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Home My WebLink About2424 ANDOVER PL - Building Permitsc � —�--,. PHOJECTp00flE55: Z4z4 ANDOVER PL OWNEN'SNAME: GOMEZ, CHRISTOPHER PALMER 1�� aooness: GOMEZ, SHERRI K ' 2429 ANDOVER _ COSTA MESA,CA 92626 (714) 546-9953 AXCH/ENGINEEfl: flEG.NO.: FD�PE55: uNiT: UNIT: reeminee: AERO—THERM CONSTRUCTION (7i4)696-3953 FDDNE55: 289 LILAC LN COSTA MESA CA 92627 LICENSEO CONTNACTOB DECLAHATION: I hereby aifirm ihat I am licensetl untler pwvisions ol Chapter 9(commencing with Section 7000� of Division 3 of the Business antl Professions Code. and my license is in tullforce antl efiect. cirr uc.:�,0f 4 9 O 15 srnre uc.: 3 9 3 3 21// cu�ss: � �(q` y�� ate: —L�t� Z�� Signature: �f� [ WOBKEPS' COMPENSATION DECLANFTION: I here6y aHirm that I have a cenificate ot cunsent ta seii-insure or a certificate of Workers' Compensation Insurance, or a certitietl copy �hereo� (Sec�ion 3800, Lab. C). roucr xo.: 13 4 5101— 9 3 E%P, OATE: O 4 I S�I I J 4 comeaxr: STAI'E FUND ,�, Certifietl copy is hereby Wmishetl. � Certified copy is fileA wi�A (he ciry Builtling �ivision. Oaie: �� —v 1 � Npplicant: ��1�7� {� �G�� ESEMPTION FBOM WOflREBS' COMPENSATION OECIAflATION: Qhis seCtion neeA nol be Comple�etl if �he p¢rmi� is for one hunEreO ($100) Df less�. I certi�y �ha� in �he performance oi �he work for which Ihis permii is issued. I shall no� employ any person in any manner so as In become sublec� m the Workers' Compensa[ion Laws o� Califomia. �aie: Signature: NOTICE: II, atter making I�is tleclaration, you should become sublect �o the Workers' Compensation Orovisions of �Ae Lahor Cotle. yau mus� fohhwith comply wi�h such pmvisions or this pe�mi[ shall 6e deemetl revoketl. CONSTBUCTION LENOING AGENCV: I herehy alfirm Mat ihere is a constmction IenOing agency (or the Oerformance a/ ihe woM for which this permit is i=.sued (Sectian 3097, Civ. C�. LENDEH: IIOOXESS: OWNEP BUILOEB �ECIAHFTION: I here6y aftirm �ha� I am exempt imm �he ConVactors' S�ate License Law far �he following reason (Sec�ion �031.5 Business and Pmiessional Cotle: Any ciry o� counry which requires a permit [o consimct, alter, improve, demolish, or repair any slNcture. prior to its issuance, also requires ihe applicant for such permit tu file a signetl statement ihat he/she is licensetl pursuam m t�e pmvisions o1 �he Contracmrs' State License Law �Chapter 9(commencing with Section 7000) of Division 3 oi t�e Business and Professions Cotle) or that he/she is exempt therefwm antl the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit su�jects ihe apDlicant to a civil penalry of not more than five hunAreO aollars (E500�. I, as owner oi �he pmDerty or my employees with wages as their sole compensation, will Oo ihe work, antl the ❑ slmctureis notintentled oroffereU forsale (Section 7044. Business antl Pmie55iunalCOEe: The ContractoK State License Law tloes not apply to an owner of a pmperty who huiltls or improves thereon, and who does such work himself/herseli or ihrouAh his or her own employees. pmvitled that such impmvemenis are not intentletl or oflered tor sale. tl, however ihe