HomeMy WebLinkAbout2256 COLGATE DR - Building Permitst
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' � CITY OF COSTA MESA r
BUILDING DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax Q14) 754-4856 • vavw.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: B09-00156
PERMIT TYPE B_ROOF2
APN: 41908306
JOB ADDRESS: 2256 COLGATE DR CM
Vicinity: RESIDENCE AND ATTACHED GARAGE
Squares: 2600
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuatiori:
ISSUED
OSI17/2009
BJK
$6,500.00
SCOPE OF WORK: REROOF RESID�NCE AND ATTACHED GARAGE: T/O EXISTING COMP ROOF, REPAIR/REPLACE SHTG AS NEEDED,
1 LAYER 15# FELT, APPLY 30-YEAR DIMENSIONAL COMP SHINGLES. PITCH 4:12 2600 SQ FT
OWNER: ORTIZ, MARK J
PHONE:
APPLICANT: JENEI, SANDOR
PHONE: 949-726-8439
CONTRACTOR: EURO ROOFING CO
Address: 17461 WAYNE AVUniL
City/State/Zip: IRVINE, CA g2614
ARCHITEC7:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
TOTALFEES
$0.00
$139.25
$0.00
$1.00
$140.25
Address: 2256 COLGATE DR
City/State/Zip: COSTA MESA, CA
Address: 1746'i WAYNE AV
City/State/Zip: IRVINE, CA
License No.
License No.
PHONE:
License No. 674624
949-726-8439
CELL:
PHONE:
PHONE:
Unit:
Unit: .
NOTICE: The work authorized by this permil shall comply with all applicable handicap access requirements under Califomia slatutes and related
regulations. (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 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 the expiration of this permit.
COOE1. INSPEG110NTYPE DATE IN7171RLS GOUEt INSPEC710NTYPE OATE IN7RIAL5
1616 Fixed System Final Fire Prevention /� 206 Final Mechanical
1266 Pool Spa Final L(_ 208 Final Plumbing
p / A
200 Final Re-Roo/ 4 //d� 2 W Pinai Electrical
— F7�—
201 Final Block/Retaining W all _ 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Finat Sign 222 Fina7 Site
204 Final Demolition _ 250 Finai BuildingfOccupancy
WORKERS' COMPENSATION DECLARATION:
I here6y aNirm under penalty of perjury one of the follovnng declarations:
❑ I have and will maintain a cetlificate of consent to sel!-Insure for vrorkers'
compensation, as provitletl for by section 3700 of the Labor Code, for Ihe
pertormance of the work !or which ihis permit is issued.
'�, I have and will maintain vrorkers' compensation insurance, as required by
seclon 3700 0� the La6or Code, fa lhe pedortnance of Ihe work tor which Ihis
pertnit is issued. My workers' compensation Insurance carrier and policy
numDer are:
Carrior: ' S%FYTC �.ts/p
J (Th¢sectionneeEiplOemmdefetl✓IhepermRisvaluetlatmehuntliedtlollars(St00)aless.)
Policy Number: � I S(a g Q(o O
❑ I cehi(y that in the perfoimance of the work for which Ihis permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensalion laws of Calitomia, and agree that if I should
become subject to the vrorkers' compensation provisions of Section 3700 of
[he bor Code shall fo th comply with these provisions.
,f,s � �—�—�„ � I �' c� �
ApPlicanl S'iqnawre Dale
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
(5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business antl Professions Code, and
my license is in tull force and effect.
�iau ' �7Y6�' c�assu' C-3
"'� � �iv� _ ' � ( �' � 7
Comractor's Signa re Dale
CONSTRUCTION IENDING AGENCY:
❑ I hereby aPorm that there is a construction lentling agency for the
perlormance of Ihe work for wfiich this permit is issued. (Sec. 3097, Civil Cqde�.
Lender's Name:
Lentler'S Atldress:
SignaWre Dale
OW NER-BUILDER DECLARATIONS:
I hereby aKrm thal under penalty O( perjury �hat I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5.
