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Home My WebLink About2269 COLGATE DR - Building Permits(714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c�ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JObAddress: 2269 COLGATEDR Suite: Viciniry: EXTERIOR HOUSE FRONTAGE Primary Occ: R3 Parcel Number: 41908204 npplicant: AGUILAR,GABRIEL Address: 2269 COLGATE DR COSTA MESA, CA Owner: AGUILAR,GABRIEL Address 2269 COLGATE DR COSTA MESA, CA Contreaor: OW N ER-B U I LD ER Address: Zip: Arch : Adqress: Phone: Zip: License: Status: ISSUED Applied: 09I782006 E� Issued: 09/18I2006 Type of Construction: V-N�� Zoning: � Phone: 949-631-5442 ISSUED BY. Zip: 92626 Phone: 949-637-5442 � Zip: 92626 ' � Phone: � License: 000000 Eng: Atldress: SCOPE OF PERMIT " REMOVE (E) SIDING ON THE EXTERIOR FRONTAGE OF THE HOUSE AND REPLACE W/STUCCO FOR SFD. FEE SUMMARY Plan Check: $0.00 Permit: $60.10 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Phone: License: Calc Valuation: S�,�oo.00 Claim Valuation: si,�oo.00 Total: $60.60 PLANNING 8 ZONING SETSQCKS MAIN STRUCTURE Front 0- 0 Rear 0. 0 Lefl 0- 0 Right 0- 0 ACCESSORY Front 0.0 Rear 0-0 Lefl 0-0 Right 0-0 PARKING Exisiina: o Required: 0 Pr000sed: o NOTICE: The work authonzed by ihis permit Shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a periotl of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all required Inapectlons and flnal epproval must be obtained. Failure to obtaln inspections and tinal approval will result in the expiratlon ot this pertnit. FOR INSPECTIONS CALL: (714) 7545626 zsaa+ec�) � WORKERS' COMPENSATION DECLARAY�ON: I hereDy eMirm under penalry of perjury one ot the iWlowing Geciarations: ❑ I have enA will meinlain e certificate ol �sent ro self-Insure tor workers' compensatlon, es provlAed for by section 3700 of the Lahor Cade, for the p9rtortnence ot t�e work for which Nis pertnit is Lvsuetl. ❑ 1 �ava erW wN maintaln wwkers' oomp0�satbn in.wrance. as requiretl by section 3700 oi the lebor CoOe. lor the peAortnance ot tlie work ta wlikii tlUs pertnit U LSwed. My warkera' wmpensation Insurence Cartier and pdiry number ere: Certier. (in/s se or�ess.) Policy Number: I ceNfy t�at in the pertormance ot the work lar which this pertNt Is issued, I shall not employ eny pereon In eny manner so as to bocome su�ect to the workere' campensatlon laws of Califamla, entl Bree that if I s�oulE bemme sublect to the workers' compensation provislons oi Sectlon 3700 ot t�e Lebor Catle, I ahell toMwith compty with these p vls ns. s��s�e�a�re: -�IBc�°�, //�oa�:.� —� � � 1N�: FAICURE TO �ECUFE WORKERS' OOMPEMSATION COVEMGE IS UNLAWFUL RND SNALL SUBIECT rW EM%. ER TO CRIMINAL PENAL 5 AND CML FlNES UP TO ONE HUNDRED iAND DOWIRE (E100,000�, IN ADDRION TO THE COST OF COMPENSATIpN, pMUGES 0.5 PROVIOED FOR IN SECTION 3]OB OF THE LABOR CODE, IMEREST, AND ATfORNEYS FEES. LICENSEDCONTAACTORSDECLARATtlN: I hereby eHirm that I em Ilcensed under prov�slons ot Chapter 9(cammenGnp with Sectlon 7000) of Dlvlsian 3 at the eusiness entl Protessions Cotle, end my license Is In full brce entl eflect. Lic. M Class p Comrecmr's Signature: Dete: CONSTRUCTION LENDING AGENCV: ❑ I hereby eMirtn thet ihere is e construcOw� lending egenty lor the peAormence ot the work tor whlch thls permit is Issued. (Sec. 3097, Cidl Code). LendeYs Neme: Lendefs Atltlreu: Signature: Date: OWNER-BUILDER DECLARATIONS: I �ereby eXirtn that untler penelry of per�ury Ihet I am EXEMPT FROM THE CONTAACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Cotle: Any dry or counry whiU requires a p9�it to construcL elter, improve, demdis�, a repair eny slrucWre, pdor to iis Issuance, elso reqWres Ihe applicant tor such pertni� to 111e a sipned stetement that he ar ahe Is Iitensed pursuant to Ne proNsions ot Ne Contractors License Lew (Chapter 9(cammenGng with Sectlon 7000) of Dlvislon 3 of ihe Business an0 Proteulons Cade) or thet