HomeMy WebLinkAbout2366 COLGATE DR - Building PermitsCITY OF COSTA MESA
StpMFs'q BUILDING DIVISION
Ft�� 77 FAIR DRNE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754,4856 • www.ci.costa-mesa.ca.us
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FOR INSPECTIONS CALL: (714) 754-5626
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PERMIT NUMBER: BX11-00234
PERMIT 7YPE B MISC STATUS: ISSUED
APN: 14145205 DATE ISSUED: 08/01/2011
Zoning: , lSSUED BY: RMD
JOB ADDRESS: 2366 COLGATE DR CM
Vicinity: FRONT OF HOUSE AND GARAGE
vo
SQ. FT: 0 Valuation:
Suite/Unit:
Primary Occ:
52,200.00
Const Type
SCOPE OF WORK:
REMOVE EXISTING SIDING AT FRONT OF HOUSE AND GARAGE AND REPLACE WITH 3 COAT STUCCO SYSTEM.
OWNER: FOLKERS, TIMOTHY JAMES TR Address:: 2366 COLGATE DR Unit
City/State: COSTA MESA, CA Zip Code: 92626
Phone:
APPLICANT: RIOS, ROBERTO
CitylState:
Phone: 714-720-9817
CONTRACTOR: ULTIMATE HOME SERVICES INC
Address: 1609 SHELTON ST
City/Slate: SANTA ANA, CA
Zip Code: 92707
ARCHITECT:
Phone
ENGINEER:
Phone
FEESUMMARY
Building Plan Check:
Building Permit:
Electrical Permit:
SMIP Residential
SMIP Commercial
Bldg Std Admin Fund
Address:
Zip Code:
License No. 887289
Phone 714-720-9817
$0.00
$83.25
$0.00
$0.50
$0.00
$1.00
License No.
License No.
Cell:
Unit
Unit:
TOTAL FEES $84.75
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3I18I2010 - PER CMMC Sec. 13-279
Monday thru Fritlay - 7:00 am thru 7:00 pm. Saturtlays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Pederal Holidays:
New Years Dav. Memorial Dav, Indeoendence Dav. Labor Dav, Thanksqivino Dav and Christmas Dav
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit lo be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. FaiWre to obtain inspections and final approval will result in the expiration of this permit.
CODEN. INSPE�nONTVPE �ATE INTIlIALS COOE1 INSPEC110NTYPE OATE INiIlIALS
7676 Finetl Sysiem Finai Fire Prevention 206 Finat Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof ' 210 Final Electrical
201 Final glocklRetaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 FinalSign 222 Final Site
204 Final Demolilion 250 Final BuiltlinglOccupancy � ��5 —�� ml�
WORKERS' COMPENSATION DECLARATION: .
I hereby aKrm under penalry of perjury one of the following declarations: � �
❑ I have and will maintain a certifcate of consenl lo sel(-Insure (or vrorkers'.
compensation, as provided for by seclion 3700 0! the Labor Code, for the
peAormance of the work (or which Ihis permit is issued.
❑ I have and will maintain wnrkers' compensa�ion insurance, 25 required by. ;�
section 3700 of [he Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier antl policy
number are� .�-^
arrier.� �J��TE' -t-t�N�
(TNs sectron neetl �rot be comple(etl �f�e peim� i5 vdlued al one buntliEtl tlq9ai5 ($100) O/ I¢55.)
Policy�Number: +� �"` q � Za
❑ I certify Ihat in the performance of �he work for which this permi[ is
issued, I shall not employ any person in any manner so as to become subject
to Ihe workers' mpensation laws of Califomia, antl agree that if I should
become subje o the workers' compensation provisions of Sec�ion 3700 of
the Labor C , I shall forthwith comply vnth these provisions.
�// 4�-1-1/
AppLwnl'sSignaWre � �ate
ia=-'.
WARNI G FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENAlTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS
(5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) o( Division 3 0( the Business and Professions Code, and
my license is in (ull (orce and eRec�. Q
Lic. # � `Class # 1J '
C__— " _'.
�— / � ��
�'"y on�2clor'S SignaWre .y Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrm ihat Ihere is a construction lending agency for the
peAormance of lhe vark (or wfiich Ihis permit is issued. (Sec. 3097, Gvil Code).
