HomeMy WebLinkAbout2272 COLGATE DR - Building PermitsCITY OF COSTA MESA PLANNINt; DEPARTMENT
A. P. No. jy_ � _1•
Bldg. Permit No. -_j
�
�d'J 0 �.� �.,�.c� .. ..._�.::..�
JUL 2 1971
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 2?72 :.Olts3tC F'rlVe
Owner's Name ChLrlf':S Sh01'u
Bachelor or 1- Bedroom Units � @$Z5.00 = fi25.G0
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5- or more Units @$75.00 = 5r.�+.;�
Total Fee
Total ninnber of Ihaelling Units 1
Planning Department Approval Date �"'��3'�� Park Area No. �G
By 'r'�i�:�d Applicant's Signature
CITY OF COSTA MESA PLANNING UndARTMENT
A. P. No. 115- _n
Bldg. Permit No.
l':.i: . ,.. " .. ... .�r��.::�v �
JUL � ly/l
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 2272 Golgatc Crive
owner's Name Charles Shord
Bachelor or 1- Bedroom Units 1 @$25.00 = s25.00
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 = �25.fi�J
Total Fee
Total number of Dwelling Units 1
Planning Department Approval Date 7-i3-%�
gy 41LG:pd Applicant's Signature =\
Park Area No. lf
�-`�1 i� • .
anaecsaooeess: 2272 COLGATE DR
OWNEq'S NAME: SHORB CHARLES R
aooaess: 2272 �OLGATE DR
COSTA MESA,CA 92626
646-5703
PflCNIENGINEEfl: HEG.NO.:
RDDPE55:
UNIT:
UNIT:
eesminee: WESTERN SIERRA ( 714 ) 258-7038
aooaess: 1541 PARICWAY LOOP E
TUSTIN CA 92680
UCENSEU CONTqpCTOfl DECLl�BATION: I �er¢by allirm Nat I am licen5etl nAer pr vis ns al C�ap�er 9(commencinA w��h Seclion
7000� ol Dihsion 3 of Ihe Business anJ Prolessions CaGe, an y licenie s � full ¢e anU ellect.
cirr uc.: 5 j�I 8� Te uc.: 5 8 2 41 ss: 3
Cak., SignaWre:
WONREBS'COMPENSRTIONOECIAIiATI�N: I�er¢byallirm��a�l�av¢au iti teO�COrt¢nl�o5ell-in5urearaceM1itiW1¢otWOrkers'
Camp¢nsation suranc ,w a cwt upy t�ereol (Secibn 3800, Lab.
aoucvxo.: 1w�t'1��i�/�li EXP.ORTF: IO1I9
cornraxr: SUP , hlATIONAL
� CerliheE CODY i5 AereDy Iu/m�i50ed. � ceni�iea co is fi � h e ciiy ilGinp ivi � n.
D�te: �I 1 �'[� Applicanl:
E%EMiTION FBOM WOPRENS' fAMPENSATION OECUMTION: (TIi55ecimn nee0 compkltN i� Ne perml is la one hunOreE (5100) or less�.
I cetlity Iha( in lhe Oe�armance al ��e work IOr w�it� IhiS permit is issuetl, I Sha not emDloy any person in any manner w a5 to b¢come
sublecl lo the Workers' Compensatian Laws 0� Califomia.
Dale: Signature:
NO710E: If. alter making tAis aeclaration, you shoultl �ecome suDl�� �o iAe Wo�rcers Compensation O�ovisions al tAe La�ar
CoOe. you must lan�wit� comDN �^�h suU provisions ar ihi5 permit s�all �e AeemM rewkea.
CONSTBUCTION LENOING RGENLY: I here6y alfirm t�al t�ere is a canslmciion IenOing agency lor IAe De�ormance ol Ihe work lar
w�ich �Ns Dermil is fssue0 �Seclion 3W7. Civ. C).
lFNOEfl:
FODNESS:
OWNEfl 6UILOEB OECLAIUTION: I here�y a�lirm (IWI I am exemp� �mm �he fqniraCtors' Stare License Law tor ihe fonowin0 reason
(Section 7037.5 Business antl Pmlessional Catle: Any city of counry whicA requires a permit m conswct, al�er, imD�a�e. demalish, or
re0air any SVucWre, prior lo ils issuance. also reQuires ��e applicanl br sut� Oermi� Io lile a signetl s�a�emen� ihat he/she is Iicen5e0
pursuanl Io ��e pmvisions o� t�e Coniractors' State Limnse Law (CAapter 9(wmmendng witn Section 7000� of OiNsion 3 0l ihe Buvness
ane Pmfessions Coee) or inat he/she is eeempl therefmm ana ine basis lor ihe allegea ezemption. My violation ol Section 70J1.5 �y
any aDo�icam lor a permil su61��s the applicant to a cidl penalty ol not more t�an live hundretl Aollars (5500).