he o� she ls exempt theretrom enC �he besis for ihe alleged exemption. Any violetion a� Secllon 7031.5 by any epD��ent for e partnit su6�e te Ihe eppifcam lo a civil penalry of nal more than five huntlred dollers (5500).): -�1, es owner o51he properry, or rtry amployees wNh wages as thah sWa compensalion, WILL DO 7T1E W ORK, end [he slructure Is nol intentletl or ottered for sale (SeC. ��044, Business antl Prolessions Code: The Contradors LJcense Lew does not apDN �o en owner of property who 6uilds or Impmves thereon, end who does such work hlmself or herseli or Ihmugh his or her own emD�oYees, provided that such Impmvements ere not Intended or ottered for ule. If, howaver, the building or Impmvement is sold wiihin one year of completion, the owner-builder will have the burtlen of proving that he or she did not build or improve lor purpose of sale.). ' ❑ I, es awner of the Oroperry, em EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to construcl ihe project (Sec. 7044, Business end Professlons Cotle: The mntracrors IJcense Lew does not appty to an owner ot pmpeny wno builtls or imprwes Ihereon, antl who conirads for such v�lect with a contrec[or(s) Ilcense pursuaN to ihe Contractors License Laws. ❑ I em exejm,rn�nder se Business arid PrWessions Cotle for IhLs reason: .Signeluie: 7A✓ � /n/1 r_Date:_ '� OwnerlD Ved' dnve s Iicense. es � No orrvers u��' Explresi"- -�J . Vedficetlon ol Ownership by (rype of documv�t, I.e. - properry tax blil or deeC): DIVISION OF INDUSTiiIAL SAFETY PERMR CER7IFICA710N: 0 I hereby certily thet no excavetlon live (5) or more fee� in tlepih Into which e person is required to descenq will be mede In connectlon wlt� work eutho�zetl by t�ls pertnit, end that no builtling siruIXure, s�efldding, faLsework, or Cemolltion or dismantling I�ereol, will ba more than tNrty-six (38) teel �iph. (Chap. 3.2, Grp 2, Art 2, See. 341, Title 8, Callfomia Adminbtretive Code). ❑ As owner-�uiltler, I wlll nol employ nnyone to do wark whic� woultl require e pertnit Irom ihe Divislon ol Intlustnel Salery, es noted e6ove, unless such paraon has e pertnil lo tlo such work fmm Ihe dhrision. Sipneture: Date: Dlvislon oi InOusirial Safery Pertnit Numher: CERTIFlCATE OF COMPIJANCE AND AUfHORQATION OF EMRY: I cenify untler penalry of per�ury thet I have read this epplicetion end steta Ihat ihe infortnetion gWen is correct. I egree to compty wlth II stete lews anO ciry ortlinances relating to Duilding constructlon, en0 euthodze representatNes of the Ciry of Coste Mese to enter upon the ebove-tlescdCed pr erry pection purpo/ses. 1 e e nof to occupy or allow occupancy ot eny building authonzed by this pertnit until tinel �InLspeMion. ./�-. fi -./�_ �/i7 �� "�G�� gnem�gel .(sI,_ te i �v AnNOr AuifwriZed App�kani Date CO�E �. INSPEC710NTYPE 1616 Fixetl System Final Fire Prevenllon 1286 Pool Spe Final 200 Finel Re-Roo1 201 FInaI8locWRetelning Well 202 Finel Fectory Fire Place �'\ Finel Sign / Final DemWi4on P� Itii�l� CODE I INSPECTION TYPE 208 Final Mechenical 20B Finel Plumbing 210 Finel Elecirical 212 Flnel Fire Preventlon 220 Final Planning Approval 222 Finel Slte 250 Finel Builtling/Occupency PAIE . ItilIDAl$ April 20, 2007 CITY OF COSTA MESA P.O. 80X 1200 • 77 FAIR DRIVE • CALIFORNIA 92fi2B-1200 DEVELOPMENTSERVICES DEPARTMENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION Gabriel Aguilar 2269 Colgate Dr Costa Mesa CA 92626-6346 PERMIT NUMBERS FOR: PROJECT ADDRESS 606-01546 Replace Siding with Stucco 2269 Colgate Dr., 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 finai 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 office so we may correct our records. If you do not have an approved final inspection, your permits will expire on May 4, 2007. Additional fees will be required to finalize expired permits. Requesting an inspection—if you need to request an inspection please call our Inspection Request Line at 