Business antl Professions CoOe: Any city or county which requires a permil lo
consWct, alter, improve, demolish, or repair any strucWre, pnor to its
issuance, also requires the applicant for such pertnit lo file a signed statement
lhat he or 5he is liten5ed pursuant to lhe provisions of lhe Con�faClOfS
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or Ihat he or she is exempt theretrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant (or a permit subjects the applicant to a civil penalry ot not more than
fve hundred dollars ($500).�:
❑ I, as owner of Ihe propeny, or my employees v+ith wages as their sole
compensation, WILL �O 7HE WORK, and ihe structure is not intended or
of(ered for sale (Sec. 7044, Business and Professions Code: The CoNrectors
License Law does not appty to an owner of property who builds or improves
thereon, and who does such work himself or herself or lhrough his or her own
employees, provided that such improvements are not intended or oflered for
sale. It, however, the buildinq or improvement is sold within one year of
completion, Ihe owner-builtler will have the burtlen o! proving that he or she
ditl not build or improve for purpose of sale.).
❑ I, as owner ot the property, am EXCWSIVELY CONTRACTING WITH
LICENSED CONTRACTORS ro construcl the project (Sec. 7044, Business and
Professions Code: The contrectas License Law dces not apply to an owner of
property who builds or improves thereon, and who contrac[s (or such project wi�h
a GOf1If3dOf(5) licen5e pursuant to IhC CAntf3c[Of5 License LaNS.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
�
Owner ID verified by driver's license. ❑ Yes ❑ No
Dnver's License No. Expires:
Verifwtion of Ownership by (rype of document, i.e. - property tax 6ill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify Ihat no excavation frve (5) or more feet in Oepth into which a
person is required to descend, vrill be made in connection with Hork authorized
by this pertnit, and ihat no builtling struc[ure, scaffdtling, (alsev.ork, or tlemoli�ion
or dismanUing Ihereof, will be more than Ihirty-siz (36) feet high. (Chap. 32, Grp
2, M 2, Sec. 341, Title 8, Cali(omia Administ2tive Code).
� As ovmer-builCer, I will not employ anyone Io do work which would
requi�e a permit fmm the Division of Intlustrial Safe�y, as noted above, unless
such person has a permit to tlo such work from the division.
Apvliwnfs SI9naWre Dale
Division of Intlustrial Safety Permit Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will lhe applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or threatened
release o( a hazardous material? ❑ Yes ❑ No
(Seclion 25505 of the Califomia Health and Safe[y Code requires, with some
exceptions, that a Business Plan be filetl with the Costa Mesa Fire
Department by every business which has at any one time dunng a reportetl
year a quantity of hazardous materials equal ro or greater ihan a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas
at standard cemperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration (ortn for acutely hazardous ma[erials? ❑ Yes ❑ No
(Section 25533 of the Cali(ornia Health and Safety Code, with some
exceptions, requires regislretion with the Cosla Mesa Fire Department by
each business which at any one time has on hand a quantity o( acutely
hazartlous materials equal [o or greater Ihan a weight o( 500 pounds, or a
volume of 55 gallons, or 200 cubic feet o( compressed gas al standartl
temperaWre antl pressure�.
3. Does or will Ihe applicant or preseM or fuNre building occupant neetl Io
prepare an RMPP (Risk Management and Prevenlion Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 0/ Ihe California Health antl Sa(e�y Code provides Ihat the
Costa Mesa Fire Department may require the preparalion, certification and
fling with Ihe Fire Department of an RMPP by businesses which are required
to register acutely hazartlous materials with [he Fire Department.
4. If an RMPP is presently required, has Section 25534 of Ihe Cali(ornia
Health and Safety Cotle been fully complied vnth? ❑ Yes ❑ No
5. Does or will the applicant or present or tuture builtling otcupant require tor
Ihe work which is the subject of this appliwtion a permit for such conslruction
or motlificati0n from [he South Coast Air Ouality Management Districl or from
any other air pollution control distnct or agency? ❑ Yes ❑ No
(Sectbn 658502 of the Califomia Govemment COde requires that the requestetl
informaibn be (umished on applications for nornresitlential building pertnits).
