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Home My WebLink About3264 IDAHO LN - Building PermitsAVP��ant to fill in al1 spaces ezcept those within heavy eorOer lines antl sign all avP�opriate tleclarations. , OF COSTA MESA CONSTRUCTION PERMIT . Project Address 3264 Idaho Lri. _ - ApplicanYSMailingAddress 126 Commercial. C.M. 92627 � Owner's Name JdfOES DOC�SOri Phone 546-6688 Address 3264 Idaho Ln. , Costa Mesa CA. 92626 Arch/Eng. License No. Address Convactor'sNam Crdllk BLOS. ROOfing phone 548-5569 Addresslmailingl 126 Commercial Way; C.M. 92627 City License No. 005993 ' �: LICENSED CONTRACTOR DECLARATION , 1 hereby affirm that I am licensetl untler provisions of Charter 9(commencing � with section ]000) ot Division 3 of the Business antl Protessions Cotle, antl my.license is in f WI tor£e antl efiect. . License Clazs C-39 �cense rvo. 40HFi7'7 Date �� Si9nature WORKERS' COMPENSATION DECL RATION ' I hereby atfirm that I have a certiticate of consent to self-insure or a certificate of Workers' Compensation Insurance, o� a certitietl Copy thereof (SeCtion 3800, Lab. C�P85362466 Fremont Indemnit Policy No. Company y � certitied copy is nerebv turniznea. b cer�i,r�gq popyys flletl w�m me �n rdanic �ros. Roofin Date LS/11/Od Applicant Q EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � (Thissection need not be completetl it the permit is for one huntlretl ($100) or less). I certify that in the pe�formance of the work for wM1ich this perm�t is issuetl I shall not employ any person in any manner so as to become subject to t�e Workers' Compensation Laws ot Cali(ornia. Date, Si9nature -NOTICE: I(, after makin9 this tleclaration, you shoultl bewme subject to the Wo�kers' Compensation provisions ot the Labor Cotle, you muzt forthwith comply with such provi5ion5 or tltis petmit shall be tleemetl �evoketl. CONSTRUCTION LENDING AGENCV I hereCy affirm that there is a const�uction lentling agency fo� the perto�mance oi the work for wnich this permit is issuetl (Section 309] Civ. C.) Lentler's Name - LentleYs AEtlress OWNER BUILOER OECLARATION I he�eby affirm that I dm exempt trom the Cont�actor's.License Law fo� the fo�lowinq reason (Section 7031.5 Business antl Professional Cotle: Any city or county wnich r¢quires a Oermit to const�ucQ alter, imp�ove, tlemolish or re0ai� any st�ucture, p�lo� to iti i55uance, also requires the applicant tor such pe�mit to tile a siqnetl Sla[emenl [hat he/she is licensetl pursuan[ to [he provision5 of the Contractor's License Law (ChaOter 9(commencin9 with Section �000) of Division 3 ot [he Bu5ine55 antl Professions Cotle) or that he/she is exempt therefrom antl the basis tor tne allegetl exemption. Any violation of Sec[ion �031.5 by any applican[ tor a permit subjects the applicant to a civil �e�dlty of no[ more [han five huntlretl tlolla�s (E500). I, as owne� o( [he prOp¢rty o� my employe¢5 with wages as their sole compensation, will ao Ih¢ wo�k, antl the structure is not intentletl.o� offeretl for sale (Section ]044, Busine55 antl Profe55ional Cotle: The Con[rac[or's License 12w does not apply to an owner of a property who builas or improves thereon, antl who tloes Such wo�k himself/he�self or through M1is o� he� own em0loyee5, provitletl thdt such improvements are not intentletl o� ofteretl for sdle. If, howeveq the bulltling or improvement is soltl within one year oi com- pletlon, the owner wlll have tM1e burtlen of proving h¢/She tlitl mt builtl