HomeMy WebLinkAbout3253 IDAHO LN - Building PermitsR.ioxEss a eu�w+o: 3 2 5 3 I DAHC
avxexsru�eiv�,,: NANCY CHAME
eooxess: 3 2 5 3 IDAHO
COSTA MESA,
434-8083
�cvi. Y,uuxc,�noeess:
IN
uH,: � CITY OF COSTA MESA — BUILDIr1G PERMIT
FLOOD: X 37
92626 PERMIT NO: B 074153 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR
� ARCNRECTORFNtlXEEX: L1C.N0.:
MCM ON FNO.'S �DONE53: UNT:
corim�craasru�: DAVID ALBERS CONSTRUCTION ( 714 ) 839-8904
caNm�cToirs�u�mc 1010 ELLIOT PL
�oopEsg; C.M CA �.�, 657652
92704 u�:
110EN5E0 COMP�CTOflS DECL�R�TION: I InreEq urtim wdm penely d p«jury Nm I em licenaed uM« povisione d Cheqm e
(eanmarw'aq wiih Senion J000) d Oivuion 3 d ihe Buarom eed Pml»ebru Cods. end mYC��� a� tu0 brea vd aHsq.
Cq.NO.: LIC.CLA55: B LIC. ..�_ye.� �XP:^
oma 1— ��' '�1 S c�i,w« 1 \% Y� r� /l
r
NEH BUILDEfl DEC W NATION: I hereby effirtn uMer penety d perjury Ihet I em emmq Irom the Cantmaan lioenee law Im �he
ollowig reeaon (Sedion )031.5 Business enE Prolmeione CoEe�, Any cny a caun�y which requirea e permB lo mrolmct, eXer, imprwe,
damd'eh, w mpei wy elmclure, y'rv lo ns esiarce, s6o repuiree IM epplirant Iw such permn m fb e epned eletemenl ihel he or eM
b �icensee w�em io ine nwinom G �he cmveaas uxnu lew Icluqe. e(oommendm .vnn seaun l000) a oi.�ebn s d ��r
Busi�was enE Prdevaiona Coda� a tAa M«sha u uemq tharehwn vW Ihe bese lar the elbped vampm. My videlion W SeUon
)0]t.5 W�Y eGW� tn e Mrmil wbjeCv IM eGdicaM lo e rivi De�Y d rwl mae �han (ve IwMreE EaOen IS�I).
❑ I. m mmer G iha propMY a�^Y a^D�'ees wIh wapm m ihei eda oompenseton. WI Eo Ihe xak. eM the ewnun u m1 inleeMed
ar MereA In veb (�� )�. Bmrea eed Profmuone Lotle: The Contreawa Liwua lewdoee not eppl�to an ow�wr d piopeny
wlw buids « inD�o�� �hereon, aM Mw Coec euM xork HmseX a Mnell a �hraph h'o a her own employeee, pwNed ihe� wch
impmanems ere mt inleMeE a dleraC I« aeb. H.Ipwmm.IM buiki�q «inpovemeN is edd wilhin ane Y� d mmpbtion. Ue
ow�wr-0uiper WI M�e iM bueden d pvrinp M or eM EN nd driM a impore In �M puryma d velel.
� I. m ovmar d tb MWe�Y. em udiviM' ouuim�q xdA GomuE canbecwe �o mr mue tM P%� (Seabn ]OM. Buei�a eM
Prdeaeioru Code: The Ga4rapon l's ve law Eom roi epp�y b an ouner M popany xfio dutla a imqwa Ihsaon ud v.fio
wmracd In vxh prqeea wiN e mMredor�a) IicsmeE punueM to tM Coniredora ticeme Ler).
� I am uemp urker See�ion: B. 8 P C.. br Nu eea»n:
Deia: O.mer:
I Eo MreW cenity �hm I em ewere d enC unCeis�and IM ipuiremmn d Cdfwnia Heellh erq Seiery COAe Seeiom 25505, Y553�, enC
2553C, eM IMI I or eny fN�n buiWiiq omipeni will / wil rwi (ticb wa) neeE b canpy wYh eeid mte codea uM IM ieyuinmema br
e Derm� Iumruvuctian artdifralionhomiha Rr�Ll�anepemeni Oietrvf. RwWentiel caMiutlian WO�iau era eaamN /mm Uwae
prwiaunf.