6. Will any part o( the facility to be constructed under this permit be wichin
1000 feel from the outer bountlaries of a school? ❑ Yes ❑ No
Qf "yes", �he taciliry must meet the requirement of Sections 25534 antl 42303
of Ihe Cali(omia Health and Safety Cotle�.
7. If a permit (rom the South Coast Air Quality Management DiSMct or other
air pollution con[rol distric[ or agency is required for Ihe work which is ihe
subject ol this application, have all of the disclosures prescribed by California
Health and Safety Code Sec[ion 42303 been matle? ❑ Yes ❑ No
8. Qf "yes", attach certifcate of wmpliance irom the appropnate air polWtion
control officer).
CERTIPICATE OF COMPLIANCE I certi(y that under penalty o( perjury the
information given above is correcL I agree to comply with all state laws and
city ordinances regarding Hazardous Materials antl Emissions.
Signawre Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have read Ihis application antl state Ihat
the infortnation given is correct. I agree to comply with all state laws antl city
ordinances relating to building wnstruction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the above-descnbed property (or
inspection purposes. I agree not to occupy or allow occupancy of any building
authorizetl by this permit un[il final inspection.
Sign re of Le�g�al/p�n eqs) � pp te
Signalure Date �/, . Lv/ /__ l �z/� p
305].C613/0]) C/l� -riY!/`�� ���.L �_
AnObrAul�o zeCAppliwnl Da10 /
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COSTA MESA BUILDING DEPARTMENT
P. 0. 80X 317
COSTA MESA CA�IFORNIA
C•l• OF STREE
' ��PROP. LINE _
r 10 FT. FOR 60 FT. STREET—
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%i ��d�.��E D�PI. BUILDING ADDRESS ��3 �i �
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FTId. IN
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tl� nclrflST�1''I-`Owner��'�v' /\D����/ �/ /
� Mail Addres� l �y� 6 / " ���/�r�0 ✓l � J7 � ✓J�
I City NF�U-'�D �! ,/ pAG I7 Ph. No.
� Contractor `'' C�/`��S_��Ph. No v� �/ � 3�
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
Addres ! >> i
City Lic. No. State Lic. No.
Size oE Lotrl�� ��D AP Non�% �% �TIi •�I ��
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Setbacks: C/L Street J d'�� Rear �-3
Side Yard - Right '-� Left �/
Type of Fence v�P-�,,��-'^'-o"g- /'cQ-'t-�v— � �/�-"`-�
Gs ' �� j�w��
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construclion.
Signature �C��Q �� �� ' _
of Permittea ' " ��-
VALUATION
S�
FOR OFFICE USE ONLY
I Permit No.
'75+��
Date Received Date Issued
� 9—i/ S�
Permit Fee $�1L��
V (J Plan Check $ /✓�
TOTAL FEE $ �' � //
USE REVERSE SIDE FOR DETAILS
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COSTA MESA BUOLDING DEPARTNIENT
P. 0. BOX 317
COS7A MESA CAIIFORNIA
C.L. OF STREET
" _��PROP. LINE
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I 10 FT. FOR 60 FT. STREET
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
IUED
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FOR APPLICANT TO FTLL IN
BUILDING ADDRESS �3f6 Co L G�T� ��p ,
Owner�/ /��/l% M � /�1/� L 6'�
Mail Address � 33� ( -a � �� rd� ���
C�oST/� /��Sl7�C�Li /-�'59;3'�/
City ----�- �Ph. No.-----
Contractor-C2./l��F R Ph. No.
City Lic. No. State Lic. No.