❑ I. as owner ol ihe pmpeny or my employees with waAes az iheir sole compensaiion, will tla the wnrk, an0 t�e
stmcture is not imenAed or offered for sale (SxUon 70aa. Business antl Pmfessional Code: The Contractoa' State Licenu Law
Eoes noi apply io an awner oi a pmOanY who builOs or improves iAereon, anG w�o Aoes such xrork himsell/�erseti onhmupA
his or her own employees, provide0 Nal sucn improvemenls are nol intentletl or oflereA for saie. II, however Ihe huilJinA ar
�mD�ovement is sold wit�in one year o� completion, Ihe owner wi0 have the OurCen ol prminB hrJshe ditl nol huilG or impmve
lor ihe purpose ol saie�.
I. as owner ol Ihe pmperty. am exclusively contraclinA K'it� Iicen5e0 coniraciors lo conSlNc� �he pwject (Sec[ion 7074, Business
❑ antl Pmfeuions Coae: The Contractars' Slate Liceme Law aces not a00N �o an awner al pmDerry who bmlGs onmD�oves I�ereon
an0 who mniracis for such o�ojecis with a mniractoqs) lirense pursuant to ine Coniracmrs' State License Law�. I am aware
Iha� pmot ol IAert Worker'S Campensa�ion insurance should �e pmviEea to me.
� I am erempt under Section: 9. 8 P. C.
lar 1�is reason:
Dale: Ownec
i tlo nere�y cenity that I am aware ol ana unoe�stana tAe repuirements of Cablornia Health an0 Salery Code Sec�ions 25505, 25537, anA
2559a antl Ihat I or any INWe builaing occupan� will/will nol (circle one) neeU lo compty wilh Said Slaie co0e5 anU Ihe requiremen�s lor a
permil br cOnslmttion ar moAifitaiion irDm Ine Air Ouality Managemen� DiSUiCt. Residen�ial COnslrutlion aDD�iCati0n5 ar¢ eKempl ifom
IheSe provision5.
Dale; Applicani: _
I �eieDy cetlily Ihal I have reatl Ihis aOVlica�ion antl s�aie I�
or0inancesanastatelawsrelatmglo�uiltlingconsimctionan ¢
p�ppeny forinspec�ion puQrposes
iTate: �I � � f � Signa�ure: _
oriveYs License or Social Securily
to com0ty with all city anA counry
to enter uvon Ine aEove-mentione0
t6at�<6 W�ile—Builtlino: Green—Cotle Enlorcement: Canary—AoolicanC Pmk—Revenue: GOltlanroE—Assessor
CITY Or COSTA MESA — BTJILDING PERMIT PERM NO: B 07btGi
PERMIT NO; B 056228 PLAN CHECK NO: N �U C: m su��lr: v
CONSTRUCT70N TYPE; V—N PERMIT TYPE: STR FURPOSE; Ai.i
JOB DESCRIPTION ; T/OFF REROOF W/COMP, SQ FT: 5,070
CLAIM VALUE; 5,070.00 CALC—VALUE: 5,070.00 GROUP OCC: R-3 /
COM,HENTS: SMOKE DETECTOR RE�UIRED IN THEHOME
�+�*+�+�***�*�*#*�r�*x�*�**�t�**� **��***#u*�c�*�+�*****��*+�***�*�**�**+��;�**?�**��:*�x�*�a
Z O N I N GS ERTEB�AUCIxRSE M E N T S
------------ MAIN BUTLDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAk: FT IN FRNT: FT TN AEAR: FT 3N
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PA.RKING REO• PROV; PARCEL: 9190$303 ZNE: REF NO;
PLANNING Ni5'I'ES>
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE;
BUILDING APFROVED BY ; DATE;
APPLICATION ISSUED BY;��$� DATE: �� Y�
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LEGALIZATION:N F E E S u M M A R Y STRUCTURAI, SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/RES GRADING
PERMZT 81.00 , .51
• SMIP/NON—RES
PLAN � ,
75SUE FEE
BUILDING—DIV—> PERMIT TSSUE PLAI3—C$ECK TOTAL PAID DDE
TOTALS----> 81.51 0,00 • 0.00 81.51 81.51 .00
REVENUE DIVISION TOTALS--> COLLECTED; 81.51 OVER/SHURT: .00
BLDG PMT PLUMBING ELECTRIC IsiECHANIC FIRE .SN.IP/TOT GRADING PLAN—CHECK
81.00 ' . . ,51.