or iT- ��ove tor fhe pu�poie Of sale). I, as owner of the property, am exclusivery contracting with licensetl con- tractorsto constructtne project (Section 7044, Business and Professions Cotle: The Contractor's License Law does mt apply to an owner of property who builtls or improves thereon, antl wno contracts ior such,projects with a con- iractor(s1 license pursuant to the ConVactor's License Law). I am aware tnat proot of Iheir Wo�ker'S Compensation insurance sM1oultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. Por this reason _. �c/43�- _ _- -- ._. .,,.,,,.�. TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR — ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p# DESCRIpTION OF WORJ�[U$�Q F B G residential - remove � QX15t1R install .i�U# �11J2r ass s inq es 355 S Main Building: TYPE OF PERMIT GRADING ❑ FOUNDATION STRVCTURAL T Front ❑ TENANT ❑ E�ECTRIGAL ❑ PLUMBING ❑ MECHANICAL B Rear ❑ OTHER %� PROJECT DESCRIPTION SQ. FT. OCCUPANCY Sing e C Right CONSTRUCTIONTVPE , VALUATION$S.9�LO.00 S LeFt ZONE GRADINGCV.VDS. ACRES p�ng.Ref.# Remarks: ' Planning Notes: Sink Preventer Irrigation tubs Drinking FOuntains ' Floor Drains � Floor Sinks Gas Service Outlets Inrercep[ors Kitchen Sin Lavamries P-Trap fioof ms Reinspection Fee PLUMBING Showers Service Sink • Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Poo Urinal 1 , '- A/Service Auto-Wash Laundry Trays $15 Issue Fee Boilen Dutt - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. IC80 # Date owner Heating System & Ducting I nereby certity that I have reatl this application ane state tnat the above ❑4100,000 BTU �100,0006" intormation is correct. I agree to comply with all city antl caunty ortlinances antl state laws relatin9 to builtling construction, anC hereby authorize repre- sentatives of this cityil�9nter u n the ve-menfionetl property for inspection purposes./ //7 Signature ' 1.��$�� _ Date� � Drivers' License or 55 � Rains ction Fee , $75 CMF 0865-46, �ev. 10/84 White - Builtling; Cana�y - Applicant; Pink - Accounting; Goltlen�Otl - A5se550� Hood or Type I ❑ Canopy Type I I ❑ Refrigeretion System , ❑0-t00,0008TU ❑100,000 System Repair/Altere[ion Fire Dampers laue Fee fEES Automatic Washer Construction PoleSub.� Cooking Unit � 1122 B/il/B6 Zone Accessory Building: ' Parking Req./Provided � ELECTRICAL . Transformer ❑ 15-50 KW ❑ 50+KW LSryers LJGas LJElectric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garba9e Disposal Generetor �0.5 KW 05-15 KW Meter LJup to 100 amps Meter ❑over100amps Sub Panel Motors�0-1 HP �1'/:-8 InaSolar 09-15 HP �16-15+ � Microwave ' Pole Light . Range Sign ; Standing Sections Trash Compactor 32.5� TL FEES Z O N I N G � R � E Q M T S $� . Reinspection Fee . $15 Iwue Fee $ 3 FEES DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved�By �ate Building Approved By Date n � Application Issued By —� Data a��'��n SUM RV FEES � BUILDING PERMIT $ SMIP $, • s� PLAN CHECK $ PERMIT ' � PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ � ENERGV P.C. $ ELECTRICAL $ GRADING $� PLANCHECK 50% $ MICROFILM $ ��7 �� MECHANICAL $ TOTALFEE $ o'�'��[L $ 3 . PLAN CHECK 25% $ � CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# - Date Inspector � 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � � 3. Electrical Conduit Utility-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, O 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 Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Raugh Wiring Sign 68. APPROVED FOR PLASTERING . 