714-754-5626. Requestinq 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, detaiiing circumstances and listing an estimated date of completion. If you have any questions, piease 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 �� Mary Jane Weidenkeller Office Specialist II Bvilding Division (714) 75aS273 • Code Enforcemenl (7f a) 754-5623 • Planning Division p14) 754-5245 C4V ntdl]SedqSR . Thl1/9td1J5d-SJdd • y��ifncla_TPCafaiw (714) 754•5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.c�IlE1LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Y2G9 COLGATE DR Suite: Vicinity: R04F Primary Occ: R3 Parcel Number: 41908204 Appliwnt: AGUILAR, GABRIEL Address: 2269 COLGATE DRIVE COSTA MESA, CA Owner: AGUILAR, GABRIEL Address 2269 COLGATE DRIVE COSTA MESA, CA Coniractor: OW N E R-B U I LD ER Address: Zip: Arch : Address: Phone: Type of Construction: V-N Zoning: Phone: 714-904-4621 Zip: 92626 Phone: 714-904-4621 Zip: 92626 Phone: License: 000000 Eng: Address: ISSUED BY: Status: ISSUED Applied: 09262005 Issued: 09262005 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING COMP SHINGLES ROOF AND REROOF W/COMP SHINGLES ON A'R'ACHED HOUSE AND GARAGE, APPROX 1250 SF. REPAIR AND REPLACE SHEATHING AS NEEDED. FEE SUMMARY Plan Check: $0.00 Permit: $139.25 SMIP Res: $0.70 SMIP Com: $0.00 Other: $0.00 Inspection:. $0.00 Total: $139.95 PLANNING 8 ZONING SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Exi tin : o Rear 0. 0 Rear 0. 0 Reauired: 0 LeN 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: s�,000.00 Claim Valuation: s�,000.00 Right 0-0 Right 0- 0 RRIP NOTICE: Tha work authorized by ihis permit shall comply with all applicable handicap access requirements under Calilornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21•92) . EXPIRATION: This permit shall automatically expire and become void if work is not commenced withln 180 days, or if work Is suspended or abandoned tor e period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inepeetlone end Iinel approval must be obtained. Failure to obtain inspections and final approval will result in the expi�ation of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 zue-ae �eroo� WORKERS'COMPENSATONUECLAHATON: I hereDy eilirm under penalry of perjury one of Ihe following decleretions: , ❑ I heve end wlll maintain a certllicate of wnsent m self-Insure tor workers' compensetion, es provided tor by section 3700 0l tha La6or Cade, br the pertormance of Ihe work for whiG� ihis permit Is issuetl. ❑ I heve end will maintain workers' compensation insurence, as reQWreE by sactim 3700 of the Labor Code, tor the peAortnance ot Ihe work tor whid� Uis pertnit Is iswed. My workers' �mpensa0on �nsurance rarrier and poliry number ere: Certier. Policy Number: (1hls section neetl �ot be completetl il fhe permif is ve/ued et one huntlred dollers (5100) or less.) �ceeiy that In ihe veAortnance ot tne work br whi thls pertnit is issued, I shell not employ eny person in any manner so as lo become subject to tha workers' ✓� compensetlon lews of Iit ia, entl egr that I houlA become sub�ect to the workers' compensatlon pmWsions oi Section 3700 of Ihe Lebor Code, I s�all torthwilh comply with �hese pr i,� 5. r' r �� AppllcenlSipneturB: �- , � Date:'_-_ 1 WARNINO:FAILURETOSECUREWORNERS'COMPENSAj'Q COVERAOEISUMA LANDSFULLSUBIECTANEMPLOVERTOCRIMI PENALTIESANDCMLFlNESUPTOONEHUNDRED THOUSAND DOUARE (510U.00O�.IN ADORIIXJ TO iHE CcHf OF COMPENSATION, DMMGES AS PflOVIDED FOR IN SECTION 31080F TME UBOR COOE, IMEREST, AND ATTOHNEVS FEES. IICENSED CON7RaCTORS OECIARATION: I hereby aHlrtn thet � em licensed under provlsions ot Chapter 9(cammencing with Sectian 7000) of Dlvision 3 0l the Business ana Prolessians Code, and my Ilcense Is in full brce en0 eNect Llo. M Class a Contreaors SlgnaNre: Date: CONSTRUCTON LENDING AGENCY: ❑ I horeby eMirm that Ihere is a wnsWction lending egency tor lhe peAormance