buil�ing or impmvement is sold within one year of compleiion. Ihe owner will have �he Ourden of pwving he/she did not buil� or imD�ove , tor �he purpose of sale). I. as owner of ihe pmperty, am exclusivery con[racnng with licensed contraclors ro construct ihe pmjec[ (Sec[ion 7094, Business ❑ antl Pmfessions Co�e: The Contractors' Staie License Law Ooes not aDPly �o an owner of property who bmlds or improves ��ereon antl who contrac�s for such pro�ects with a contractor(s) license pursuant to the Contractors' State License Law�. I am aware Ihat prool of Iheir Worker'S Compensa�ion insurance shoultl �e pmvided to me. � I am exempt untler Semion: B. 8 P. C. forlhis reasan: Date: Owner I do hereby certdy that I am aware o� and unders�and Ihe requirements of Cahfomia Health and Safery Cotle Sections 25505, 25533, an0 25534 and thal I or any fu�ure building occupan� will/will not (circle one) need ro comply with saitl stale cotles and ihe reQuiremenis for a permit tor consimction or motlification Irom the Air Duality Management Oisinct. Residential consimction applications are exempt fram ihese pmvisions. �ale: Applicant I �ereby Cenity �ha� I have reatl �his appliCa�ion and S�aie lhat Ihe a0ove informa�ion is correct. I agree to comply with all ciry and Counry ordinances antl state laws rela�ing to huiltling constmc�ion antl herebY aulhorize represen�a�ives at Ihis city �o enter upon �he ahove-men[ionetl pmpetly lor'1inspelclion purpases. �J Dale: /u'LD—�� SignaWre: !///�� Y✓�� Dd�er's uce�se or Sociai Sec�d�y a: 164L4fi WM1ite—Builtling', Green—Cotle EnbrcemenL Canary—Applicanl; Plnk—Revenua; GoltlenroE—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: b 069673 PLAN CHECK NO: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PERM NO: B 06967; GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION : T/OFF REROOF W/COMP SHINGLES SQ FT: 5,234 CLAIM C'ALUE: 5,239,00 CALC—VALUE; 5,234.00 GROUP OCC; R-3 /M-1 COMMENTS: SMOKE DETECTORS REQUIRED PER 1991 UHC, REROOF 2900SF RESID/GARAGE *�-***-��*+��-�t***********�r**�t�t�tx-�t*�r*�t******+�**+r*�r�x-******�*************-��-*w*�x-**+�+�*� Z O N I N G5 ERTEH�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN £RNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REQ; PR�V; PARCEL; 14144130 ZNE; REF NO: PLANNING NOTES> � . iE iE iE �)h it it iE �1f if it it iF if iE iF if ## i4 iF �IE �1f iE iE if if it i4 jk �)f iE if iE if iE # iE �lE ih iE �1h it iF it iE iE iE 3E iE 1f �If it il� �IE iE iE if �If iE if if iE iE iE iE iE i(� jF �1F iF iE iE if iE iF iE iE IE iF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: HUILDING APPROVED HY : DATE: APPLICATION ISSUED BY: ��,A�'� DATE: -O Q � jE*iEiFfEiElEitiEiElEifil�#iEitiFiElf�ikifiEitiEiFiFiEif3EifiEikifi(�if . iE�EiEifiF3EiEiF�fifiEi:�FififiE'iifiEiEiEiEiE1ElFifiEiEjE jFiF iEihifif iEifiE iE*iEiEikiEiE#iEiEiEiEiEififiEi(�?EiEiFiEiEiEiF�)kifiEifiEifiEikiEiEifiEiE±E3EiFiFiEifiEiFifiEiFiEikiFiEiEitiEifififiEiFiEiE#1EiEififiEif�lE iE1EiFif�iF�lEifiF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES' GRADING PERMZT 81.00 ,5z SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 