18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19' Rough Heating & Air Conditioning F�IRE DEPT. REQUIREMENT � � 20. Rough Factory Fireplace APPROVALS . Permit # 21l 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 Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing . 76. Dry Standpipe 28. Lathing & Siding ` ;7•7: FIXED SYSTEM FINAL 29. Insulation .� ..�78.� fIRE PREV. FINAL 30. Drywall Nailing � • HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat , 79. FINAL INSPECTION - 32. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � �� Notes:, • 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, FINAL STRUCTURE & BUILDING 48? Special Requirements Completed 49. Electrie Release to Edison 50� Gas Release to Southern California Gas Co • 5�;� CERTIFICATE OF OCCUPANCY , No P Date . / JAMES JOB ADDRESS �264 iag]� GENERAL CONTRACTOR CC nr rro. i39-p66.:p1 LOT INSPECTIONS coat OCCUPANCY �l1RM 1i116 _ 5Y _ DATE 9-7-� NO. �&1 COnSt. VALU� $ 70V.W TRACT FIRE ZONE DESCRIPTION OF WORK � Signature� DATE GROUP J TYPE III ZONE SURCONTI4AC1'OR - � `- 177f3 . COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 977 COBTA MEBA, CALIFORNIA For Applicanf +o Fill In Compieiely TYp� OR PRINT BUILDING � �� ADDRESS COSTA MESA. CALIFORNIA t----" ` OWNER �"'� @ .tic \ G �� Q � ADpRESS � � .w� _ �v� TEL. c�n ' O b. ��0. No. ARCHITEGT - TEL. �O � SIZE TEL. BETBAGK LINE FROM �--�-- CENTEq OF 6TREET SIDE YARD I �EFT � DESCRIPTION OF �EE REC�fV�G SEP � }�2 FINANCE DEPT. ,� ,,� CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. PERMIT/ / ��r` 9Y, I TE RE=EIVED I iDpTE�I65 �yj L. a� COSTA MESA. CALIFORNI RE � ZONING ZONE�t NO. OF lISE OF NEW/� �.� � I PLANS � BUILOING V''��K� LE6AL � 3/ 7'� 3`� Z�. DESCRIPTION NO. O e�oW oN �oi A. P. NO. � 3 l�� — 6� '--� YARDS EVES APPROVED ALLOWED _ .. .. � (CENTER LINE BT.) BUILDING —NO. AE_ . ._, SIZE ROOMS EXTERIOR WALL COVERING � COVERING USE OF BUILDING AND WORK TO BE PERFOI 1 HEAEHY AGKNOWL ANO BTATE THAT T PLY WITX ALL CIiY BUILDING CONSTFt SIGNATURE OF PERMITTEF AUTHORIZED AGENT ; I HAVE R THIB IS CORRE A O �E E9 AND e ATE L9WE � � � 9/� /�Z �� / �(D'��. // / S'/ /�ii a�i � � g � � � — oa�*.�,--- a7 ' �C loo' i — . .TION THE AMOUNT BHOWN LINDER YqLUAT10N IB FOH THE COM- pUtiPOBE OF ESTqBLIBHING A PERMIT FEE ONLY. .TINO VALUA710N PERMIT FEE $ �i d"C �w• ,r,� $ � � Q�O - PLAN CHECK $ �� C O 4 Lot 31 - Tr 37<i2 1 ��%�J �,., COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MESA. CALIFORNIA For Appllcan+ fo Fill In.Complefely � BUILDING ■ MAIL COSTA MESA CALIFORNIA TEL. FEE RECEI�ED G ��- �3_�0 -� . fINANCE DEPT. C{TY OF COSTA MESA APPLICATION FOR PERMIT BUILDING •For Office Use Only COSTA MESA. F{RE ZONE TYPE APPROVED 20N¢ 6_ , ��„� O68CR OP BLDpB. eeTBACK LIN6 PPOM SO � REAR YARD C ClNTER 0/ BTi6HT SIDE YARD I LEFY � 10 � I R�GHT 7� DESCRIPTION OF WORK - � BUIIDING � :-S.}a_ c NO. OF Sh� s ZONING ruo. on use on n PLANe 7 BU�IAINO �YARDS EVES APPROVED ALLO ' ' (CENT[R LIN! BT.) �, and AttaGhed Garage Plan 6-A 1 HER88Y ACKNOW�EDae THAT i XAVE PCAD TH19 APPLIGTION ANO BTwTB THAT�TMB ABOVE i6 CORRECT AND AGRH! TO CAM• PLY WITX ALL CITY OPOINANCEB AND 9TATE LAWB R86UUTINO BUILDINO CON9TRUrnON. ^ ' /1 � — SIGNATUfiH OP / /J / ( %� �. „ TXE AMOUNT 6HOWN UNDEH VALUATION 19 pOR THE PUPPOBE Op EBTABLIBHING A PERMIT FE6 ONLY. VALWTION / �� PERMIT FEE $ ��:0� $ / PLAN CHECK $ /� ----. __- _ �'y.