Lender's Name:
Lender's Address:
SgnaWre
OWNER-BUILDER DECLARATIONS:
I here6y affrm that un0er penalty of perjury Ihat I am EXEMPT FROM THE
CONTRAC70RS LICENSE LAW for the following reason (Sec. 7037.5,
Business antl Professions Code: Any city or county which requires a permlt to
consVuct, alter, improve, demolish, or repair any strucNre, prior to its
issuance, also requires the applicant for such permit to 51e a signed statement
that he or she is licensed pursuan[ to the pmvisions of the Contractors
License Law (Chapter 9(commencinq with Sec�ion 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempl therefrom and
the basis (or ihe allegetl exemption. Any violation of Section 7031.5 by any
applicant for a permil subjec[s the applicant to a civil penalty of not more Ihan
fve hundred dollars ($500�.�:
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and Ihe struc[ure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an ovmer of property who builds or improves
thereon, and who does such work himself or herselt or thmugh his or her own
employees, provided Ihat such improvements are not intended or oRered for
sale. If, however, the building or improvement is sold within one year of
completion, the ownervbuilder will have the burden of proving that he or she
did not build or improve for purpose of sale.�.
❑ I, as owner ot the property, am EXCLUSIVELY CON7RAC71NG WITH
LICENSED CONTRACTORS [o consWct the project (Sec. 7044, Business and
Professions Code: The contractors License Law dces not apply to an ovmer of
property who builds or improves thereon, and v+ho contracts for such project with
a conlracta(s) license pursuant to the Cont2c[ors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
Signature Da�e
JOS]-46 (3I01)
Owner ID verified by driver s license. ❑ Ves ❑ No
Driver's License No. Expires:
Verifiwtion of Ownership by pype of tlocument, i.e. - property tax bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with vrork authonzed
by �his permi�, and that no building stmcture, scaHdtling, falsev,ork, a tlemoli�ion
or dismantling thereof, vrill be more than thirty-six (36) (eet high. (Chap. 32, Gry
2, Art 2, Sec. 341, Ttle 8, Cali(omia Administrative Cotle).
❑ As owner-builder, I will nol employ anyone to do work which would
require a permit fmm the Division of Industrial Safe�y, as noted above, unless
such person has a permit to tlo such work from the division.
Appl¢anfs SgnaWre oate
Division of Intlustrial Safety Permit Number
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or fuNre building occupant need to file and
certify a Business Plan for emergency response to release or threatened
release o( a hazardous material? ❑ Yes ❑ No
(Sec�ion 25505 0( the Califomia Health and Safety Code requires, with some
exceptions, Ihat a Business Plan be filetl wi�h Ihe Costa Mesa Fire
Department by every business which has at any one [ime during a reported
year a quantity o( hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic (eet o( compressed gas
at standard temperaWre and pressure).
2. Does or will the applicant or present or fuW re building occupant need to fle
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Calitomia Health antl Safery Code, with some
exceptions, requires re9isUation with the Costa Mesa Fire Departmen[ by
each business which at any one [ime has on hantl a quantity o( acutely
hazartlous ma[erials equal to or greater Ihan a weight of-500 pounds, or a
volume oi 55 gallons, or 200 cubic feet of compressed gas at standard
remperaWre and pressure).
3. Does or will Ihe applicant or present or fuWre building occupan� need to
prepare an RMPP (Risk Managemen[ and Prevention Program for acutely
hazartlous materials�? ❑ Yes ❑ No
(Section 25534 0( the California Health and Safety Code provides that the
Costa Mesa Fire Deparimen[ may require the preparation, certifcation and
fling with the Fire DepaAment of an RMPP by businesses which are requiretl
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Health antl Safety CoOe been (ully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or fuWre building occupant require for
the work which is the subject of Ihis application a pertnit for such conslruction
or motlificalion from Ihe South Coast Air Quality Management District or fmm
any other air pollution control district or agency? ❑ Ves ❑ No
(Section fi58502 oi the California Government Code requires tha� ihe requested
information be fumished on applications for noo-residential builtling permits).