WORKEN'S COMVENSATION OECLANATON: 1 Msby affiem wder psnelly d perjury ma d tM Idbvrinp Aeduaium:
� Iheveudwilmeiriwi�ceMktledm�w�tio�WinNnoMv.orkanmmpruyhn.npwidsElaEySwion9"lWottMlebor
COCe.Ia �M pMmrorce d Ne xvk trc wlirJi Nie qnw u oewE.
❑ i na..m w��u,� �.«w�.� oomo�� �,�.�oe. m�.aw.a W sa� a�ao d me tm« coae. w m. o+�«me�n d nr
waF la xtiid� Nie pamn u mueE. My warknn' campnWion irourerca mrier enE pdiry mimEa me:
c.m..:
Pd'wy Number:
(Tlµs sedion meE raf be romGM:M / NsYs'mt is M mro hurNisd ddlvs �31W1 ar Im.)
�C� I cMh � in Na perlwmvice d ihe wark fa wt�ich �hu pem�n u usueE. I ehe0 nol employ eiry pamn w arry menner o m to
tEecane wbjed to iM xaMera' compeneetion lews d Calilan' . pres Um A I eh �k bxrme wbjw io iM wa�Mn'
cwn �aron womu�. a seaan a�ao w me �aeor c«». � � �mn n oomoN wnn � o�a �� o..
Oe : �� I I � � � RDWiceni:
eminp: Ftl/un ro��cun woMwi eomvsruatlon eov�iap� h unlawlu( mtl �MII Wr/wt en rrployr ro cAmlrol p�ntltlu �M
GNI flnu iq ro om huWreJ flavunE JdW� /f1QD,0001. In MGlfbn ro tlr� cwf al romp�nufbM1 darrrqa u provWq br /n
Sxtlon J105 0l tlr� LeDor Cotls, InMsst enE attomW'� INa.
CONSTHUCTION LENDINO AOENCY: I Mmby efF�m wWar peiWry d perjury �het thm e e omrtewion kMi�p apmey 1or tlia
penorm.ze d �ne w�t �« .mitl� ine v�^^� = s•we (swon ao9�. c:. c�.
LENDEN'4 N4ME:
LENOER'S A�DRESS:
I eMdy il� I Mve ned Ne epplieetian enE 9ma thm Ne ebova iNamubn b mrteq. I piee to eampy v.'v� ell r'ny eed eounry pE'vwKee
e�M s�ale lern nWiq Io Wtld�q cautruc�ion etd hmeM eWarrss �epaeenlelivas d Ilva cly b m�a upon Ihe abwe.menlioned popany
Iw impepon purpoeea.
DAVID ALBERS
Deta:
PERM NO: B 074153
GOVT: N SUPP: N
PURPOSE: OTH
JOB DESCRIPTION : T/0 6 REROOF W/COMP. SHINGLES SQ FT: 4,000
CLAIM VALUE: 4,000.00 CALC—VALIIE: 4,000.00 GROUP OCC; R-3 /M-1
COMMENTS: SMOKE ARE REQUIRED IN EVERY BEDROOM 6 HALLWAY, U.B,C. 1991
*x�*x���**��**x-**�**�***��r******x-**+�-�c�*****+r�x�*****�**r�******x�****+��c-**rt�*i�****+c���
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING — ------
FRNT: FT ZN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT'; FT IN
PARKING REQ: , PROV: PARCEL: 13906509 ZNE: REF NO:
PLANNING NOTES>,--
i
fE iE �E 1E iE if iE if if iE if 1f iE iE 1EdE if * jf iF 1! fE 1k iE 3E iE �E iE iE IE 3E �E IE 1E 1F 1F ik 3f if if jf !E �E 1E iE �E 1E �E Iflf if if iE if if 1E i! k 1E fE �f iE i! iE iElE fE 3E 3E iE 3E jE if if if iE dE ik if
D E V EiL O P M E N T S E R V I C E S R E Q U I R E M E N T S
/�
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE;
APPLICATION ISSSIED BY: DATE: l_�/ �'
�lE****iE*kiF*1EiEk*�Ei�iEiEiE*iEiE F,FiF'it r it�*iE�E*iE1E+ric�iE ���rl'�7*�E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGM'NT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00
PLAN ,'.
