRlCT ANO AGREH TO COM- PLV WITH ALL CIiY ORGINANCE9 � 9T lAWB REOYLATINO BUILDINO CONBiR 1 // SIGNATURE OF � � _ /.n,.. _ �, / PIRE ZONE —� L6G�L FEE RECEIVED `� ��T Z 41960 fINANCE DEPt. �►TY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only DATE �LT COSTA MESA. ZONING NO. OP I U8E OF NEW • PI.�N9 2 BJILDING W/ att cceNrart LINH 8T.) —r TXE AMOUM BXOWN UNDER VALUATION 19 RON THE PUIiPOBE OP 69TABLIBMING A PERMIT FEE ONLY. VAWATION � J �PERMIT FEE $�� OC/ � S �i � PLAN CHECK $ /