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Home My WebLink About3256 IDAHO LN - Building PermitsCITY OF COSTA MESA �05� "'FS9 BI/ILDING D/V/SION F`�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • waw.ci.costa-mesa.ca.us � ` FOR INSPECTIONS CALL: (714) 754-5626 '°"'°'°"°'� PERMIT NUMBER: E09-00267 PERMIT TYPE ELEC APN: 13906603 JOB ADDRESS: 3256 IDAHO LN CM viciniry: STATUS: ISSUED DATE ISSUED: 10122/2009 ISSUED BY: BJK Suite/Unit: SCOPE OF WORK: CHANGE-OUT OF A 3-TON A/C UNIT AT THE REAR OF AN EXISTING SFD. 1 COMP UP TO 3 HP; ELEC: 1 RES A/C UNIT OWNER: SANDQUIST, TIMOTHY MALCOM PHONE: APPLICANT: JACOBY, ERIC PHONE: '818-735-7876 CONTRACTOR: ADD AIRE INC. Address: 834 W pRODUCTION PLUniC Ciry/State: NEWpORT BEACH, CA ZipCode: 92663 EIECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $90.30 Reinspection Fee $0.00 TOTAL FEES $90.30 Address: 32561DAH0 LN Unit: City/State/Zip: COSTA MESA, CA Address: Unit: City/State/zZip: License No. 906705 PHONE: 714-997-2969 CELL: NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requirements under Caii(ornia 5talutes and related regulalions. (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 authodzed under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will resWt in the expiration ot this permit. LO�E1. INSPECPONTYPE DAIE IN7RIAL5 COUE/ INSPEC7IONTVPE ORTE IN7171RLS 1676 Fixed System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing —f ��,— ^- ' /� 7T7i� 200 Final Re-Roof 210 Final Eleclnwl 4cti�� in i.ic �v� 201 Final BIwWRetaining Wall 272 Final Fire Prevention ��— �� , 202 Final Factory Fire Place 220 Final Planning Approval 203 FinalSign 222 Fina15ite 204 Final Demoli�ion 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalry of perjury one o! the following declarations: ❑ I have and will maintain a certifcate of consent to sell-Insure for workers' compen ion, as provided for by section 3700 of Ihe Labor Code, !or the peA ance of lhe work (or which this permit is issued. 1 have and will maintain workers' compensation insurence, as required by /�section 3700 of the Labor Code, for the pertormance of the vrork !or which this pertnit is issued. My workers' compensa�ion Insurance carrier antl policy number are� �� '� � �� Carrier. (Ths sedm neeo Oiro�t�o�e compelea t�e 6 valu at ona huMiedCd�an (Si00) wlexs.J Policy,Number. "Y`'�i3– ��'(��.7 —�%1 �2i ❑ I certi(y �hat in Ihe peAormance of �he work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions ot Section 3700 of the Labor Co , I sha I fort wilh comply wilh lhese provisions. ApplicanPs Si ature Dat � v WARNING: FAILURE T SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS (5700,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSEO CONTRACTORS DECLARATION: I hereby affrm Ihat I am licensed untler provisions ol Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force and effect./ �Lic..#� � � Class# � �v Contractor's Signa r Date CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm t�at t�ere is a consWction lending agency for Ihe pedortnance o/ the work fa which t�is pertnit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby affrm that untler penalty of perjury �hat I am EXEMPT FROM THE CON7RACTORS LICENSE LAW (or lhe following reason (Sec. 7031.5, Business and Professions Cotle: Any city or county which requires a permit ro construct, alter, improve. demolish, or repair any swcture. prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is Iicense0 pursuaN to the provisions of ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle) or that he or she is exempt therefmm and the basis for Ihe alleged exemplion. Any violation of Seclion 7031.5 by any applicant for a permit subjects the applicant lo a civil penalry of not more than fve huntlred dallars ($500)J: ❑ I, as ovmer of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the sWcture is not intendetl or offered tor sale (Sec. 7044, Business antl Prolessions Coae: The Contractors License Law does not apply ro an owner of propeAy who builds or improves thereon, and who does such work himself or herself or through his or her ovm employees. provided that such improvements are not intended or offered for sale. If, however, the builtling or improvement is sold within one year of completion, Ihe owner-builtler will have the burden of provinq that he or she did not builtl or improve for purpose of sale.). ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the projecl (Sec. 7044. Business and Professbns Code: The contractors License Law dces not apply to an owner of property who huiltls or improves thereon, and who contracts for such project with a contracta(s) license pursuaN to the Contractas License Lavrs.). ❑ I am exempt under sec. Business and Professions Code for this reason: 305]�46�3/0]) Owner ID verified by driver s license. ❑ Yes ❑ No Driver's License No. Expires: Verification o! Ownership by (rype ol tlocument, i.e. - property tax bill or tleed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certify Ihat no excavation frve (5) or more feet in depth into which a person is required to descend, will be made in connectbn wi�h vrork authonzetl by Ihis permiL and �hat no building structure, scalfolding, falsework, a demolition or dismantling thereof, will be more than thihy-six (36) feet high. (Chap. 32, Gry 2, Ari 2, Sec. 341, Title 8, Califomia Administrative Code�. ❑ As owner-builder, I will not employ anyone ro do work which vrould require a permit from the Division of Indusirial Safety, as noted above, unless such person has a permit to do such work from the division. nppliranfs SignaNre Date Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the appliwnt or present or fuNre building occupant nee0 to file and certify a Business Plan for emergency response to release or threatenetl release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Sa(ery Code requires, vrith some exceptions, lhat a Business Plan be filed with the Cos[a Mesa Fire Department by every business which has at any one time during a reportetl year a quantity of hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of tompressed gas at stantlartl temperature and pressure). 