81.52 0.00 0.00 &1.52 81,52 .00 REVENUE DIVISION TOTALS--> COLLECTED: 81.52 OVEP./S[iORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/TOT GRADING PLAN—CHECK 81.00 .52 iF iE iE �F if iE if �E 3F iE it iF iE if �Ih iE iE iE if iE 9E 9E-1E aE 9f 9F if iE if iE if iF jE if iF * iE iE iE it iE iE 9E 1F iF iE iF ff iE iE 3E �E 3F if if iE iE iE if 1F iE iF iE �F iE dF fF dE if iE jE iE dE iE 9E iF iE 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 SFR QTY 5239 D E S C R I P T I O N REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES J UNIT COST 'TC�TAL COST 1,00 5,239.00 5MC)KE DE�i� Et� i �H REQUIRED J7 QC149774—�C149775 P'o�'� 31.52 DATE: iD/23%93 TI!'tE: 13:34 n � ' POOI ,PA F.ONSTRUCTION AND PLANNING APPROVAIS Permit # Oate � Inspecto� qppROVALS Permit # Date Inspector t. Temporary Etectrical Service or Pole 52. Pooi & Equipment Lacation � 2. Soil Pipe�Undrgrnd. . 53. Steei Reinforcement `� 3. Electricai Conduit Utility-Undrgrnd. - 54. Forms � - 4. Electrical Conduit-Undrgmd ` 55. Electrical Bonding 5. 5tee! Reinfo�cement 56. Rough Plum6ing & Pressure Test 6. Electrlcal UFER Grnd. 57. APPROVAL TO COVER�GUNIT[ 7. Footings 58. Electrical Conduit�Unc:rgrnd. B. Foundation ' 59. Gas Pipe, 0 Undrgrrid., Test • 3. Water Pipe-Undrgrnd. : '., , 60. Backwash Li�as, P-7rap, Cl� Undryrnd. ' � 10. Sxructural Ploor SYstem � 67. APPROVAL TO DECK . 11. PronertV Sev�er line & HouseConnection �- 62. Back+n�ash & Receptor-Pina�� - 12. Sewer Cap �^ 63. Heater & VenDFinal 13. Roof Drains ' ., 64. Plum6iny Syscem -�inal 74. Rough Piumbing .. � S5. Electrica6Final '�! 15. Rough Elecirica6Condua ' 66. Solar SYstem-Final � J 16. Rough Electric Wiring 67. Fencin� & Access Approval I 77. Rough Wiring Siyn 68. APPROVED FOR�PLASTERING i 18. Rough Electrica6T Bar Cei�ing 69. POOUSPA SYSTEMS fiNAL 19. Ro��h Heating & Air Conditroning FIRE DEPT. REQUIREMENT 20. Rouyh Factory Fireplace APPROVAIS Permit � Z7. Duas, in Struciure 70. Underground Hydro 22. Gucts, Ventilating � 71. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Tes2 72. Underground Flush 24. Reof F�aming 73. Undergmd.Storage7ank OGas ❑Oil 25. Roof 5heathing /� ZR_e13 � � 74, Overhead Hydro 26. T-9ar Ceiting fStructuraij & ftAonocoat 75. Dry Chemical � 27. Grame and Flashing 76. Dry Standpipe 28. Lathiny & Siding 77. FIXED SYSTEA9 FINAL 29. {nsutation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTN DEPT. REQUIREMENT 31. P�aster Brown Coat 79. FINAL WSPECTION 32. Electrical Poever A1eter Final 8�. FOOD CERTIFICATE ISSUED --{� 33. Fin�i Electric Notes: I 34. Final Heating & Air GondiTioning ,� 35. Finai Gas Pipe�Test � `' � r- 36. Nood or Canopy 37. Finai Paaory Firep;ace i 38. Final Piumbing 39. Wacer Service�Final 40. Gas Szrvice-Final � 41. Solar pomestic-Finai 42. Backfiow Preventer . � i 43. Backfiow Irrigation � _ � 44. �andscape Irrigation Sysxem �' tR. . 45. Sound Attenuation � , 'E .-., 46. Handicap Regulations y �=� 47. FINAL STflUCTURE & BUI�DING / Z�3 �� 6�� '� I 0 48. FINALPLANNING " � �+' 49. Electric Release to Edison '' `�� . 50. Gas Reiease to Souzhem California Gas Co � 51. CER7IFICATE OF OCCUPANCY ' �' • ' No. De.e • `� . ':�', , �.