iF ik 1f k iF iFiE iF �lt iF k iF if IF if jF iE # k ii� IF iE k ik if iE it i4 iF i'r if iF if if iE # k ii� iF.it iE iE if if �lE iF ii• u 3k i(� 1E iE if # i(-�1F 1f if 3F if� �e iE ie 1F 3f ?E iE iF iE �lk iE i1� iF ii-# Y-3F IE #
I N D I V I n U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N- �' UNIT COST TOTAL COST
r
SFR 5070 REROOF BY VALUE RESIpENTIAL N020NE 1.00 5,07U.00
END OF FEES
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CONSTRUGTION AND PLANNING P0� � SPA
r
APPROVQ4S Permit#`r Date Inspector AppROVAIS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinfarcement
3. Electrical Gonduit Utility�Undrgrnd. 54. Forms
4. Eiectrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Sieel Reinforcement 56. Rough Piumbing & Pressure Test
6. Eiectncal UPER G{nd. 57. APPROVALTO COVER�GUNITE
7. Footings 58. Electn ;drgmd.
8. Foundation - 59. Gas PiPe, drgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�7rap, O Undrgrnd.
.
10. Structural Ploor System 61. APPROVAL TO DECK .
1 i. Property Sewer �ine & House Connection 62. Backwash & Receptor-Finai
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System • Final
14. qough Plumbin9 65. Electrical-Finai
15. Rough Electrical-Conduft � 66. Solar System�Final
76. Rough Electrit Wiring 67. Fencing & Access ApProval �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Ro�gh Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. DuCts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas OOiI
23. Gas Pipe�Fough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead HYdro
26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plasier Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: - �
34. Finai Heat�ng & Air Conditioni�g /�
� �tl
35. Final Gas Pipe-Test
�._�(� fM >'AW�Q� . L._//'i�
36. Hood or Canopy �
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service�Pinal
40. Gas Service•Final
41. Solar pomestic-Final
42. Backflow Preventer
43. 9ackflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations • _
47. FINAL STRUCTURE & BUILDING 3��
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ,
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER �t,,A2A1 HSz�-c� r�yrs ua�re 6_p(,_Cg —
JOB ADDRESS 2�72 �oi�a�Ge BE�VE BLIILDING PER6flT NO. %03S
GENERAL CONTRACTOR K. r.1- Koll VALUE $ ���q ynn
AP. No. LOT 3C TRACT 31G1 PIRE ZONE DESCRIPTION OF WORK c_ __'___ __ _., i
PLAN NO.
. I I I DATE ` VNUMBER
INSPECTIONS DATE gUBCONTRACTOR
�
Final Gas Tes[
�
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COSTA MESA BUILDING DEPARTMENT
P. O. BO% 3I�
COSTA MESA. CALIFORNIA
BUILDING
ADDRE55
FOR APPLICANT TO FILL IN
272 Colgate Dr.
COSTA MESA. CALIFORNIA
OWNER RBIIdOII �
ADDRE55 2626
.1i]L n,,1 TEL.
CITY Oi'l� D88�.`yy� yqy NO.
�ER g 4I Holl Conat Co NO.
AODRE55
LEGAL LOT
DESCRIPTION NO.
A.P. NO.
S�ZE 63 x
OF LOT
USE OF
E%ISTING BLDG.
rvE Faom
CENTEFKOF STREET
ill Const �bTY N'o:
.- ;,
� _..-. dCe�.U:,...� I ...�
6 -��-s� vc�
FIiV�,�!CE DEPT.
r �� „nc�n nn�gA
APPLICAFION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
FECEIPT NO. PERMIT NO
��--,.�-- � m - ..1� aT��
BUILDING
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
�t Lu�� TNO. OR J�1 I BPPROVELI DATE
e�ocK rancr 31� CORRECTIONS
NO.OF 6L0G5.