2. Does or will the applicant or present or future builtling occupaN neetl ro file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety Code, with some exceptions, requires registralion with the Cosla Mesa Fire Department by each business which at any one time has on hand a quantiiy of acu[ely hazardous matenals equal to or grealer lhan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feel of compressed gas at standard lemperature and pressure). 3. Does or will the applicaN or present or fuWre building occupanl need to prepare an RMPP (Risk Management antl Prevention Program for acutely hazartlous materials)? ❑ Yes ❑ No (Section 25534 0! the Califomia Health antl Safery Cotle pmvides that the Costa Mesa Fire DepartmeM may require Ihe preparation, certifcation and filing with the Fire Department of an RMPP by businesses which are required ro register acWely hazartlous materials with the Fire Depanment. 4. If an RMPP is presently required, has Section 25534 0( the Califomia Heal�h and Safety Code been fully complied wi�h't ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for Ihe work which is Ihe subject ot Ihis application a permit for such construction or motlifcation from the South Coast Air Quality Management Dislrict or from any other air polWtion control disMcl or agency? ❑ Yes ❑ No (Section 658502 of the Cali(omia Govemment Cotle requires that the requestetl intormation be fumishetl on applications for nornresidential building pertnits�. 6. Will any part of [he faciliry to be conslructed under this permit be within 1000 feet from Ihe outer boundanes ot a school? ❑ Ves ❑ No Qf'yes", the facilily must meel lhe requirement of Sections 25534 and 42303 of the Califomia Health and Safery Code). 7. If a permil fmm the Sou[h Coast Air Ouality Management District or olher air polWtion wntrol district or agency is required for the work which is the subject of this application, have all ot the disclosures prescnbed by Califomia Heal[h and Safety Cotle Section 42303 been made? ❑ Yes ❑ No 8. (If'yes", attach certifcate of compliance from the appropriate air pollution control offcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the infortnation given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Matenals and Emissions. Signaiure Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalry of perjury Ihat I have reatl this application and state that the information given is wrrect. I agree to comply wilh all state lavrs and city ordinances relating ro building construction, antl authonze represenlatives of the City of Costa Mesa to enter upon Ihe above-descnbed property for inspection purposes. I agree nm ro occupy or allow occupancy of any building aumorized by this permit until fnal inspection. SlgnaWr ( eBalOwner(s) Date -Lr2a �D�`�� j' Antlbr ANhonze0 ApPhcanl• Dat / ; . `, i• + CITY OF COSTA MESA �o� MF,P B!/ILDING DIVISION F�� 77 FAIR DRIVE. COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754-4856 •�.ci.costa-mesa.ca.us ��4�� FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: M09-00096 PERMIT TYPE MECH APN: 13906603 JOB ADDRESS: 3256 IDAHO LN CM Vicinity: REAR SFD SQ. FT: 0 STATUS: ISSUED DATE �SSUED: 10122/2009 ISSUED BY: BJK Suite/Unit: SCOPE OF WORK: CHANGE-OU7 OF A 3-TON A/C UNIT AT THE REAR OF AN EXISTING SFD. 1 COMP UP TO 3 HP OWNER: PHONE: APPLICANT: PHONE: SANDQUIST, TIMOTHY MALCOM JACOBY, ERIC 818-735•7876 CONTRACTOR: ADD AIRE INC. Address: 834 W PRODUCTION PLUnit: City/State: NEWPORT BEACH, CA ZipCode: 92663 MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: $38.20 PLAN CHECK FEE: $0.00 INVESTIGATION FEE: $0.00 REINSPECTI4N FEE: $0.00 TOTAL FEES: $38.20 Address: 3256 IDAHO LN Unit: Ciry/State2ip: COSTA MESA, CA Address: Unit: Cily/State/zZip: License No. 906705 PHONE: 7'14•997-2969 CELL: NOTICE: The work authorized by this permit shall comply vnth all applicable handicap access requirements untler California statules antl related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable wdes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit. OC DE1, INSPECTIONTYPE DATE INPTIALS CODE1 INSPECTIONME �, OpTE J�IT17p�1$� /iT�/ 1616 Fixed Syg(em Final Fire Prevention 206 Final Mechanical /�A IlS✓l. �...` 1266 Pool Spa F�nal 208 Final Plumbing 200 Final Re-Root 210 Final Elecincal 201 Final BIOCk/Retaining Wall 272 Final Fire Preven�ion 202 Final Fac�ory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Si�e 20a Final Demoli�ion 250 Final Building/Occupancy � WORKERS' COMPENSATION DECLARATION: I hereby affvm under penalty o( perjury one o( the following declarations: ❑ I have antl will maintain a certificate o( consenf to self-Insure (or vrorkers' compensation, as provided for by section 3700 of the Labor Code, tor the pedor nce of the work for which this permit is issued. ` � I have and will maintain v.orkers' compensation insurance, as requiretl by sectbn 3700 of the Labor Code, for the pedortnance of Ihe vroAc for which this pertnit is issued. My vrorkers' compensalion Insurance carner and policy number are: _� 'Certier. ��i•.� �.