6. Will any paA of the faciliry to be constructed under this permit be wiihin
1000 feet (rom �he outer boundaries of a school? ❑ Yes ❑ No
(If'yes", ihe faciliry must meel the requirement of Sections 25534 and 42303
of lhe Califomia Heallh and Sa/ety Code).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work which is the
subject of this application, have all of Ihe disclosures prescribed by Califomia
Health and Sa(ety Code Section 42303 been made? ❑ Yes ❑ No
8. (If'yes", attach ceni5cate ot compliance from the appropriate air pollution
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the
information given above is correcL I agree to comply with all state laws antl
city ordinances regarding Hazardous Materials and Emissions.
SignaWre Da�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have read this application antl state that
the information given is correcL I agree to comply with all state laws and city
ordinances rela[ing to building cons[ruction, antl authorize representatives of
the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any builtling
au�horized by this permit unlil fnal inspection.
� nalureo(LegalOwner(s� oa�e
i�--(—ll
And/wAulhorizeDApplicant �—Da�e
�
wicTeoosess: ZJ66 CULGATE DR
OWNEfl'S N11ME: MR & MRS FOLK�RS
, aooaess: �AMF.
11NCNIENGINEEP:
RODNESS:
NEO.NO.:
uxrt:
UNR:
PEflMITTEE:pRTMO kOOFING CO. (7].4)847.-44SG
�ouness: 17U66 PALMDALE S'I'REET
HIIN"fINGTON BEACH CA 92547
LICFNSEU CONTMCTOB DECIAMTION: I hereEy amrm ihat I am IicenseE un0er pmd�i of Ctupter 9(c� cinq witA Section
7000) al Division 3 0l the Business antl Pmfessions CoOe, antl i'cense is in lull f Ce 0 ef ct.
cm uc.: p 0" 6 3 9'`sTan uc.: 3 3112 cuss:
Oate: �� � 9GJ Siqwwa: •
WOHKEIiS' COMPENSITION OECIAMTION: I Aereby attirm Ihat I have a ceniti e al c sent to s-Insure or a certitiwte oi Workers �
ComDensation Insuance, or a cenilie0 mpy tnereoi (Sectian 3800, LaE. C�.
roucr xa.: 6 G 2 5 2 l- 8 9 �xP. o�rE: O 1/ 01 / 91
carnr�xr: S1'A'Cti F'UND �7
� Certi11e0 wpY �g �ere�y IumI5Ae0. � Certifietl copy' il with t�e tlry M i10 �slon.
Date: N� y� �'u Applicani: K� `
E%EMPTION FPOM WUPKEBS' COMPENSITION UECUM710N: (This saction nee0 not e c DIeIeC ii tha permit is for one hu�reA (5100) ar less�.
I cetlity that in tAe Dertormanca of �ha work for which this permit is issue0, I s�a not mploy any De�san in any manner so as m 6acome
suCject ro the Workers' Compensation Laws of Califomia. . ,
Uate: SiAnaNre: -
NOTICE: II, after makinp Ihis Oeclaration, you shoultl become su0ject to tAe Workers' Compensation DmNsions af IAe Labor
CoAe, you must fotlhwit� compty with such pmvisions ar ihis parmli shall Ee deemetl ravoked.
CONS7BUCTION IFNUIN� �GENCY: I here6y allirm tAat there is a consimction landinp apency for IAe peAormance ol l�e work for
wNCA this Oermit is IsSueE (Sectian 3097, CN. C�. '
IFNDEfl:
pDORF33: ' �
OWNEB BUIIDFB OEClAIL1TI0N: I �ereby aKrm that I am exempt from t�e Contractors' State License Law for tAe lollovring reason
(SecGon 7IXi1.5 Business an0 Protessional Coae: My ciry of counry wAich requires a permii ro construct, alter, imD�ove. Oemolish, or
repair any slruclum, pnor to Rs issuance, alw r¢Quias ihe ap�cant lor sucA permit ro lile a vOned statement ��at he/5Ae u licensetl
purwant to Ne O��ons af t�e Contrzctors' State Lkense Law (Ctiapter 9(cammenrinq w1i� Section 7000) of Division 3 oi t�e Business
anA Pmtessions COEe) ar that M/s�e ¢ enempt therehom an0 IM basis tor [�e alle0e0 eaemD�an. My violation of Section 7031.5 Oy
a(ry apDlicant lor a permit subleMs t�e appliwnt to a cNil penalry o1 not more t�an iNe hunAreO Ooltars (5500�.