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 63.50 0.00 0,00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
63.00
.50
SMIP/NON—RES
TOTAL PAZD DUE
63.50 63.50 .00
63.50 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50
iE 1f iE ik iE 1E fE iE iE 9E iElE iE iE iE iE 3E iElE jE jE 1E iE iE iE iE iE iElE fE �E �E jE iE �E 1E iE iE iE 1F ik iE iE iE iE 1E iE iE 1E fE �E iE jE 3E iE iElf if !E iE iE iE iE 9E 1f fE iE �E iE fE 1E if iElE * iE 1f if iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N' UNIT COST TOTAL COST
SFR 4000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,000.00
END oF FEES S�OKE DETECTOR
,Exp R � REQUIRED
DATE �
Ji OU134'�_�.-CL']�a=2; �.e'
�aTE: e�,ii.•9s ,Ir��: r�:��
f , cn
(S15t-ab WP) WAna-Buikiq b Sefery:OreerFle: CTry-Rppirani: Pink-Reranue: OdEenraE-Naeeear
, _ r-,
.
.,
CONSTRUCTION AND PLANNING I POOL & SPA ,
APPROVALS Qermit# ' Date Inspector qppROVALS Permit# Date Inspectar
1. Temporary Electrical Service or Poie 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 Relnforcement 56. Rough Plumbing & Pressure Test
6. Eleclriwl UFER Grnd. 57. APPROVALTO COVER-GUNITE
7. FOotings 58. Electrical Conduit�Undrgrnd.
8. FOundation 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. ', 60. Backwash Lines, P-Trap, O Undrgmd. '
10. Struttural Floor Svscem 61. APPROVALTO DECK '
71. Property Sewer Line & House Connection 62. Backwash & Receptor•Final :
12. Sewer Cap 63. Heater & Vent-Pinal
13. Roof Drains 64. Plumbing System � Final
14. R�ugh Plumbing 65. Electrical�Final �
15. Rough Efectricai-Conduit 66. Solar System�Final
16. Rough Electric Wiring 67. Fencing & Access ApProval �
17. Rough W4ring Sign � 68. APPRpVED FOR PLASTERI�NG
18. ROughElectrical�T Bar Ceiling 69. POOL/SPASYSTEMS FINAL
79. Rough Heat(ng & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. D�cts, Ventilating 77. Product Piping O Gas ❑ Oil
�� 23. Gxs Pipe-Rough & Test 72. Underground Flush
:4. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oii
25. ROof Sheathing �.-�-�� 74. Overhead Hvdro
26. T-Bar Ceiling tStructural) & Monocoat 75. Dry Chemical �FM1,� �.',
27. Frame and Flashing 76. Dry StandpiPe �� �
28. L2thing & Siding 77. FIXED SYSTEM FINAL 1
29. Insulation ' 76. FIRE PREV. FINAL �'��i �
30. Drywall Nailing HEALTH DEPT. REQUIREMENT <- z
31. Plssrer Brown Coat 79. FINAL INSPECTION
32. Electrical Powzr Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning •- `G •7' fY �Q/J�(- ' 6��7� P+
35. Final Gas Pipe-Test
..r 'n
��i(�_f
36. Hood or Canopy � ,Q� �p� (,µ.) (,lj-✓j ,�y�
37. Final Factory Fireplace `/ e
38. Final Plumbing
39. 4V2ter $ervice-Final
40. Gas Service-Final �
41. Solar pomestic-Final
42. Backflow Preventer - -
43. Backflow irrigation � "
44. Landscape Irrigation Sys[em . �
45. $ound At2enuation
46. H2ndicap Regulations -� -
47. FINAL STRUCTURE & BUI�DING ' � '
48. FINAL PLANNING • •
49. Electric flelease to Edison �-
.�
e.