�i /Y/O (ThisseGdnneed/rn1tDecomd �ddmepeimakvalueeatmenundreddollars(S1oqa�ess) Policy Number: / i D g y�-� / Z�� Z� ❑ I certify that in Ihe peAormance o/ the work for which this permit is issued, I shall not employ any person in any manner so as to bewme subjec[ lo the workers' compensation laws of Califomia, and agree [hat it I shoultl become subject to the workers' compensalion provisions of Section 3700 of the Labor C , I s I forthwith comply vrith these provision . d Applicinfs$i awre �Date� WARNING: FAILURE TO SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrm that I am licensed untler provisions of Chapter 9(commencing vnth Section 7000) of Division 3 of the Business and Protessions Code, and my license is in (ull (orce and eft�. �ia u'�> � b�a D S c�ass.it. G?i!7 / d�� / Gomrac�or's i awre �a1e _ � CONSTRUCTION LENDING AGENC : ❑ 1 hereby affirm that there is a consWction lending agency for Ihe pertortnance of the work fa wfiich this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby atfrm ihat under penalty of perjury thal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the follovnng reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to constmc[, alter, improve, demolish, or repair any stiucture, pnor to its issuance, also requires tha applicant for such permit to file a signed stalement that he or she is licensed pursuant to the provisions o/ the Contractors License Law (Chapler 9(commencing with Section 7000) o( Division 3 of the Business antl Professions Code) or that he or she is exempt [herefrom antl the basis for the alleged exemption. Any violation of Section 7037.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner ot the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Prolessions Code: The Contractors License Law tloes not apply to an ovmer of property vfio builds or improves thereon, and who does such vrork himself or herselt or thmugh his or her ovm employees, provided thal such improvements are not iniended or oHered for sale. If, however, the building or improvement is sold within one year of completion, Ihe ownerbuilder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner o( the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to conswct the project (Sec. 7044, Business and Professions Code: The contractors license Law dces not apply to an ovmer of pmpetly who builds or improves Ihereon, and who cont2cts for such projecl with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Sig^atore 305]�<6(3IOl) G Ovmer ID verifetl by tlriver s license. ❑ Yes ❑ No Driver's License No. Expires: Verifcation o! Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cerlily that no exwvation frve (5) or more feet in depth into which a person is required to descend, vrill be matle in connection with work authorized by this pertnit, antl that no builtling stmcture, scaf(dding, falsev.ork, or demolition or tlismantling thereof, will be more than thirty-si� (36) feet high. (Chap. 32, Gry 2, M 2, Sec. 341, Tille 8, Califomia Atlministralive Cotle�. ❑ As ovmer-builder, I will not employ anyone to do work vAtich woultl require a permit Irom the Division o( Intlustrial Safery, as noted above, unless such person has a pertnit to do such work from the division. /+OW��'s Signdiure Oale Division of Induslrial Safety Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre building occupant need to file and certify a Business Plan (or emergency response to release or lhreatened release of a hazartlous matenal? ❑ Yes ❑ No (Section 25505 of the California Health antl Safety Code requires, vrith some exceptions, that a Business Plan be filed with lhe Costa Mesa Fire Department by every business which has at any one time during a reportetl year a quantiry of hazartlous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feel of compressed gas at standard temperaWre and pressure). 2. Does or will the applicant or present or Wture building occupant need to fle a regislration form for aculely hazardous materials? ❑ Yes ❑ No (Seclion 25533 of lhe Califomia Health and Safety Code, with some excep�ions, requires registra[ion with Ihe Costa Mesa Fire Department by each business which at any one time has on hantl a quantity of acutely hazartlous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of wmpressed gas at standard temperature antl pressure). 3. Does or will Ihe applicant or presenl or fuWre building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (SectiOn 25534 of the Califomia Healih and Safety Code provitles Ihat Ihe Costa Mesa Fire Department may require the preparation, certification and fling with the Fire Depariment of an RMPP by businesses which are required to register acutely hazardous matenals with the Fire DepartmeM. 4. If an RMPP is presently requiretl, has Section 25534 of ihe California Health and Safery Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future builtling occupam require tor Ihe work which is the subject ol this appliwtion a permit for such constmction or motlifcation fmm the South Coast Air Quality Management DiSMc� or (rom any other air pollution control district or a9ency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Code requires Ihat the requested infofmation be fumishetl on appliCations for nomresitlential builtling pertnits�. 6. Will any part ol the facility ro be constmctetl under this permit be within 10001eet from the outer boundaries of a school? ❑ Yes ❑ No (It "yes", the facility must meet the requirement ot Sections 25534 and 42303 of the Califomia Health and Safery Code). 