� , Ci �� G"JSTA MESA BUILDING DEPARTMENT P.O. BOX 3f] COSTA MESA, CALIFORNIA BUILDING ADDRE55 FOR APPLICANT TO FILL IN i ruiuvvcr 110.1.G COSTA MESA. CALIFORNIA OWNER Columbia Homes� Inc. MAIL ADDi ._o �'rS -�),^-�, -`� �o e � �.. V r � d w...l AbG 2� 195b ;...i,rrn-� r,...��, . ,..��.1� � _�� . " -i. APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. PEPMIT NC HECEIVEO 9Y OATE RECEIVEO D E. 17th St.� ciTv COSt& Bde58� CSlif. TNp.Ll• 6-1159 pDDREl55 �ARCHITECT � $On LIC. OR ENGINEER rvo. COSTA MESA. CALIFORNIA AODRE55 Garden Grove I?ike & CONTRACTOR p ADDRE55 �F-�9 E♦ 17th LEGAL �ESCflIPT�ON N�T 56 BL A.P. NO. SIZE r�r� X 102 OF LOT < < FIRE ZONE CITV LIC. �O�E i NO. St• TNO.�• 8-1159 BYPROVED OCK. TRACT 2954 NO. Oi BLOGS. nOne PIOW ON LaT I SETBhCN LINE FROM � NEW REPAIR EET /5 � . REAR YARD 2g�� RIGHT 1Oi LEFT 7�6� DESCRIPTION OF WORK I � ALTERATION ADDITION EXTERIOR WALL COVERING USE OF NEW c� BUILDING U...iaF.,yc iai�ui,y ic.�.�uc with attached double NO. OF ROOMS 6 STORIES ROOF ____ p�srvs Plan 750D I HERE9Y ACKNOWLE�GE THAT I HhVE REAO THIS PPPLICATION ANO STPTE THAT THE wBOVE IS ORFlER ANp qGREE TO COMPLY WITH ALL CITY OROINANCES AND 5 E Ln�NS REGt1LATING BUILDING CONSTRUC� TiON. VA W P.TI ON SIGNATURE OF PERMITTEE i�` t'_ r $16,168.00 AUTHORIZE� AGENT'�'�"ne & Colegrove, tI1C• CORRECTIONS ATE ISSU PERMIT FEE $3��QO PLAN CHECK $�9�� TOTAL FEE $5 •OO � �enir sn OWNER DATE JOB ADDRESS 2�F2�F Andover Pl. • ' B[iILDING PERMIT NO. � 7�� GENERAL CONTRACTOR Dike & Colegrove, Inc. VALIIE $ 16,i68.00 AP. No. LOT r,h TRACT ��r,4 FIRE ZONE DESCRIPI'ION OF WORIC Res w�att �ge C: ;i:SIP I& J TYPE V ZONE Rl PLAN NO. coat i �ing Pixtu� P.....i Gas Test PERMIT8169UED DATE SUBCONTRACTOR ____ _,_______ �9171 �. COSTA MESA BUILDING-SAFETY DEPARTMEM' ' P.O. BOX 1200 COSYA MESA, CALIFORNIA 92E2! Fo� AppBcanf to Ffll In CompleHly /TYPE OR PRINT �UILDINO �%/L� O �„ n/7 ADOR6YY ar T �� COSTA MEBA. CALIFO NIA nwr�ae /{�ii�// � �� BETBACK LINB PNOpI ,i— DESCRIPTION OF WORK �— f:00M8 �--' 1LL ��_. ROO� �7//i �� 0 SEr 30-5�00 B74 o*t*+*5.00 = ^n,:;; `�� A►PLICATION FOR PERMR BUILpING For Offln U» Only 11iC[I'T NO. �►Spp11T NO._ TYPL �' 6Rf DAT6 ZONING xo. o. u.a o� nnv �ux� � �euao�Na YAPD9 MPROV ED MAIN BUILDIN6 � VAR..$ 1 N80.6oY ACKNOWL[DO[ TNAY�1 MI1V6 pfAD iN�� APPLIGTIOX AND BT�T6 THAT TX[ AlOV6 IB CORR[CY ANG AOR6i YO COY. PLY WITX ALL'CI ORCINANCp �1f1O RAT� lAYW p[OYLATINC BUILnIHO CON8T11U ION. /1 / PBRMITT880r � ' L� AUTHORIZ[D A � N'[ JV BMALLBHLl88THAN fU.B.C.RBqUIREM6NT'. YARD9APPROVED ACC6880RY BUILDIN6 DAT6 oi � a � �„„,, 8Q. Ff. � TIR AMOUNT OHOWN YNDeP '/ALU�TION IB POR iH8 � PIlRP08[ 01 tGTAe4BHIN0 A PCRMIS P68 ONLY. � VAWATION � � � PERMIT F66 � � ` ^ � s`�L'Y' � w TOTAL PBE � �, OWNER PROP. SWR. LINE � HOUSE CON. SPftINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CON01T1 TEMPORARY SERVICE OR POLE UNOERGROUNO � POWER � ROUGH WIRING TRENCHES � FORMS STE FLOOR SYSTEM BON� BEAM ❑ STEEL REINFC SNEATHING FRRME AN� F�ASHING LGTHING - IN n OIIT n PLASTER, BROWN S" 'URAL, FIO NO A.C., FINAL TEST I-I RE DATE SUBCONTRACTOR