of �he work for w�ich this permit is issued. (Sec. 3097, Civil Code). Lentlers Name: Lentlefs AdCress: SlgnaWre: Date: OWNER-BUILDEq OECLARATIONS: I hereby etllrtn thet under penalry oi pe�jury Ihet I am EXEMPT FROM TF1E CONTRACTORS LICENSE LAW tor the following reawn (Sec. 7037.5, Business e� Profes5ions Code: Any ciry or counry which requires e pertnit lo canstruct, elter, impmve, demWis�, or repair any aWCNre, prior m its iuuance, also requires the applicam tor such pertnit m Nle e signed statement that he or s�e is Ilcensed pursuant ro Ihe provLslons ot the Contrectors LJcense Lew (Chaptar 9(commencing wlth Sectlon 7000) oi DNision 3 ot the Buslness end Professions Code) or ihat he or she is e:empt therefrom antl Ihe basls for the ellegetl e:amption. Any violetion ol Section 7037.5 by eny appliwnt tor e pertnit s�ub�je the epplicant to a civil penalry of not more than fiva hunCred dollers ($500).�: It�i I, as owner ol �he properry, or my employe9s with wages as ihelr sole compensation, WILL �0 TME WORK, and ihe sWCWre Is not intentlad or oHereO for sale (Sec. 7044, Business antl Professions Code: The Con(ractors License Law tloes not appy to an owner of property who builds or improves I�eraon, and who tloes such work �Imselt or hefself or Ihmugh his or her own employees, provided that such imprwements are not inten0ed or oflered for sale. If, however, Ihe builtlinq or improvement is . soltl wiUin one year of complelion, t�e owner-builder will have Ihe burden of Oroving that he or she did not build or impmve tor purpose oi sale.�. • . ❑ I. as owner of Ihe property, em E7(CLUSIVELY CONTRACTNG WfTH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Cotle: The conirecrors License Lew oes not appN to an awner ol property w�o builtls or Improves thereon, end who contracts for such project with e contractor(s) license Dursu �� to the Comracta 'cense Lews.). ❑ I am e nd sec. Business end Professions Code lor this reason: Slgnature: � Date: — Owner ID vediiea bY tlnvers license. Ves ❑ No Ddvefs Ucense No:� - � Ezpir`es: -_— yZ-o C; - � �.--� Vetlficatlon ot Ownarship by (rype oi tlocument, I.e. - properry taa bill or tlee0): DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATION: ❑ I heraby certify thai no excavatlon Ilve (5) or more taet in Ceplh Into which a person is required Io tlescend, wlll be metle In cannection with work euthonzed by this pertnit, end that no builtling sirucNre, sceflolding, telsework, or Oemolition or tlismantling thereof, will be more than thirty-sl: (38) leet high. (Chap. 32, Grp 2. An 2, Sec. 341, Tltle 8, Califomia Atlministrative Cotle). ❑ As owner-builder, I will noI employ anyone to do wark whic� waultl roquiro e pertnit trom the Division ol Intlustrial Selety, as note0 ebove, unless such person has e permit to do such work trom the diNsion. Signatura: Data: Dlvislon of Intlusiria� Sefery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORIZAiION OF EMRY: I cenity under panalry ot perjury t�at I heve read this epplication antl stata that the information gNen is correct. I e fee o fAmpy with aliy te lews and ctiry ordinances rela�ing to building construc�ion, end authodze representatives of the qry of Coste Mesa to enter upon the ebove�tla.y,�n9 pro erty t?aiQ rfe on u ses. I agree no� �o occupy or ellow occupancy of any building euthonzed by this pe il umil fina� inspection. �V � o a � f S' gnature O wneqs) � �, ate 1 � 1 AnNOr Aui�arizetl Appliwnt Date COOE t. �ySPF&II41iLYPL 1818 1288 200 201 202 203 204 Fi:ed SyStem Finfll Fire Praventlon Pool Spe F�nal Final Re-Foo� Final BIocWReteining Well Finel FactOry fire Place Finel Sign Final Demolition Pdg It�dSi COOE 1 INSPECTION TYPE 206 Finel Mec�anical 208 Final Plumbing 210 Final Electdwl 212 Flnel Flre Preventlon 220 Finel Planning Approvel 222 Finel Site 250 Final Bulltling/Occupenry (714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIF DRIVE, COSTA MESA, CA 92626 Job Address: SWte No Viciniry: Parcel Number: ApplicanC Address: Owner: Address: Con�ractor: MECHANICAL PERMIT 2269 COLGATE DR 41908204 ADOLFOIBANEZ 3366 E LA PALMA AV ANAHEIM,CA BARDEN, RICHARD H III TR 1860 PORT CARLOW PL NEWPORT BEACH, CA ECONO AIR Aqdress: 3366 E LA PALMA AV ANAHEIM,CA Phone: (800) 503-2666 Zip: 92806 Phone: Zip: 92660 Phone: (800) 503-2666 2ip: 92806 License: 445220 SCOPE OF PERMIT CHANGE OUT AND RELOCATE FAU Status: ISSUED Applied: 10I11/2005 Issued: 10/11/2005 ISSUED BY: ' � RR MECHANICAI TO INCLUDE: 1 FAU < 100K BTU, 1 REPAIR/ALT COOLINGMEAT AND 1 GAS PIPING. ISSUE FEE Inst FAU <700 k BTU Inst FAU >700 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood wlMech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Insl or Relocale Appl Vent Air Handlers e 10000cfm AirHandlers> t0000cfm Floor Fumace Floor or Suspend Heater $23.50 $14.80 $0.00 $13.70 $0.00 $0.00 $0.00 $6.15 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 Quantiry FEE SUMMARY Repair / Alt Absorbtion Un it Repair / Alt Refrigeretion Unit Ventillation System Evaporetive Cooler Commercia l I ncinerator Domestic Incinerator Comoressors / Absorotion Svstems Upto3hp/100kBTU 3 To 15 hp / SOO k BTU 15 To 30 hp /1,000 k BTU 30 To 50 hp I 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E58.15 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 180 days, or if work is suspendad or abandoned for a period of 1B0 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 required Inspeetions and final approvel must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545628 zaawe (voo) F ' WORKERS'COMPENSAnONDECLl�AnON: � I hareDy ettirm under penalty of perjury one of Ihe following declarations: ❑ I heve end will meintein e certi(icate ot consent to selGlnsure for workers' compensetion, es providad for Ey section 3700 0l the LeDor Code, for the pertortnance ot tha work for which ihis permit Is Issuetl. ❑ ff7ave end will melntaip workers' cOmpensation insurance, es requiretl by section 3700 of the Labor Code, lor the peAortnance of ihe work for which this pefmit is issuetl. �MD workers' comoensatlon Insurence carnai and ooliw number are: �Pali.cy�Nu`rriber:-: WcZ �6IBG7!%3'Ol. ❑ I certity Iha� in the peAartnence ol ihe work lor which this parmit is issued, I shall not employ any pereon In any manner so as to becoma subject to tha workers' compensatlon laws ot Celtlomia, antl agree that it I shoultl become sub�ect to the workers' compensatian proWsions ot Section 3700 oi the Labor Code, I shall forthwith comply with thesa provisio�i� � �' ^ AppliceqtSignature:_.-[%ib'Ce2� � �ate:, � r% — /� — �.� �IN6;!Fj�ILtJHESOSECUPEWORKE ��PENSAiION ERAGEISUMAWFULAN�SMALLSUBJECTANEMPW`�E[iTQC,�IYNALpENA�iIESANDCIVILFlNESUPTOONEHUNOqEO Tf70USAND DOLLARE (b100,000), IN ADDITIO�d TO TME COSi OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SEGTON 3�OB OF THE LABOR CODE, IMEPEST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLAHATION: ihefl CONSTRUCTION LENDING AGENCY: Nsions of Chapter 9(commencing with Sedion 7000) of Division 3 ok�he.Business and Professions e, and my license is in full 7i'7io _ �r'i��e x. � i. % J ' � ❑ I hereby aftirm thet there is e cons��uction lending egency tor the peAormanca of ihe work for which this permit is Issued. (Sec. 3097, Civil Code). Lentlers Name: Lentler's Address: SigneWre: Date: OWNER-BUILDER DECLARATIONS: I here6y ettlrtn thet under penalty oi perJury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions Code: Any ciry oc counry whic� requires a permit to constmc4 alter, improve, demolish, or repair sny structure, prior Io its issuance, elso raquires ihe applicant for such permit to file e signed stetemant thel he ar;she �s Iicensetl pursuant to the provisions of the Contrectars Llcense Lew (Chepter B(commencing with Sedion 7000) of DNision 3 of the Business end Prof4uions