Size of Lot %q�� /e0 � pp Na. /� /- 73 T�..f� 4SS
Setbacks: C/L Street b/� � Rear T�� "
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Side Yard - Right �`�'�'� " Left� �}"
Type „of Fence i��C D k� a d� �D i9 �? Cj O i✓
I hereby acknowledge that I have read this application and stat�
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating/ �building. construction.
Sianntura i.�/` �fa . / l r. A� 7A
FOR OFFICE USE ONLY '
� i�-�� �y � � ��-s�
VALUATION LQ.,�
Permit Fee $
� � � Plan Check
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TOTAL FEE $ �, �
USE REVERSE SIDE FOR DETAILS
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-OWNER K(7T� K_ t,l_ DAT$�ll_KA `
JOB ADDRESS BUILDING PERMIT NO.
GENERAL CONTRA OR VALUE $ bS �
AP. No. 1'.OT 19 TRACT '2l(.'I PII2E ZONE DESCRIPTION OF WORK o_a..__� s�____
GROUP
ZONE
INSPECTIONS � UATE I SUBCONTftACTOR
coat
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OWNER �tn(}N Ft(11.{R.S� TTif`_ DATE 6-26-58 _
JOB ADDRESS 22Sfi Colgat.e Dri ve BUILDING PERMIT NO. • ����
GENERALCONTRACTOR K. W. Koll VAL[IE$ ���,n�_rn
AP. No. LOT 32 TRACI' 31[�l FIRE ZONE DESCRIPTION OF WORK Si ng roc .-7 att,���^,
GROIiP T�& .1 TYPE V ZONE RI� PLAN NO. onon
INSPECTIONS I DATE I SUBCONTRACTOR I DATE PERMITSNUMBER
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COSTA MESA BUILDING DEPARTMENT
p. O. BO% 3 �]
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
ADDRE155 2256 soleste Dr.
COSTA MESA�, CALIFORNIA
OWNER KanAon Home9. IIIC
LEG�L
OESCRIPTION
A.P. NO.
�DOI'f B6aC:1� CB�. TEL.
NO.
f1 W KOlI, COIIB4 CO N�O.
L ITY LIC.
�� NO.
n� TEL.
L1LVd• NO.
NO.OF
USE OF
E%ISTING BL�G.
$ETB1C1( LINE FROM /�
CErviER OF STaEEi O REAR VARD 4�
SIOE VARD RIGHT p LEFT p
DESCRIP7�ON OF WORK
'NEW A�TERATION AD�ITION
IREPAIR MOVING IDEMOLISH
RIOR WA
_RING
OF NEW
NO.OF
HOOMS Fi STORIES
H4t
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�_a6-S�t o�-
FI�!",f�CE DEPT.
..r �n�.,� .�I,�C�i
('.I
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
PECEIPT NO. �pyT�V�
� ei�i
'ECEIVf� BY ��TE RECENEO DwTE ISSUE
_ , i _,�_ ❑iti o � i
BUILOING
ADDRE55
COSTA MESA. CALIFORNIA
Ll'1
CORRECTIONS
�.l �� Y__ .�
1 HEREBV �CKNOWLEOGE TX4T � NtVE RE�D TMI$ �PPLIC�TION sN0 �—m� �/
$TATE THAT THE wBOVE I$ CORRECT �ND 1GREE TO COMPIV WITH ALL � �
CITY OR��N�NCES ANO STnTE L�W$ flEGV��TING BUILOING CONSTRUC�
i�oe. VALUAT{ON 1 ^�
SIGNATURE OF v T.. PERMIT FEE S J c+� �
PEFMITTEE 118�OII HOIIIBB 11aC�
AUTHORIZED
PL/N CHECK S I(O �
S /3 f�o3_
� TOTAL FEE 5 SL� � "°Mf
� PAiO q. ihf+'at
�AY?Fi•77�„�,,��1?_88 �.5.��
i'� i14�J./.�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAII FORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
RECEI DATE RECEIVED D�E ISS ED
BUIIDING225� Cp�6�rE � -
ADDFESS ' �
/� 7- ♦ /� /� /�`/�'/ \�' ' 1 �q�/� .+O PERMIT NO.