7. I( a permit from the SoWh Coast Air Quality Managemenl Dis[rict or other air pollution control district or agency is required for the vrork which is the subject of this application, have all of the disclosures prescribed by Cali(omia Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If'yes", atlach certificate of compliance from the appropriate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correcL I agree to comply with all state laws and city ortlinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certily under penalty of perjury that I have read this application and state that the infortnation given is correct. I agree to compy with all state lav5 and ciry ordinances relatinq to builtling consWclion, and authorize representatives o� the Ciry of Costa Mesa to enter upon the above-descnbed pmperty for inspection puryoses. I agree not to occupy or allow occupancy ot any building authorized by this permit until final inspection. Si naWreol IOwners �D ate Q e I // /i+�/�c% ./_ � � 7 An0/orA izeOAppbran� Oate�� A� D D ,�-/c �� N k�,�� Y�R � APPROVED ' rtT'Y OF COSTA MESA SUE NO" OI APPF � ,� �5' �zS� Zp/��fo L.��v� (714) 754-5273 • Fex (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: 3256 IDAHO LN HALLWAY CLOSET Parcel Number: 13906603 npp�icanc TINGLEY, JEFF Address: 11861 CARDINAL CI UNIT F GARDEN GROVE, CA MECHANICA IT ` � � . Phone: 714-534-8474 Zip: 92843 Owner. MARTINEZ, MARK C AND NINA H Address: 3256 IDAHO LN " COSTA MESA, CA Phone: 714-556-7767 Zip: 92626-2234 Contractor: BEL AIR COOLING AND HEATING Address: 11861 CARDINAL CI UNIT F Phone: 714-534-&474 GARDEN GROVE, CA Zip: 92843 License: 710334 Status: ISSUED Applied: 12/15/Z005 Issued: 12/15/2005 ISSUED BY: SCOPE OF PERMIT REPLACE EXISTING FAU <t00K BTU LOCATED IN THE HALLWAY CLOSET. ISSUE FEE Inst FAU <100 k BTU Inst FAU >700 k BTU RepairlAlt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <t00.k BTU� Refrig Sys>700 k BTU Gas Piping , Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Ducl Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Venl Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.80 50.00 $0.00 $0.00 so.00 50.00 $0.00 $0.00 $0.00 so.00 $0.00 so.oa $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 Quantity 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / AIt Absorblion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporetive Cooler Com me rci al I nci ne rator Domestic Incinerator Comoressors / Absorotion Svstems Upto3hp/100kBTU 3To15hpI500kBTU 15 To 30 hp / 7,000 k BTU 30 To 50 hp /1,750 k BTU Over 50 hp I�Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15to30hp 3010 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTALCALCULATEDFEES COMMENTS / SPECIAL CONDITIONS Quantiry $0.00 0 $0.00 0 $0.00 0 $D.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 538.30 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92J EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or ebandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectiona end flnel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 7545628 zaao-+e �eroo� WORKERS'COMPENSAnON OECLARAnON: . I hareby attirtn under penalry ol perjury one o� �he following declarations: � ❑ I have and will malntain a certificate of consenc to setl-Insure br workers' compensatlon, es proNtletl lor by saction 3700 ot the Labor Cotle, for the peAormanca of the t� wo�for which tNs permit Is Issued. . . C] I�ava entl witl malntain workers' compensation insurance, as requiretl by section 3700 of Ihe Labor Code, tor Ue perfortnance of the work for which this permit is luuetl. �M workere mpensation Insur�ce carrier entl policy numbet are: -e+�^' _._ — `�_�� ^ //� Cercier:+ .i�fc �'� �' � 1.� ' P ' y�Number.'�'��`-K7 (71il�cfion need not be cromple(etl il fhe pe�it is velued af one hundretl tlollars ($100) or less.) ❑� I certify thet in �he peAormence of Ihe work for w�ich this pertnit is �i eei�d, I hall not employ eny person in eny mannar so as to bacome suClact to the workers' compensetlon lews of Califomia, antl egree thet ii I should beco 6 s �ect t Ihe workets' compensation provisions of Saction 3700 of Ihe Labor Cotle, I shalPforthwith comply with ihese provisi . . ��J r�ar�i s�a�� °, ��a:� j. �(�� C'� � WMNIN��.FAILURETOSECU ENSATIONCAVERA LA Lq SHALLSU&IECTANEMPLOVERTOCPIMINALPENALTIESANDCIVILFINESUPTOONEMUNDRED TF�SAND DOLLARE ($100,000�, IN ADDITIIXJ T07ME COST OF COMPENSATION, �A AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR CADE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: Chapter 9(commencing with Sectlon 7000) of Code, and my license Is in full CONSTAUCTON LENDING AGENCY: ❑ I hereby elfirm thet Ihere is e construction lending agency lor ihe peAormance oi the work tor which ihis permit is issuetl. (Sec. 3097, Civil Cotle). Lendefs Name: LenAeYs Adtlress: Signeture: OWNER-BUILDER DECLARATIONS: Date: I �ereby attirm thet under penelty of perjury tnet 1 am E%EMPT FROM 7ME CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professlons Code: Any ciry or couNy w�ich requires a pelmit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires the applicant for such permit to file e slqned stetement that he or she Is Ilcensed pursuant to the pmvislons ot Ihe Contractors License Lew (Chapter 9(commencing wiih Sectlon 7000) of DlWsion 3 ai the Business antl Professions Code) or Ihat he o� she is e:empt therefrom entl the basis lor the elleged exemption. Any violation at Section 7031.5 by any epplicent far e pertnit sub�ects ihe epplicant to e civil penelty of not more then fiva huntlretl tlollars ($500).): ❑ I, as ow�er ot tpe paopeRy, or my employees with wages as their sole wmpensation, WILL DO THE WORK, entl lhe structure is nof iMentletl or oflared tw sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not epply to en owner ot propeny who builtls or improves ihereon, antl who does such work himselt or hersell or ihrough his or �er ow� employees, providetl thet such Improvements ere not Intendad or oHeretl for sale. If, however, Iha building or improvement Is soltl within one yeer of completion, the owner-builder wiil heve ihe burtlen of proving ihet he or she did not build or improve tor purpose ol sele.). • ❑ I, as awner of the property, am E%CLU5IVELY CONTRACTING WITH LICENSED CONTRACTORS Io ton5iruct the prolect (Sec. 7044, Business and Professlons Code: The contreciors Llcense Lew does not epply to an owner of pmperty who builtls or Impmves t�ereon, entl who contracts for such pro�ect wit� a contracror(sj license pursuant to the Conirectors License Laws.). ❑ I em exempt untler sec. SignaNre: Owner ID venlied by driver's license. ❑ Yas ❑ No Business and Professions Code tor �his reason: Verilicetian of Ownership by (type ol documen�, �.e. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PEflMIT CERTIFICATON: Dnvels Licensa No. Date: Expires: ❑ 1 �ereby certify that no excavetion tive (5) or more feet in depth into which a person Is required to tlescenQ will be made in connection with work euthorizetl Dy Ihls permit, enC that no building swcture, sGattolOing, falsework, or demWition or dismantling theraof, will be more Ihan thirry-six (38) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Adminisiretiva COde). ❑ As owner��uiltlar, I wlll not employ anyone to tlo work w�ich would require e pertnit trom the Division ot Industrial Safey, as notad above, unless suc� person hes e � permit to do such work Irom the tlivision. Signeture: Date: Division of Industrial Selery Permil Number: CER7IFICATE OF COMPLIANCE AND AUiHORIZA710N OF EN7RV: I cortify under penelty of perjury that I have read ihis epplication antl state t�at ihe Informatlon given Is correct. 1 agrea to comply wit� ell siate laws antl ciry ordinances relating to bulltling constructlon, an0 euthonze represeNatives oi the Ciry of Costa Mesa ro enter upon t�e ebove-tlescnbed property tor inspection puryoses. I egree not to occupy or ellow occupancy of any building authonzed by this permit until final inspection. COUE �, INSPECTONT'PE 1616 Fixed System Final Fire Prevention 126fi Pool Spa Final . 200 Finalfie-Rool 201 Finel Block/Retaining Well 202 203 204 Final Fectory Fire Place Finel Sign Final Demolitlon � -�: 1I�L5 . � l . `^ Date�� CODE� usreenoxnve � ps� 206 Final Mechanical ,�p�, /" 208 Final Plumbing 270 Final Elecirical 212 Final Fire Preveniion 220 Final Planning Approval 222 Final Slte 250 Final BuilCing/Omupency 0 � . .. ; CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR ORIVE • CALIFORNIA 92fi28-1200 DEVELOPMENTSERVICES DEPARTMENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION August 31, 2007 Timothy Sandquist MiChelle A Espinoza-Sandquist 3256 Idaho Ln Costa Mesa CA 92626-2234 PERMIT NUMBERS: M05-00729 FOR: FAU PROJECT ADDRESS: 3256 Idaho Ln., Costa Mesa Our records indicate the above listed permits were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of your last inspection for the project. Our records do not show an inspection for these permits within the last 180 days nor have they had an approved final inspection. If you have a signed inspection card showing that an inspection was made within 180 days, or that the final inspection was approved, please contact this o�ce so we may correct our records. If you do not have an approved final inspection, your permits wili expire on September 17, 2007. Additional fees will be required to finalize expired permits. Reauestinq an inspection—If you need to request an inspection, please call our Inspection Request Line at 714-754-5626. Re9uestinq an extension—If you wish to request an extension, requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of completion. 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 member will be happy to assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, �'�L�i�J=x"-"' " M Jane Weidenkeller Office Specialist II cc: Bel Air Cooling & Heating 11861 Cardinal Ci., Ste F Garden Grove CA 92843 Building Division (714) 75a-5273 • Code Enlorcement (714) 75a-5623 � Planning Division (714) 75a-52a5 FAX (714) 754.4856 • TDD (714) 754.5244 • Hmv.ci.costa-mesa.ca.us � 0 t , (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us BUILDING PERMIT Job Address: 3256 IDAHO LN Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 13906603 Applicant: WILLIAMS, LARRY Address: 613 SHASTA LN Zoning: Phone: (714)444-1111 COSTA MESA, CA Zip: 92626 Owner: MARTINEZ, MARK C AND NINA H Address 32561DAH0 LN COSTA MESA, CA Convactor: ALL COAST ROOFING Address: 613 SHASTA LN COSTA MESA, CA Zip: 92626 Arch : Address: Phone: 714-SSE7767 Zip: 92626-2234 Phone: (714)444-1111 License: 598440 Eng: Address: Phone: 77 hAIH OHIVE, GOSiA MESA, GA 92626 Status: ISSUED Applied: OS/25/2004 Issued: 05/25/2004 ISSUED BY: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF, REPAIR/REPLACE SHTG AS NECESSARY. COVER WITH 30 YEAR COMP SHINGLES. INCLUDES ATTACHED GARAGE. APPROX. 2700 SQ. FT. • Plan Check: $0.00 Permit: $11125 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspectian: $0.00 Total: $171.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 FEE SUMMARY PLANNING & ZONING Rear 0- 0 Left �0- 0 Rear 0- 0 Left 0- 0 Required: 0 Pr000setl: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $4,300.00 $4,300.