Code) oi ihe� he or she is exempt Iherefrom and tha besis for the allegad exemp0on. Any violetlon of Section 7031.5 by any epplicent tor a pertnit su6jacts the epplicent to a clvil pene�ty tl� nof mora than tive hundred dollars ($500)J: ❑ I, as owner of ihe properry, or my employees with wages es �heir sole compensation, WILL DO TME WORK, end the siructure Is not intendad or oHered for sele (Sec. 7044, Business antl Profeulons CAda: The Contractors License Law does not apply to an owner of properry who builtls or improves therBon, and who does such work hlmself or herselt or thmugh his of her awn employees, provitled ihat such improvements are not intentletl or otteretl lor sale. If, however. Ihe builtling or improvement is sold within one year ot completion, the owner-builtler will have Ihe burden of prodng thet he or she did not build or improve for purpose of saleJ. � ❑ I, es owner of the property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7046, Business and Professions Cotle: The contrectors Llcensa Lew does not appty to an owner of property who bulltls or improves therean, entl who contracts for such pmject with e contractoqs) license pursuant to the Contractor9 License Lews.). � I em exempt under sec. Signature: Owner ID verifietl by tlrivels Ilcense. ❑ �es ❑ No Business an0 Pmtessions Cotle for �his reeson: Venfication ot Ownershlp by (type of doGument, i.e. - property tax bill or tleed): DIVISION OF INDUSTRIAL SAFEN PEAMR CER7IFICA710N: Drivers Licensa No. Date: E:pires: ❑ 1 hereby cartity that no ezcavation ��ve (5) or mae teat in depth irtb which a pa�son is requirecl to descend, will be mede in connection with wotk anthorized by this permit, and that no building siructure, scattolding, lalsework, or demolition or dismantling ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Tltle 8, Celllomla AtlmInIS�reN�e Code). ❑ As owner-builder, I will not employ anyone co do work which would require e permit from the Division ol Industrial Sefaty, es noted above, unless such person has e permit to do such work Irom the di�ision. Signature: Oate: Division of Intlustrial Sefery Pertnit Number. CERTIFlCATE OF COMPLJANCE AND A�ORIZAl10N OF EMRY: I certity under penelry of perjury thet I have read this epplication and state that the information given is correct. I egree to wmply with ell state laws end city ordinances relating to bullding constmction, antl euthodze representatives of tha City of Costa Mesa to enter upon the ebove-described properry for inspection purposes. I agrea not to occupy or allow occupancy ol eny 6uilGing authonzed by this permit until tinal inspection. COUE �. INSPECTIONTYPE 1616 FizeO System Final Fire Prevention 1286 200 201 202 203 Pool Spa Final Final Re-Root Final BIocWRetaining Well Final Factory Fire Place Final Sign 204 Final Demolition Bi � "1ttIID965 `..,. COUE I INSPECTION TYPE 20fi Final Mechanical 20B Final Plumbing 210 Final Electnwl 212 Finel Flre Preventlon 220 Final Plenning Approval 222 Final Site 250 Finel Builtling/Occupenq o-a 05 j�� (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.��sCTRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job nddress: 2269 COLGATE DR Suile No Viciniry: Parcel Nunmber: 41908204 App�icant: ADOLFOIBANEZ Adqress: 3366 E LA PALMA AV ANAHEIM,CA Owner: BARDEN, RICHARD H III TR Address 1860 PORT CARLOW PL NEWPORT BEACH, CA Contracror. ECONO AIR Adtlress: 3366 E LA PALMA AV ISSUE FEE Temp service test Res. a/c packa9e New Res (i-2 Units) New Res (3+units) Pool/Spa Lighting Fi#s � Recept Outlels Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over t00hp Communicalion drops� Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pol@ Intermed Pole ANAHEIM,CA Phone: �(800)503-2666 Zip 92806 Phone: Zip: 92660 Phone: (800)503-2666 Zip: 92806 License: 445220 SCOPE OF PERMIT CHANGE OUT AND RELOCATE FAU ' status: ISSUED Applied: 10/11/2005 Issued: 10/11/2005 � ISSUED BY: RRI ELECTRICAL TO INCLUDE: 1 LIGHT FIXTURE, 1 OUTLET, AND 1 SWITCH. $23.50 50.00 50.00 50.00 50.00 50.00 51.10 81.10 $1.10 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway/700ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low VoNage Equipment Low VOIt Wiring System / Ckt Misc. Conduit Misa Conductor Cirws ( gen or ride) Circus (mech ride or lights) Christmas Tree Sland Fireworks Stand Other Electrical Fee � Invesligation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $26.80 COMMENTS / SPECIAL CONDITIONS NO710E: The work authorized by this permit shall comply with all applicable handicap access raquirements untler California statutes and relatad regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapeetlons and Tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2aases �aroo� WORKERS' COMpENSATION DECLARATION: I hereby afllrm und9r penalty of perjury one ot the following tleclaretions: ❑ I heve end will meintein e certilicate of consent to selt-Insure for workers' compensation, es provided for by section 3700 of the Labor Cotle, lor the pertortnance ai the work for whic� t�is permit is issuetl. �I��eve and wil� maintein workers' oompensation insurence, as requiretl by sectlon 3700 ot the La6or Code, for the peAortnanca of Ihe woAc tor which Ihis pertnit Is issuetl. --My worpers' Gompensatlon Insurance certiey,entl policy�rymber are: Polic.yNumber _(/J G 1� �6 / O(u'�% %9'tj OI.S orless.J �_�_..- ❑ I caniy ihat in the pertortnence of Ihe work tor which Ihis pertnit is luued, 1 shell not employ eny person in any manner so as to become subject to the workers' compensatlon laws of Celifomia, antl agree that it I should b��e sub�ect to Ihe workers' compensation pravisions of Sectlon 3700 ot the Labor Code, I s�all torthwith comply with tnese p�rovisio � !�//�� Appllcant Slgna_,N _re:_ �' `� �� /r" Dale: � � ��i O ^ /( ^ � � YJA9NING�FAILURE 705ECURE WORNER$' MPENSATION COVERAGE I UNIAWFUL AND SHALL SUBIECT AN E�fi1D�CRIMINAL PENALTIES ANO CNIL FlNES UP TOONE HUN�RED l'FqUSAND DOUARB (5100,0OO�.IN ADDITI TO THE COST OF WAIPENSAPIXJ, DAMAGES AS PqOVIDED FOR IN SECTION 3/O60F THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTHACTORS D£CLARATION: ot Chapter 9(commencing with Sectlon 7000) of Professions Catle, and my Ilcense is In full vn � � 1 CONSTRUC710N 4ENDING AGENCY: ❑ I hereby aflim� ihat ihare is a construction lending agency tor the pedortnance of ihe work br w�ich this pertnit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lendefs Adtlress: Signeture��,.'�`'�at' 9�.�i RGe.'i�.°.�...'� .F�Q� Date: OWNER-BUILDER DECLARATIONS: ' " ,1:�9 7:ag I hereby eNlrtn thet under penalry oi perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe fallowing reason (Sec. 7031.5, Business entl Professions Code: Any clry or caunry whic� reQuires e pertnit to construct, alter, Improve, tlemolish, or repair eny sWcture, prior to its issuance, also requires Ihe applicant br such pertni� to file e signed stetameN the� he or she Is licensatl pursuant to Ihe pmvislons ot the Comreciors LJcense Law (Chapter 9(commencing with Sectlon 7000) oi Divlslon 3 ot the eusiness end Professions Code) or Ihat he or she is exempt thereirom and Ihe basls lor Ihe allegeA e:emption. Any violation of Section 7031.5 by eny ap0�icant for e pertnit subjecls ihe epplicant to e civil penalry oi not more than fiva hundred dollars ($500).): ❑ I, as owner ot t�e properry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and Ihe struciura Is not intended or oHered lor sale (Sec. 7044, BusineSs enG Professions Code: The Contrac�ors Licensa Law does not apply to an owner of properry who builds or improves the�eon, antl who does such work himself or herself or ihrough his or her own employees, provided Ihat such improvemenis are not intentled or offeretl tor sale. If, however, the building ar improvement is soM wi�hin one year ol