OWNER rJRI �-I U IL LU/-�(�r�� ' • � ' A.P. NO: Y
MAIL / /� �/��- , � BUILDING ZCS�j ` �LI�A��
AODRESS ZZS ^V . _COLl7r'Tf � AOD1RESS
CITY �'L.[J.S I �'J / / /� NOL� y� '�J \TRACT �I � COT, BL'OCK
CANSTRUCTION .� � EW ADD ALT R P M
, LENDER' � �' "� � ' � � . ' .,
� .BRANCH� '-` \ �� � � D �/ �% LUA2// � .
, . . �� � _ - .. �'p�.•, � �+ . � OWNER 3 ' /��i`U0._. _ /`.. . '
ADDRESS � y� /� � VALUE �vO �
-�` ARCHITECT (p/ y ' . �� TEL � SE �/"7�/(7. � _ $ � J
ORENGINEER J1C.
' _ = ' � FIRE' ' \ �'� :. . � ) �� '
:.ADDRESS � � ZONE TYPE GROUP •
' � � `� � /� ` ) � �J � ' �1' ' ' 'APPROVED � . � �
CONTRACTOR�• �h\Y`.Olt. AUJN'•�".• ., '. eY ��DATE� �'
ADDRESS�L�QC:.. /J,��LI���lJbC.�.,.,/%Vl+,. `\ ` ° ` �
��yn /����} , NO� O ZONE� 'I� P��� BUILDING E l�'�"�� �
CITV L//��7iVC C..
F STATE.; ; A^'� ��j - CITY'� \, �'ARDS APPROVE� �,VAqDS APPROVED
IIC: NO: '��y' /��-CJ ' ' ' � 1LIC. NO. - l�'' � MAIN BUILDING � •. � ACCESSOFV BUILDING
�` (FROMGLS F�i) � �" �
(,y �SIZE NO.AF BLOGS. � •
S OF LOT NOW ON LOT, 1� � FRONT �� FT.
� 'EXI5TING BLDG. S, F; Du.J��L. � � � ` -QA �� � � � � ' , ' • '• .
S FT. FT.
v�� . �•. � _ . . -, . . -� . . � . � ., � � :t '..>� .
� :; �!
S Separate permits are required for ' � * - ' �.�sio Li� '.FT. , � - ' � F.T. =� '� �� -
Q_z . electric, pluinbing and heatiqg work.' -, �� �,REAR- 2' FT. � . FT.� � '
a USE OF � f lDl G p'p�) VJLQRK TO BE PER RMED + DISTANCE BET. .,� BET. MAIN &
� Q l.�,I • Y ( �� MAIN BLDGS. ACCESS. BLDGS.
!, ,l W � LU � � S�I��� ' VAR. # , DATE � • � ,
a �N C.U'.P.�-` ' � APPFOVED.' ��)
�. Y— 1����J�',V� • .. _ . APPROVE /" r%�` { i
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� 1 hereby acknowledge'thet I have read this applicetion and state , • � � �
n
y� <hat ffie above'Information is <orrect antl agree to comply with m
p+ all lews reguleting building construction, and I shall not employ
z eny person in �ioletlon of the workman's compensation laws of d
W the Stete of California; - '� - � -
3 1 hereby certlfy thet I am proparly`Iicansad as a contractor untler 'SQ. FT. N
the State of Calitornia Business antl Professions Cotle, Divtsion 3,- THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, antl thet such licenses are In tu�l torce and effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONIV: �
am exampt from the provlsions of the State of Callfornia Business a
VALUATION PERMIT FEE $
entl Professions Co�f , Division 3, Chapter 9. I � m
//,/(� � ��� PLAN CHECK $ � SO o
Sle�etufeof 1G�L��� l' •K�(i-rls�..-- l�Ofi
Parmittee f (/ 8 TAX $ D LL
I �
f� A lU °',
Authorized Agent TOTAL PAI � $ � O