50. Gas Release to Southern California Gas Co ,�
51. CERTIFICATE OF OCCUPANCY
No. Date
ADD���ant to fill in all spaces except tnose within neavy borOer lines ana si9n all approD��ate aeclarations. � �
CiTY OF COS7n MESA CONSTRUCTION PERMIT P � o /� T ACT N�O7. L(Q�Jn"�n� UNIT NO. �,
1 �% LI I �7�L- 'LJ � A.P.# q� Zone
Project Address -�Z S 3 -�-�q ^ O L�N E _ S Main 8uilding: Accessory Building:
AppliCant'SMailingAddle55 3Z 1� �.O LAI✓�- TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR E Z
/! ❑ CONVERSION ❑ DEMOLISH � OTHER ��� ���N� A/E�C G✓IL T Front ,�; p
Owner'sName �L�TC2 1 fi}NE A Lphone `�3L-�3�3 u. /Y'��1: nut �.J'iJ�t 8 � N
Y DESCRIPTIONOFWORK/USEOFBLDG.b O Rear
Address 3ZS3 Z'cln-1w La�.i� cM 9L[�-6 p � �� ��-'--- a �
Arch/Eng. ^ License No. TYPE OF PERMIT GaADiNG FOVNDaTiOrv S7RUCTURAL �i K Right 3� � N
Addre55 ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL g Left SI ' G
❑�OTHER � Ping. Ref. # Perking Req./Provided R
Contractor's Name� Phone E
PROJECT DESCRIVTION 5�. F7. OCCUPAN V Planning Notes: �
Address (mailingl �T Q� 0 G ' 2 "'J -� M
GONSTRUCTIONTYPE �� VALUATIONS._Tr�_�� T
City LiCen N ZONE GRADING CU. VDS. ACRES 5.
LICENSED CONTRACTOR DECLARATION
I hereby a/fitm [ha[ I am licensetl untler prOvi5ion5 of Charter 9(COmm¢ncing Remarks: � a� � JL/j. � 9�' Z-Y' /1'
with seclion 7000) of DivlSion 3 0( tne Business antl Professions Cotle, an0
I. my license is in (ull force antl effect. G-. / ��� �_3 � C�. ELECTRICAL FEES
License CIa55 Lic¢n5< No. ��
�!. Date 5iqnature PLUMBING FEES Aummatic Washer Transformer � 15�50 KW
�'� WORKERS' GOMPENSATION OECLARATION Bar$ink $hOW¢�S COnSt�UCtiOn P012$Ub. ❑ SQ+KW
I hereDy affi�m [hat 1 have a certiticate of wn5¢n[ to self-insure o� d C¢rtiticate
ot Workers' Compensation Insurance, or a certifietl copy thereot (Section Backfiow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
3800, Lab. CJ �
policy rvo. company Backflow Irrigation Sewer Cap Dishwasher Meter ❑ove 0 amps
8 Certifie0 copy is hereby fumishetl. Drye�s ❑Gas ❑EleMric Sub Pan2
Certifietl copy is tiletl with tne city Builtlin9 Division. Bathtubs Sewer Connecti
Date /�Po�icant Fan M rsO0.1 HP.�1Y:-8
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Claflfiers Sola� Col Ors
(Thissection neetl not be completetl if the pe�mit i5 tor one huntlr¢tl (§100) o� DiShW'a5h¢f $OI IpiOg F�A�U� Ina Solar 09-15 HP 016-75+
Ie55).
I c¢r[ify that in the performance ot the wOrk fo� which this pe�m't i5 i55uetl I FixtU�25 MiC�OW3v¢ -
shall not employ any person in any man er so as to become s 'ect to tf�e Drinking Fountains olar Tank
Workers' co oe sat�'p laws ot Califor p_ �
Date' � p%'y��5iqnature —�a.�� Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE: If, after makl 9 tnis tletlaration, you shoultl become subject [o [ne Outlets flange
Wotkers' Comp¢n5dtion plovision5 01 the Labo! Cotle, you mu5t forthwith FIOOf $ink5 Ulin31
compty 'with such O�ovision5 or tnis pe�mit Shall b¢ tl¢¢metl �evoketl.