I, as owner of tAe propeM a� mY employees with wapes as iheir sole wmDensatlon, will do t�e work, anA t�e
❑ stmcturo is nat intenCeE or offerea for sale (Secuon 7044. Business an0 Pmlesslonal CoAe: The Cantractars' Slaie License Law
Goes not aODH �o an ovmer oi a Dmperty who Guiltls ar improves thereon, an0 w�o Aoes such woB himulf/�erulf or tAroupA
his or Aer awn emDlayees, provideA that such improvemenis aa noi intenUetl ar aHereO for ule. II, �owever Ihe DuilCinp or
improvement is solA wit�in one year of ctimpletioq the awner will have the hurUen a/ pmdnq �e/sAe 4i0 not huiltl ar impmve
i
br t�a puryose oi sale�. '
I, as owner af Ihe pro0erty, am exclusively contractinA wit� Ilcensetl coniractors to cons�mc� the Omlect (Sedion 7044, Business
J an0 Professions CaUe: The Coniractors' State License Law tloes noI apDly ta an owner of pmpeM wAa hmlAs ai imDrovu ihereon
antl wha coniracts Por suc� D�olecis wit� a contracroqs�license Dursuant Ia tha Caniractars' S�am Ucense Law�. I am aware
that Droal of Iheir Worker's ComDenution insurance shoulE be OmntleO ro me.
� I am exem0� un0er Sectlon: B. 8 P. C.
lor inis reason:
Oate: �e�� .
I Aa AereEy ceNy Itut I am awam of an0 uMerstaM tM requiremena al Califomu Healt� ana Salery CoEe Sectians 25505, 25533, antl
25534 anE tAat I or any INure OulOinq acupant wiI Wnll not (circle one) neeG ro wmpy vnt� uiG state coJes mtl the repuiremenis for a
permit for wnsiruction or ma0ilication from tAe Nr Oualiry Manapement Disirict. Hes�Eential constmction applications are exempt tmm
I�eSa provi5ian5. '
Date: Apd�nL _
I hereby certity that I luve aaA tNs appficatian anA state t�at e aEo e information k carrecL I a ree ta cory with all�!t anC coun
orGinances an0 sWte laws relatin0 �a EuiWinq constructlon arq reby a �orize repreumatNes of tltii ciry ro Aler upon t 9hove-menlion�
property for insDecqtion pum'oses.
Daie:y yJ—��+ Siqnature:
Oriver's Licensa or Social Secudry � �
1Ba1-46 Whita—BuilEinB; Green—Cotle Enforcamen�; Canery—Appliceni; Pink—Ravanue; GOIEenroE—Asseseor
CITY OF COSTA MF.SA - BUILDING PERMTI' PERM NO: B 046237
YF.RMIT NG: B 046237 PLAN CHF.CK NO: N GOVT: N S[JPP: N
CONSTRUCIT.ON TYPE: PERMIT TYP�: S'fR •• PURPOSF.: ALT
JUH llESCRIPTION : T/OFF REROOI' S� FT: 4,'700
CLAIM VALUE: 4,700.00 CALC-VAL[JB: 4,7U0.00 GROUP OCC; H•-3 /
COMMENTS: T/OFF REROOF W/220# CLAS"S A SHINGT�ES
*u�x�**x�*x�****��+t�-*�*#*��****�r**�-�r�*�-*�-�**+�****�t**�r*��*x�*****�-+r*�-�-+t*x��-**rt�t**x�x�*�r�x-*
Z O N I N G R E Q U I R E M E N T S
S E T 4 A C K S
---------- MAIN BUILDING ----------- �-------- ACCESSORY BUII,DING ---------
FRNT: FT IN RCAR. FT IN FRNT: FT IN REAR: fiT IN
LEFT: FT IN P.GHT: FT IN' LEFT: FT IN RGHT: F'T IN
PARKl'NG REQ: PROV; PARCEL: 14145205 'LNE: REF NOc
PLANNING NOTES> ' •
>
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D E V E L. O P M E N T S E R(� I C E S Ii E Q U T R E M E N T S•
7.ONING APPROVED AY DATE:
T3UILDSNG APPROVF.D BY : __ DATE: _ ,
APPLICA'PTON ISSUED HY: DA'PE: QZ-�� `D
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LEGALIZATION:N F E E 5 U M A R Y STRUCTURAi. SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECIiANIC FIRE SMiP/RES GRAllING
FERMIT 72.00 .50
SMIE�/NON-RES