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requi�ements under California statutes antl related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 780 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 � WORKERS' COMPENSATION DECLARAnON: � I hereby ettirm untler penalry ol perjury one oi the tollowing decleretions: ❑ I ve and wlll maintein e certifcate of consent to self-Insure tor workers' compensalion, as proNtlad for by sectlon 3700 0l the Lebor CoOe, for the peAormance of the ork for which ihis permit is issued. I have entl wlll malntaln wo cers' compensat� Insurance, es requlred by section 3700 of ihe La6or Code, tor t�a pedormance oF the work for which this pertnit is Issuetl. My workers' ca � nsat Insur �e carne n0 policy number are: Carner. � � •� Policy Num6er. Z�b�' Zyi%�7 (Th/s sectlon need no 6 completetl il � permrt is velued a( one hundred dollers ($100) oi�'ess.) ❑ I cenify that in the pedormence of Ihe work t�vrtl h this pormit is issued, I shall not employ any person in eny menner so as to become subject to tha workers' compensetlon lews of Celifo fe, antl ree t II I hould become suC�ect to the workers' compensetion proWslons af 3700 ot ihe�y bor Catle, I shell larthwith comply with these provision � L n�/ �� / / \//Applicam Signeture: Dete: J [� WARNINO: FPJLURE TO SECURE WORKERS' C MPENSATION COVERAGE IS UNtAWFUL AND SHAL� SU&IECT AN EMPLOYEP TO CflIMIW1L P TIES PND GVIL FlNES UP TOONE HUNDRED 7HOl15AND DOILFRE (5100.000), IN ADIXiI TME COST OF COMPENSATON, DAfMGES AS PROVIDED FOR IN SELTION 3]OB OF THE LABOq WDE, INiEfiEST, M10 ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARAnON: I hereby eHirm Ihat I am fome entl eHect. Lic. x_ Conirector's Signeture: wilh Section 7000) ot Division 3 of the Business ey�f Pjrof ssions Cade, anC my license Is In tull _ Class k � ' C _ Date: �7 1l CONSTRUCTION LENDING AGENCY: ❑ I hereby eflirtn thet there is e consWc�ion lentling egency for the pertormance ot lhe work for w�ich this permit is issuetl. (Sec. 3097, Civil Cotle). Lentler's Name: Lender's Atltlress: Signature: Date: OWNER-BUILDER OECIARATIONS: �uv-i� I hereby atlirtn thet under penelry.of perjury Ihat I am E%EMPT FROM THE CON7FAC70R5 LICENSE LAW for �he following reason (Sec. 7037.5, Buslness entl Professions Code: Any ury or wunry which�raGu^res e�permit to construct, alter, Improve, demolish, or repair any structure, prior to Its iuuance, also requires the eppliwnt tor such pertnit ta tile e signed staremem that �e or she��s Iicensed pursuent to the provisions oi Ihe Contractors License Lew (Chepter 9(commencing with Section 7000) of DlNslon 3 of the Business end Professions Code) or that:he.ur%she is exempt iherelrom end the basis for the elleged exemption. Any violetlan of Section 7031.5 by eny epPlicant for a permit subjecis ihe eppliwnt to a civil penalry o� no��or�than live huntlretl tlollars ($500).): ❑ I, es owner ol Ihe properry, or my Bmployees wilh wages as thelr sole compensation, WILI DO 7HE WORK, antl the sWcture is not intentled or otteretl for sele (Sec. 7044, Business antl Professions C�e: The Conirectors License Law Coes not apply to an owner of properry who builtls or improves thereon, and who tloes such work �imself or herseH or Ihrough his or hei awn employees, provided Ihat such Improvements are not intentled or oflered for sele. If, howevar, the bulltling or improvement is sold within one year of complation, the owner-builtler will heve the burden of proving ihat he or she did not Oulld or improva tor purpose ot sale.). ' ❑ I, as owner ot Ihe property, em E%CLUSIVELY CONTRACTINC WITH LICENSED CONTRACTORS to constmct tha project (Sec. 7044, Business entl Professions Cotle: The crontracbrs License lew does not apply to an owner of property who builds or impraves thereon, end who conirects lor suc� projea wlth e contrector(s) license pursuant to ihe Contracbrs License Lews.). ❑ I em exempt under sec. Business an0 Professions Code for ihis reason: SignaWre: Date: Owner ID ventietl by tlnver's Iicense. ❑ Ves ❑ No Dnvers License No. Verification of Owners�ip by (rype oi document, i.e. - properry tax bill or deetl): Expires: DIVISION OF INDUSTRIAL SAFETV PEAMR CER7IFICA710N: ❑ I �ereby certify t�et no exwvation f�e (5) or more teet in deplh imo which e person Is required to descenq wlll Oe made in connection with work euthonzed by this pertnit, and that no building siructure, scattolding, talsework, or tlemolition or dismamling thereoi, will ba more than thirty-six (36) feet hiqh. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Celitomia Administrati�e Code). ❑ As owner-builder, I will not employ enyone to do work which woultl require a permit trom the Division of Indusirial Sefery, as noted ebove, unless such person hes a permit to do such work from the division. Signature: Date: Division ol lndus�nel Safety Permit Number: CER7IFlCATE OF COMPLIANCE AND A�FI0RVA710N OF EN7RY: I certify under penalry of perjury that I �ave read this epplication and state Ihat the inlormation given is correct. I agree to comply with all state laws end ciry ordinances releting to bullding consimction, and euthorize representatives of Ihe Clry of Costa Mesa to enter upon Ihe above-described properry lor inspection purpases. I egree not to occupY or allow occupency ol eny building authorized by this permit until finel inspection. CODE �, INSVECTIONTYPE 7616 Flxetl System Final Fire Preven�ion 1266 200 201 202 203 Pool Spe Final Final Re-Rooi Flnal BIocWRetaining Wall Final Fectory Fire Place Finel Sign 204 Final Demolition �:i un: 9 ��, � . .9 ' .l,/�� `� �� Date COOE 1 IN57ECTION TYPE 206 Finel Mechanical 208 Finel Plumbing 210 Final Elecirical 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Flnfll Building/Ottupancy ��/\Y��I�I.1F9 December 1. 