CONSTRUCTION LENDING AGENCV GaSService OUtle WaterCloSet SWitChes Sign
I hereby aifirm tha[ Ihere is a constructlon lentling agenGy for th¢ Pertotmance
ot tne work for wnicn tnis permlt is issuetl (5ection 3097 Civ. CJ Interceptors Water Heater Garbage Disp al Standing Sections
LenGer's Name
Lenaer's Atltlress Kitchen Sink Wacer Service Generator DO-5 KW �5�15 KW Trash Compactor
OWNER BUILDER DECLA0.ATION
I bereby aHirm lha[ I am exempt from ttte Contrdc[o�'s LicenSe Law for the LdvetO�i¢s AUtO-W25h
followinq reason (Section ]031.5 BuSiness antl Profe55ional COtle: Any City or
county which requires a pe�mit to Const�uct, dl[¢r, Improve, tlCmolish or repai� P-T�dp Leundry Trays
any strucWre, prlor to its Issuance, also reqWres the applitant for such permit
to tile a sign¢G statem¢nt [hat he/Sbe IS IIC¢nsetl puRudnt to [he prOvlsions o1 Roof Drains
the ConVac[or's Ucense Law (Cnapter 9(commencin9 wi[b Sectlon 7000) ot
Division 3 of tne BuSiness antl Professions Cotle) or that ne/she is exampl Reinspection Fee $15 Issue Fee $ 3
tner¢/rom an0 [he baSis ior the allegetl exemption. Any violation of $ectlOn
7031.5 by any applican[ tor a permit 5ubjeCtS tlta apPlicant to a Civil
�enatty o( not more than tive nuntlretl dollars (5500). g 3 DEVELOPMENT SERVICES REQUIREMENTS: __
LJ 1, as owner o/ the property or my employees with wagas as their sole Rainspection Fae $15 laue Fea
comoensation, will tlo Ihe work, and the structure is not IntenOetl or oHmetl Zoning Approved By Data •
Por sale (Section �044, Business antl Professional Cotle: Tne Conlractor's MECHANICAL FEES Building Appraved 8y Date �
License Law tloes not apply [o an owner of a property who builtls or Improves
therean, and wno tlocs sucn work hlmself/herSeH or tnrough his or her own Appliration Issued By Dat
employees, Orovitletl that such improvemenls are no[ Intentletl o� oHeretl for Boiler HOod or TypE I ❑ ,
sale. I/, howev¢r, the Duiltling or improvement i5 soltl within on¢ year of <Om- Canopy Typ¢ II ❑ S�f�1AflOV OF FEE$ �
Oletion, tM1e owner will nave the burtlen oi proving he/she tlitl not bulltl or Im- Duct - Undef GrOund
prove tor lhe purpose of sale). BUI LDING PERMIT $� �� SMIP $
❑ I, as owner o/ the pwperty, am exclusively con(racting with Iicensetl con- Duct -Structural Refrige aUon System PLAN CHECK $ PERMIT
tractorsto construc[ the project (Sectlon 7044, Business antl Professions Cotle:
Tne Coniraclor's License taw does not apply to an owner oi property who Duct- Ventilating -100,000 BTU ❑100,0008TU PLUMBING $ �SSUANCE $
builtls or im0�oves Ihereon. antl who cont�act5 for such owieGts wi[h a mn-
vacto�(s Lcense pursuam m ene Convactors License Law). i am aware tnat Exhaust System ❑ Multiple ❑ System Repair/Alteration P�N CHECK 25% $ ENERGY P.C. S
proof o� their Worker's Compensation insurance shoultl be provitletl to me. ELECTRICAL $ GRADING $
❑ 1 am exempt untler Section B. & P. C. for Ihis reazon Firepl/FacL BIL ICBO # Fire Dampers MICROFI LM $
; PLAN CHECK 50% $
. �_ �,,,,,,p, M� , Heating System & Ductin Registers MECHANICAL $ �� �
1 hereby certiry that I have reaa nls application antl state ihat the above ❑4100,000 BTU 01 ,OOOBT TOTAL FEE $
intormation is correcL I a9ree ta wmply with all city antl countY orCinances PLAN CHECK 25� $
and state laws relating to builtling construcHon, antl nereby authorize repre-
sen(d[ives of [hi5 city t0 en[er u on h above-mentiOnetl- P'rop.eyrt�y to(�r �
inspection purpos . Date�L�. _
Signature. � � peinspection Fee $15 Issue Fee $ 3 Q� d� �_�j_- „(� 7 �o ; ._ _