PLAN
SSSUE F'EG
BUILDING-DIV->
TOTAI�S -- -->
PERMIT ISSUE PLAN-CHFCK
7.'.. 50 0. 00 0_ 00
REVENUE DIVISION TOTALS�--> COLLECTED:
BLDG PMT PLUMD]'NG EI,EC'fRIC MECHAN7C
72.OU
'TOT'AL YAID DUE
72.50' 72.50 _ .00
7?.,50 OVCR/SHORT: '.OU
FIRE SMIP/TOT GRAIJ.T.NG PLADI-CHF.:CK
.50
�lE if iE iE al-lE iE ik iE 3e iE IE # if iF k iE dE 1' 3E M-3f if iE # ik jE i( iE iE %�if iFiE iE iE 3E iE�IE iE !E .i� iE iE K# 3E iE ik iE #df IEiE %�?f# iE if �f ��IE �E3Ejf aE iE 3F?E jE-lE 3E 3E 3f iE �(�jE M if
I A1 D I V I ll U A L F E E R R E A K D O W N
'PYPE QTY D E S C" R 7 P T I O N ODl f.'P COST TU'IAL COST
SFR 4700 RLP.00F ➢Y VALO� P.ES7DEMTAL td070NE 1.00 4,700.00
EidD OF FEES �
or o00`4778-QOU54779 i-CtiT
DATE� �2/23/90 TIi'fE: 13:51
7250
0
b'UrvSi rrUCTION AND PLANNING
APPROVALS Permit #
1. Temporary Electrical Service or Pole
� .�
2. Soil Pipe-Undrgrnd. •
3. Electrical Conduit Utility�Undrgrnd.
4. Electrical Conduit�Undrgrnd.
5. Steel Reinforcement
6. Electrical UFER Grnd.
7. Footings
'f
8. Foundation ; , .
.
9. Wa[er Pipe-Undrgrnd.
10. Structural Floor System
11. Property Sewer Line & House Connection
t'
;
Date
i
M
h
�% �
12. Sewer Cap _ j. ' / :
13. Roof Drains � ',h � '% �
14. Rough Plumbing :
15. Rough Electrical-Conduit , ' j
16. Rough Electric Wiring •�
17. Rough Wiring Sign
18. Rough Electrical-T 8ar Ceiling
79. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure' -
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T-Bar Ceiling (Structuraq & Monocoat -
27. Freme and Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
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. LandscapeJrrigation SYstem ' ��
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING ,
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
Jo. Date
POO L &
Inspector qppROVALS Permit #
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
58. Electrical Conduit-Undrgrnd.
. 59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor�Final
63. Heater & Vent-Final
64. Plumbing System � Final
65. Electrical-Final
66. Solar SVstem-Final
67. Fencing & Access ApProval
68. APPROVED FOR PLASTERING �
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
. APPROVALS Permit #
�
;
Date Inspector
t
,�
i
A�
,�
�„
70. Underground Hydro
71. Product Piping � Gas ❑ Oil �
72. Underground Flush
73. Undergmd. Storage Tank O Gas ❑ Oil
74. Overhead HYdro
75. D�y Chemical '
76. Dry Standpipe �
77. FIXEO SYSTEM FINAL
76. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
S0. FOOD CERTIFICATE ISSUED -
Notes:
;
0
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31T ''�y
COSTA MESA CAUFORNIA �N�
C•l. OF STREET
' �iPROP TINE _
r 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 P�ACED ON SOLID LINES
I �:3'�5 I
FOR APPLICANT TO FII.L IN
BUILDING ADDRESS�: 2_� C' 6 CoL �A`T'L- �'� •
Mail Addresa -r�%M �
City C • �� Ph. No. '
Contractor�f�U�/ARD ph. No.TE %%/Sd
City Lic._No.��— State Lic. No.��"` J
Size of Lot %d �n c� AP N� �_� ���5�
i
Setbacks: C/L Street �n� Rear n
Side Yard - Right � �� Left ���
Type of Fence �/� �-�--��t�' � ��-P� :
/(L�� GaM�
I hereby acknowledge that I have read ihis application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws requlating building construction.