2005 CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92fi2B-120� DEVELOPt.tENT $ERVICHS DEPARTh1ENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION Mark C Martinez & Nina Hemingway 3256 Idaho PI Costa Mesa CA 92626-2234 PERMIT NUMBERS: B04-00971 FOR: Re-roof PROJECT ADDRESS: 3256 Idaho PI., Costa Mesa Our records indicate the above listed permits were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of your last inspection for the project and additional fees will be required to finalize expired permits. According to our records, the permits listed above have not had an inspection for a period exceeding 180 days. If you have a signed inspection card indicating an inspection was conducted within 180 days from the date of this letter, please contact this office so we may correct our records. If you need to request an inspection please call our Inspection Request Line at 714-754-5626. If you wish to request an extension, requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of complefion. If you do not have an approved final inspection, your permits will expire on December 15, 2005. If you have any questions, please contact the Bui�ding 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. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, � ��z�.�� Mary`Jane Weidenkeller Office Specialist II cc: All Coast Roofing 613 Shasta Ln Costa Mesa CA 92626 BuilCing Division (71d) 75a-5273 � Cotle EnforCemem pta) 75n-5623 -?lanning Division (7�d) 753-52e5 FAX (71a) 75a<856 • TDD (714) 75d-5244 • www.ci.cosla-mesa.t�a.us euoxessavem�ur� 3255 IDAFiO LN OWNEr'�SYMIEIFRIOWN: DAVIES, RICHARD E � ' �opEu 3256 IDAF?O LN COSTA MESA,CA 92626 540—�)? 02 �vr�. �uuNc �ooaEss 1FCHRECT OR FNtlNEEN: ACN, di EM.'S AWNES fAN111ACTpf5N11� DOUGLAS SMITH MILLARD cam.cToxs�uuxc 1331 NOP,TH CUSTEP. �ooxeu: SANTA ANA 92701 IICEN5E0 C�ttIRACT�NS OECLAXATION� � hereby ell'vm under panetly d pe�j tmmmw�uim�.iiM1 Seetion ]0001 d D'maue(9 d Me Buvrien eed Prdysl&If CoEe. 3g p°N0j 43 uc. ra.: uNr: CITY OF COSTA MESk — BUILDI2�7G PERt✓�IT PEP.PIIT NO: B U72379 PLAN CHECK NO: N CONSTRUCTION TYPE: II—FR PEAMZT TYPE; STR JUB DESCP.IPTION . T!GFF 6 RE—TOOF Id/BOR UM: (719)547-9334 CA �� 93320� urn: ury Nel I em liceneetl undar prMelons at Ghepter a eM my licenx ia in futl fwce rd aHae. �OS n_EXP:iY4/� OWNEN BUILD DEClAFA710N: I hereEy eifirm under penelly ot perN�Y �he�l�{m axampt Irom iM Comrepon Licenee Lew fw IM Ibw'uip Seqion ]031.5 Buenexv e� PMeaeiona Code: AnY c1Y a muntY �itli rpuirea e pemiil to mreM1un. al�x. improve. imdoh, a repei eny svunure, prin lo ila u��. dw repuirx �he eppl'xant fa euch pemiG lo fib e sq�wE atelemeN Nel M a she .e IioanaeE puraanl �o tM provisione d IM �nlreqan Liceme Lew (Cheplm e(commendip wil� SeGion )W0) al Dbebn J d tM Busineas vM GrMesaions Codej or ihet he d ehe is avamp t�eraMm ard �M bstia iw Ilw dlepad eRampion. My violeton d Sedion ]031.5 by eny epplifen� Iw a permn wbptla �he ePd� b e ervil penelry d na mare Ihan tive hurMred ddleea �5500�. � I. av o�mer d IM propenY a mY �PbY� "'*h wepes a+IMi sde compenaeiion. will do tM xwk. vM ths avunuie a rw� inlendad w oXered /or eele (Seclion l0aa.8u�nese end Prdesaiom Code: ThaComrecbn Licenae Lew Coes not eppty loan ownerd properry who Wids a mv�'e+�ha�eon. ard xfio Do°s auM xwk IimsaM a heneY a Wouph Ae a Mr own employeae, pmrided thm euch imprtrvemenie ere rot imaMed a olfeed I« aeb. X, howeror, tha buiNi'p a inqv.emenl o eoltl wil�in a�a Y� d odnpMian. tln .�a,.n��ae� w�n n,�, ma n�,a.� a orow^e n, o� an, e�e �rn waa o� �mw%+�« me wmo�e a�). ❑ �... oxne, d me o�rom. ��d�rvnN oomreeina wnn �ic.nsee wn�re�wn ro cros�n�a ma o� (s.ao� �a.. 6uairc.. ena PMaaian COEe: The GOMredac Licnme law Eoes M eVPM �o en oxw W V W^�Y who buiNn a imD�+o ihereon eM who canlrecie lar wdi prol�s �tilh e caMraaoKs) licemed W�auent lo IM Conlredas Lioenae lew�. � I em uemp uMar Sxtion: B. d P.C., lar ihia reeaon: DetB: �� i eo nereM �nuy �w � em e.,a,e a ene unexs�e me rea��sms a ce�aomm Heertn .m seron cme sw� zssos, assv, .m 25S3C. eM Nel l a enY INun buiMiiq amipem will / wil �(arck ore) naed ia wmply win seid qe�e codee e�M IM myuiremenb fur epe�melarconewnionormoEifiralionhomtheAr e�L—RiY e�epemenlDialnd.ReaiEeMielmnst�uclioneppicetiomenexempirom�hm Dele: AppliceM: WONKEN'S COYGFNSATION DECL�PATION: I heroby efFim urider pendry d porjwy me d ihe Idlowi�p Cetivelione: � 1 heve eM wil mein�en e cenJicete d m��ent to eaXimun br xvrken' canpema�ion. n prwitled ta by Setlion i)00 d iM lebar coEe, /or Ina pa�loimarice d tM xvA r4r w1Ycn �nis parmX ia i»ueE. ❑ i ne�e ene w� me�me:,..anen mmrommon ms„renm. � reawree W see� s�oo w u,a �.ne, cea. ro. me w�o�m�� a me work la whidi ihis peimit c iasued. MY worken' canpenemun ivure�wa rarrier anE pdiq numbar are: Cemer: Pd'cy Numbar: � a " rreeerrotbecand�red/rhero^"xisMonehuMieeedlarsRlaolwlsv.) / I eenM �net in �ne peelarmar�ee W Ihe woh tor whch �hie permit' ed. I eh ✓� ampby eiry penon in e�ry menne � wbjed Io IM xarkera' eamp�se�ron bwf d Cel' ie. d epee �Aa� E I sM me eubpel to 1 mpanaeiian qwiaions d Sedion 3]0� d tha lebar Cada, I ehell 1 Mrith o Y(py �� Ihoe . �S //� / � AGG�cenl. WeminO� Fe un ro axuroT �' campMutlon covenpe Is � kwlu tl �M/I sW/rcf en employsr ro cNMiul psnsltlu eM clvll flin� up lo one huntl�/ fMUHM rbll�n (5100,000), In �Wltlon M� ro�t ol comperu�tbrt tlarrupa u provitlW br In Swtlon 9)O6 0l ths LWorCotle, Infensq In0 attomsy'c fau. CONSTflUCTION LENDINO pGENCY: I hn�ebY effirtn uMer parelry o/ perNrY �� ra u e mn9rvdion IeMirp epanry la tM pallormence oi Ihe wak Iw whid� in6 perm'[ is saued (Sadon �091, Civ. C). LENDEA'S NRME: LENDEP'4 4DOHE55: 3 6� 5 i�aniN �nei i ne�m �eed we eoviceia� �d s�e�a mei ma � ��r�ww� �s �ee. i ea�. �o wmWr.mn �i rnv e�e �mr ad��s eM stele lexa ralel'ng lo Wikvq eonaleWion+�d Aereby a��lw�¢e rapreeente�irv» d the d1Y to enlm upOn IM ebae-menloneE poperry brinspec�ion purposes. /1 iDOUGI�A5 P17I,:—�RD /l � (5t5td6.WP) WAna-Buildiq 8 SdN/:OrearFle: Cenery-Appirant: Rnk�iewnue: Gddenro�bsawr