Drivers' License or 55 � � �l? 9 �' +�.C= '� -
0865-46, rev. 5/88 White - Builtlin9: Canary - APplicant; Pink - Accounting; Goltlenrotl - Assessor a��E' ���J���� T��?-� i�-�
4
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector
. t. Temporary Electrical Service or Pole �- 52. Pool & Equipment Location . '
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3:�Elecvical Conduit Utili[y-Undrgrnd. Y 54. Forms ,
4.'Elect�ical Conduii-Undrgrnd. 55. Electrical Bonding '
5.,Steel Reinforcement 56: Rough Plumbing & Pressure Test •
6�. Electrical UFER Grnd:- , 57. APPROVAL TO COVER-GUNITE
7? Footings S . 58. Electrical Conduit-Undrgrnd. � .�
8. Foundation . � ' .. 59. Gas Pipe, � Undrgrnd., Test '�
9%Water Pipe-Undrgmd. ' 60. Backwash Lines, P-Trap, O Undrgrnd. "'
10'. �Structural Floor System 61 . APPROVAL TO DECK �
11. Property Sewer Line & House Connection I� 62. Backwash & Receptor-Final
12. Sewer Cap r�. 63. Heater & Vent-Final '
13. Roof Drains 64. Plumbing System - Final ,
14. Rough Plumbing . 65. Electrical-Final
15. Rough Electrical-Conduii , 66. Solar System-Final
'16. Rough Electric Wiring ' 67. Fencing & Access Approval
�1�7�. Rough Wiring Sign _ 68. APPROVED FOR PLASTERING
t8.-Rough Electriral-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: UndergroundHydro
,22. Ducts, Ventilating .r . 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough &'Test y' ' 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas ❑ Oil
25. Roof.Sheathing ,_ 74. Overhetid 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 r � 79. FINAL INSPECTION
32. Electrical Power Meter-Final �_ 80. FOOD CERTIFICATE ISSUED
�33. Final,Electric �� � Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
I 36. Hood or Canopy
37. Final Factory Fireplace
< 38. Final Plumbing . ,
� 39. Water Service-Final
�40. Gas Service-Final
• 41. Solar pomestic-Final
i�
_ 42. Backflow Preventer' =
43. Backflow Irrigation
44. Landscape Irrigation System �
45. Sound Attenuation . �
46. Handicap Regulations "
r•
47. FINALSTRUCTURE&BUILDING ' '
48. Special Requirements Completed
..49. Electric Release to Edison �_
'50. Gas Release to Southern California Gas Co -^i -
51. CERTIFICATE OF OCCUPANCY ,' �� "' r';
�
No. Date • _ -
�oT 23
TR 3722• 13:Y.3�
COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BPX S17 COBTA ME6A. CALIFORNIA
For Applican+ fo Fill In Complefely
TYPE OR PRINT
BUILDING 3z53 IDAHO LANE
ADDRESB
COSTA MESA. CALIFORNIA
nwvrw K Sc E DEVELOPMENT GO.�INC•
B.W,Koll
Nexport Beach
60X � Q� I NO;.OF.BLDOB. O
U6E OF
E%IBTING BLDG. �.....,
BETB�CN LINH PPON �oi 2J �
ceertea OP siA6R� REAR YARD ���
� i^� I /�/
DESCRIPTION OF WORK
BUILDING VV-UNrt NO. OF [
SIZE � � � . -HSEROOMS f7 STORIES
EXTEft10RWAL�tllCCO IROOF ROCK
COVERING COVERING
USE OF BUIIDING AND WORK TO BE PERFORMED
� T
Attatched Garage
PLAN 1-G
1 HEREBY ACKNOWLEDOB THAT 1 HAVE READ TH�B APPLIGT�ON
we�O BiATe TH�T TXE ABOVB I8 CORPECi ANO AGREE TO COM-
PLY WITX ALL CITY OPpINANCE9 BTAT LAWB R60UUTIN6
BUILDINO CON9'�/y�� IO/N^/ •
BIGNATURE OF/ /l� //i . � /I4A-��._ � s[I �
� AUTHORIZED
FEE RECEIVED
� OCT 2 41960
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
FECEIPT NO. I _ ?P.AMIT NO.
er I o/U ec�!)I flG�T`/.
COSTA MESA. CALIFORNIA
APPROVED
ZONING
20NE NO. OF U8E OP �
R�1 I PUNB 2 BUILD�NG
�a.�
oeacx�vr�on I,Ot `��� TT'8C
w. P. No. none
YARDS EVES
APPROVED ALLOWEC
(CBNTCR LINB BT.1 �
THE AMOUNT 6HOWN UNDER VALUATION IB FOR THE
PUPPOBE OP EBTABLIBX�N6 /� PEPMIT F8E ONLY.
VALUATION /�(
PERMIT FEE $ �J� �
$ //�9 a., D
� � PLAN CHECK $ �Q �