completioq the owner-builtler wll! have the burtlen ot proving that ha or she ditl not buiW or improve for puryose oi sale.). ' ❑ I, es owner of the proparry, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS b construct the project (Sec. 7044. Business ana Pmfessions Cotle: 7Te contreaors License Lew tloes not epply to an owner ol pmperty wno bulltls or Improves thereon, and who contracis tor such pro�ect wit� a contrector(s) license pursu��t to the Conirectors License Laws.). ❑ I em exempt under sec. Business and Protessions Code lor ihis reason: SignaNre: Date: Owner ID vediied by ddvers license. ❑ Ves ❑ No Ddvers License No. Expires: VenFication ot Own6�ship by (type of tlocument, i.e. - proparty te�c bill or tleed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby certity that no excavation five (5) or more feet in depth into whlch e person is required to descend, will be made in connection wit� work euthodzed by Ihis permlt, entl that no huilding sWCWre, scallolding, lalsework, or demoli�ion or dismantling iheraot, will be more than thirty-sla (36) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title Q Celilomia Adminisiretive Code). ❑ As owner-builtler, I will not employ enyone to tlo work which would require e permi� from tha Division ol Industrial Safery, as noted above, unless such person has a pertnit to da such work irom the division. Signatura: Date: Division oi Intlusinal Safery Pertnit Number: CERTIFlCA7E OF COMPIIANCE AND AUTMORIZATION OF ENTAV: I certify under penelry ot perjury that I have read this applicatlon and state that the inlormation given is correct. I egree to comply wlth ell ste�e laws antl ciry ordinances relating to building construction, end authorize representatives of the City ot Costa Mesa to enter upon the above-descnbed prOpeAy for inspection purposes. I agree not to occupy or ellow occupency of eny building authorized by Ihis permil until tinal inspection. COUE I, INSPECTIONYYPE PLIF IMIiIALS 1616 FIxeO System Final Fire Preventian 1266 200 Pool Spe Fi�al Finel Ra-R�� 201 Finel BIwWRetalning Wall 202 Final Factory Fira Place 203 Finel Sign 204 Final Demolition y00E� INSiELTIONTYPE 206 Final Mechanical 20B Finel Plumbing 210 Final Eletincal 212 Final Fire Prevention 220 Final Planning Approval 222 250 Final Site Final BuildinyOccupancy �� 1 ,�w. aeg u�s /� � OWNER gETjj�N HOi+iES� TNC. DATE 6-26-58 _ )OB ADDRFSS q Cn1 ��e nrive ' BUiLDuvG PERMIT NO. �pp � GGNERAL CONTRACTOR H_ [J Kn]1 Cnna}r Cpy VALUE $ �� n�� AP. No LOT �7 TRACI';�(�� FII2E ZONE DESCRIPTION OF WORK Sin� Rac y3tt�Y , GROUP T R. ,i TYPE ^ V ZONE RI. ' PLAN NO. �rno INSPECTIONS / I DATE 'I BUBCONTRACTOR I DATE ` VNUMBER end � _ ' � • . 'io�'7 . COSTA MESA BUILDING DEPARTMENT P. o. eox 3 n COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN ADDRE55 2269 Colgate Dr. COSTA MESA. CALIFORNIA OWNER Homes, Inc. .:�, a e_r/��'�' �:� G _2� -s8 v �� FINA�!CE DEPT. APPLIC�ATION� FOR� PERMIT BUILDING FOR OFFICE USE ONLY cirv Newport Beach, Cal ��o: oR 36�� Aoo E'S5 I �R B W SOu COIl$�1 CO N�o_ . COSTA MESA. CALIFORNIA ' u c. NO. TEL. I LEGhL p�Ll i oesceivnoN NOT 27 BLOCK TRACT J �i A.P. NO. SIZE No.oF elDGS. OF LOT Now ON LOT �QnQ USE OF E%ISTING BLDG. SETBLCK LINE FROM c[rvi[a oF siR[e• Q REAR VARD �2 ' �SIDE YARD RIGHTp LEFT 6 DESCRIPTION OF WORK NEW p�I qLTERATION I ADDITION REPAIR �MOVING IDEMOLISH 512EOING ^-T `p� �y ROOMS V STORIES 1 _ lin LW Jl EXTERIOR WALL ROOF COVERING 8}llC(`O COVERING ppC]S USE OF NEW _ _ _ _ _ . . J.OF ITYPE � GFOl1P _4N5 � DATE CORRECTIONS /.�Z�� I HEREBY ACHNOWLEDGE THAT 1 NAVE RERD TMI$ APPIICATION AND Q / STFTE THAT THE ABOVE IS CORFECT ANO AGREE TO COMPLY WITH ALL �•%i CITY OR�INFNCE$ /�NO $TATE LAWS REGIILRTING BUILOING CONSTRIIG S J noN. T.. VALUATION � 9 SiGNATURE OF ' R�OII HOIlIQS� ••�C♦ PERMiT FEE $ �--eX. �^ PERMITTEE PLAN CHECK S �� AUTHORRED AGE ! $/�i �� r TOTAL FEE $ i��/ �' yeMi