��aw o� �01 none
REAR YAR�
DESCRIPTION OF WORK
NEW S ALTERATION ADDITION
REPAIR MOVING DEMOLISH
BUILDIN � NO.OF
SIZE ROOMS 6 STORIES
EXTERIOR WA�L ROOF
cnvvwivr RtllCCO - COVERING i�:i:�ik
- - /a �Z p � �
I HEFEBY ACKNOWLEDGE TNAT 1 H/VE READ THIS FPPLICPTION 4NO ��
STPTE THAT TXE R90VE IS COflRECT AND /�GIiEE TO COMPLY W�TH nLL // �
CITY OFDINANCES ANO STATE LPW$ REGULFTING BUILOING CONSTRUC- Y�
T���� v VALUATI ON
SIGNATURE OF pQ�OII Homea� Inc. PERMiT FEE $
PERMITTEE
$ /� J � ,�j/� � PLAN CHECK $
/L'
AUTHORIZEO AGEN 'C� � TOTAL FEE $
�eMr
OWNER SHORB, Charles DATE 7_23-71
JOB ADDRE55 2272 Colaate Drive BUILDING PERMIT N0. 33l��5
�;FNFRAI C'l1NTRAfTf1R United Remcz3eSina hFC('pIPTIl1N,.iWllAl/ AAA--Familv uro_ —
�
G7:F9
ROUGH PLUMBING
PROP. SWR. LINE HOUSE
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR C0�
TEMPOftARV SERVIGE OR POL
UNDERGROUN� � POWEft
ROUGH W�R�NG
REINF
FLOOR
FRqME AN� FLASHI
LATHING — �N n
PLASTER� BROwN C
r� «�vir riur.i
Date
E VALUE$ 4.�VU.
SUBCONTRACTOR
_ r..- � � 33435
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Fo� qpplicant to Fill in Completely
AD�RESS 2272 Colgate
�� OWNER ���-eS Shorti
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TEL.
CITV NO.
CANSTRUCTION
BRANCH
ADDRESS
Contractor
ADDRESS
CONTRACTOR United Remodeling
ADDRESS 11513 Vlhittier Blvd. Whittier
c�T� No`." 69�-7228
LIC. NO. �(L �3 S �p ��,f��ICVNO. / �J �'
OF LOT 63 x 97 I NOW ON LO�
USE OF
EXISTING BLDG.
NEZVYEBLDG ]"� X 2�' qOOMS �' STORIES �'
EXTERIOR WALL�II.....00d ROOF Rock
COVERING '`'��� COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Room
I hereby acknowletlge that I have reatl this application antl state
ffiat the ebove intormation is correct and agree to comply wiffi
all laws regulating builtling consttuction, anC I shall not employ
any person in vi0lation of the workman's compensation laws of
Me State of California.
I heraby certify that I am properly licensetl as a contracior untler
the State of California Business and Professions Cotle, Divisicn 3,
Chapter 9, antl that such licenses are in full torce antl etfact, or I
am ezempt from the provisions of the Stete of Calitornia Business
antl Professions Cotle, Division 3, Chapter�
D��� ` .
Sip�ature of
Pe�mittee
Auffiorizetl Agent
^' _ —_ - � z �a�(�
;,:li J �� l�-.:'J..1 �.i'�i�d`-!
� JUL ��� 1971
APPLICATION FOR. UII.DINGP,E MIT
RECEIYED e� DATE RE EIVED „pµ� �SSUED
�J � �s
�PERMIT NO.
A.P. NO. � ��'L�
BUILDING � / �
ADDRESS - �i
TRACT LOT BLOCK
W A P
� /n J��A �e� � ��
owNea P/r'i.sti.c ,C:I�L-�'�I�
llSEVMYLNit��////'�'W VALU$T2G"C�
FIqE � Y/
ZOIVE TVPE GROUP 1
APPROVED �...�/ •
ZO NO.OF
� PLANS
vARDS APPROVED
MAIN BUILDING
(FROM Gl5T8F5�)
DI5TANCE 8ET
MAIN BLDGS.
VAR. #`-
DATE /�—�L.3'
APPROVED
FV BUILOING
BET. MAIN &
ACCESS. BLDi
DATE
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF E5TABLISHING A PERMIT FEE ONIV:
VALUATION //�
GFRMIT FFF Sr\ i �
$ j% N PLAN CNECK $/ / i
/f�
/ �
TOTAL FEE $ . �
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