PERt7 CIO: B 072379 GOVT: i4 SOFF: N PURPOSE: OTFI SQ FT: 3,69� CLAIAI VALIIE; 3,E45,00 CAL�—VALU^c; 3,645.00 GP.OUP UCC; P,-3 /P,-3 COP4MENT5; SMOKR DETECTORS ARE P.EQUIRED IN EVERY BEDRO�M b Y.A�LWAY, 1991 CTBC iE N' Y-if if 1E it iF iF #�If t if ic if ir-Y �N-+' ii� iR iE iF if if iF if �1f iF'lF �7F # M if iF Y� ii'� -i: Jf t i4 Y� # it'lk 14 iF f�if'k af iL L-�1f if?f # if iF ii� M iF it if �iG # iF Af +iG L#+f iE IF-1f iF'1F Z O N I N G P. E Q U Z R E!9 E N T S S E T B P C K S ------------- MAIN BUILDIPIG ---------- -------- P.CCESSORY BUILDI.IG --------- FP.P]T: FT � IN REAR; FT IR! FRNT; FT FN P,EAR: FT IA: LEFT: FT IN P,GHT: FT IN LEFT: FT IN RGHT; FT IPl PF.RI{IP:G REQ• PP,C�V; PARCEL: 139D6603 ZD7E: REF P7G: PLAAdN2PIG P]OTES> i iF iE K iF if iE � 1E! * if if 3f iF'F' a(- if Y'F iF fF iE #- aE iF if� if� N' if �1F M iF if i4 aF %>'1�' iF'1F if �F if if �7F if i4-^' iF iR �Y iF ie -le if i4 # 3E �IF *'- if if jE iF iF af iF Y# af iF �Y If jf %dF 3E iF �14 L E V E L U P M E N T S E R V I� E S R E Q U I R E M E N T S ZUNIDJG P.PPRGLEU' BY- ppTg; bUILDZNG APPP,OVED BY ; UATE; APPLICATION I55'UED 9Y: ��—� DAT�; � j iE�1Ejflf�if')fifif')fi�")f'1�'�1fiF{fif'lciEi{'iE��iE��;'t�ir'1�iF�$c�i�;t� +it iF'FiFi�Yi�F.i�iiziF'�fY'YK'jf'If+fiF�i'1c ♦ i iF# .:i�Y LEGALIZATION:N F E E 5 U hl M A P.'Y STRUCTU�iAL SEGMENT:Y BLL�G PT91 FLUMBING ELECTRIC MECHANIC FIRE SP1IP/P.ES GP.ADZA]G PEP.MIT 63. UO 5Q PLt�r� SSSUE FEE BUILDING—DIV—> PERMIT ISSIIE PLAN—CHECR TOTALS----> 63,50 0,00 0.00 REVEPJUE DI�:ISION TOTALS--> COLLECTED: BLDG FMT PLDM&ZDIG ELECTRIC MECHANIC 63.00 SMIP/NGN—RES TOTAL PAID UUE 53.50 63.50 .OU 63.50 OVERISHORT: ,00 FIRE SMIP;'TOT GRADZDiG PLAN—CHECH .50 -�f it k-i4 if 1f i% Y.- if +f if i(� ik if AF if it iE ic if if iE it iF iF �)t'M�+f -Y!E iE �If �M'� 7f iE'!t'k k'1E aE i4 ie �4 if 1F iR �rt lf Y if +L if ?h iE il- < iE 1(� 1E 1f al- # if iF if iE if �Y ! i� ie if �M 4's iF if K i(� � I N D I F I D U A L F E E H R E A K U O W N TYPE QTY D E S C F. I P T I O Pl UDIIT COST TOTAL CUST SFP. 3545 REDOUF BY L'ALUE RESIDENTIAL f70ZONE 1.00 3,545,OQ ENU OF FEES * • , R ' �t1 �/ — . � SMOK� DETECTOR REQurRE� �i u�132v99-OU1332C'n TiCtT 63.5G i�ArE= OS;;.c�?.'.• t.'�it� 15�:i � CONSTRUCTION AND PLANNING PG 9 SPA � APPROVALS Permit # Date inspector '' APPROVALS Permit #� ' Date f�spector i. Temporary E�ectrical Service or Pole , 52. Pool & Equ}�Pm t Location , . 2. Soil Pipe-Undrgrnd. .� 53. Steel fleinforcement 3. Electricai Conduit Utility•Undrgrnd. 54. Porms 4. Electrical Conduit-Undrgmd. . 55. Electrical Bonding � 5. Steel Reinforcement -' 56. Rough Piumhing & Pressura Test 6• Electrcal UFER Grnd. � , 57. APPROVAL TO CQVER�GUN!TE , 7. Footings 58. Electrical Conduit-lJ�drgmd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test . 9. Water Pipe-Undrgrnd. , � 60. Backwash Lines, P-Trap, O Undrgrnd. . 70. Structurai Floor Svstem 67. APPROVAL TO DECK � 11. Aroperty Sewer �ine & House Conriectio� 62. Backwash & Receptor�Final ' 12. Sewer Cap � � 63. Heater & Vent-Finai 13. ftoof Orains � 64. Plumbing System - Fina4 - ' 14. Rough Plumbin9 . 65. Electrical-Final ... 75. Rough ElectricabCondu;t 66. Solar SVstem-Finai � , i 6. Rough Electric Wiring 67. Fencing & Access ApProval ' 77. Rough Wiring Sign 68. APPROVED FOR PLASTER�NG 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heacing & Air Conditioning FIRE DEPT. RE4UIREMENT 20. Rough factory fireplace � APPROVALS Permit # 21 . Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping O Gas C Oil °'s^; 23. Gas Pipe-Rough & Test 72. Undergro�nd Flush I' �"` 24. Roof Framing 73. Undergrnd. Storaye Tank � Gas ❑ Oii a� 25. Roof Sheathing b �� • �- j Z � 74. Overhead Hydro -, � 26. T�Bar Ceiling 1Structural) & Monocoat 75. Dry Chemical }._-? i t ' .'s I 27. Frame and Flashing 76. Dry Sta�dpipe 5�" : C. s 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 INSPECTI6N 32. Electrical Power Meter-Finai 80. POOD CERTIPICATE ISSUED _ 33. Finai Electrlc Notes: 34. Final HeaUng & Air Conditioning �� .7 _�� - � S' Z7.i4� 6 35. Final Gas Pipe-Test , 36. Hood or Canopy � 37. Final Factory Fireplace 38. Final Plumbin9 39. Water Service-Pinal 40. Gas Service-Finai 41. Solar pomestic-Final 42. Backf�ow Prevenrer 43. Backflow irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING -- 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY N0. Date Lot 29 Tr 37Z2 12�� J COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. HOX 917 C08TA MEBA, CALIFORNIA For Applicant fo Fill In Comple+ely TYPE OR PRINT � GOSTA MESA. CALIFORNIA 1555 �P�nceNria AVE _ BUILDING FEE RE�CEIl1ED U � � 3--�o SE� , FifVANCE DEPT. AP��T�ATION"F�R "PERIv11T BUILDING For Office Use Only neceivt rvo. � A¢yn�^�� !�1.� S g��^� ei I o�ia yjceiven .� ��$��3g lV�'(Y i �i._/�i�/ ". COSTA MESA. CALIFORNIA ADDRE66 I PLACENTI A E ZONING ZONH NO. OP U8E OF NEW C�iv NEWPORT BEACH R-1 IPUNe 2 BU�LDINO STATE TEL. �ccw� uc. No. No. _ oescrtivrion LOt `].'L'8Ct = OF LOT 6� Q I No. ov etoa8. Q NOW oN tAr q, p, NO. ROT?2 U6E OP YARDS EVES E%18TING BLDG APPqOVED ALLOWED 88TB�C1( LINe PROM <G[M6P LIN[ BT.1 �% CENTCR OP BiAeHi SO � REAft YARD ZO � pRONT �" FT. SI�E YARD LQF7' S T I RIGFiT - � R. SIDE �^ FT. DESCRIPTION OF WORK _ UBE OP BUILDING AND WORK TO BE PERFORMED ynd Attached Garage Pian 3-BR i XERHBY ACKNOWLHD66 THAT I HAVB RGD iH18 APPlJGT10N TM! �MOUNT 9HOWN UND¢R VALUATION 19 IOR TN[ AND OT�T6 THI�T TH8 ABOVB IB CORRlCT ANO AOREH TO GOM• PUPPO88 OP EBTA�LIBXIN6 A PERNIT IHH ONLY. PLY WITH �LL ��T' ORDINMlCHB AND HiAT6 WB R80YLATINO BUIIDINo coN9�UCT10N. , VALUATION �/� BIGNATURB OP / O�% PERMIT FEE $ �� / / y ` PERMITTE - $ �� /`� //` p�N CHECK $ /�� AUTHORIZED AGENT ___ ___ _ �{ [��..