FOR OFFICE USE ONLY
�"'%'�
VALUATION
Z ZZ �
,2� 3p -,�� DEC 3 0
Permit Fee
Plan Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
!��J
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OWNER YALE PROPERTIES, IIIC. DATE 4-2-58
JOB ADDRESS 2366 Col�ate Dri ce - BUILDING PERhIIT NO. 65%b
GENERAL CONTRACTOR Dike & Colegtove, IIIC. VALUE $ 14,056.00
AP. No. LOT �1 TRACT 2q5�FIRE ZONE DESCRIPTION OF WORK Residence w/att doub' -_
GROIIP I& J TYpE p ZONE gl PLAN NO. g�T�� -
INSPECTIONS � Dp.TE I SUBCONTRACTOR � _ PERMITSISSUED
Test
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y � � � s���
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C�SSTA MESA BUILDING DEPARTMENT
P.O. BOX 31]
COSTA MESA. CALIFORNIA
BUILDING
ADDRE55
FOR APPLICANT TO FILL IN
166 Col�ate Dr.
COSTA MESA. CALIFORNIA
owNEa_ Yale Properties� Inc.
MAIL �9 fS• 17t.11 St.•
nnnaFcc
TEL.
NO.
ARCHITECT (;arlson OC LIC.
OR ENGINEER NO.
ADDRE55 Garden Grove
coN D�k�a& Colegrove�Inc. ��TY N�o 7333
LEGAI
oescaivnoN
A.P. NO.
NO.OF BLDG6.
OF LOT /V X
USE OF
E%ISTING BLDG
SETBnCI( IINE FpOM C
CENTEH OF STREET J
RIGHT S' LEFT SI
DESCRIPTION OF WORK
NEW A ALTERATION AODITION
REPAIR
BUILDING 1L/7
SIZE V4
EXTERIOR WALL
COVERING S
ft• ROOMS / STORIES 1
USE OF NEW
BUILDING Single F�ily Residence
end attached double garage
,.. ,. ��� �
,��,�,� �a����:u �� �
,�_a-sss �.�
F��!1!,�'CE DEPT.
��Ty p� ,r,pSTFl f.1ESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
flECEIPT NO. PERMIT NQ
tECE1VE� BY OnTE RECEIVED R�
�L, �! i_.�— QPR �
BUILDING
ADORE55
COSTA MESA. CALIFORNIA
� I i IvLaNS I //
/
APPROVED
BV DATE
CORRECTIONS
�
I HEREBV >CNNOWLEOGE TMiT 1 N>VE READ iM15 FPPLICATION FNO
STATE iHnT TME �BOVE IS CORRECT ANO AGREE TO COMPLV WITX wLL
CITY ORDIN/.NCES aND ST L�nS FEGUL�TING ILOING CONSiflUC-
iioN. VALUATION (�
SIGNATURE OF �� PERMIT FEE s 34�w
PERMITTEE 7
�1� 1� S �)OJV�OO PLAN CHEGK S �
AUTHORIZED AGENT D1n8 O[ CO1.tl OV8 Inc. TOTAL FEE S JZ�W v��
„ 1,N;r:t��:x, cr� �� �
JOB ADDRESS p�(�(, ��]�ate Dr3ve BUILDING
AP No. LOT TRACT2
INSPECTIONS Si ouro.e Dute
SOIL
GAS
WATER
ROUGH PLUM6ING
PROP. $WR. LINE � XOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING FND AIP CONDITION�NG
TEMPORARY SERVICE OR PUIE
UNDERGROUNO � POWER �
ROUGH WIRING
TftENCNES FORMS � STEEL REINF. � -(
FLOOR SVSTEM
BONO BEAM STEEL REINFORCE �
SNEATXING �� g i
FRAME FNO FLASHING
LATHING - IN OUT
PLASTER,BROWN COAT
STRUCTURAL, FINFL
HEATING, VENT., REFRIG. ANO A.C.. FINAL -
PLUMBING. FINAL AND GAS TEST
ELECTRIC, FINAL
BUILOING, FINAL C-
SPECIAL REOUIREMENTS
SUBCONTRACTOR
. . � 29309
COS7A MESA BUILDING-SAFFTY DEPARTMEPR
P.O. BOX 1200 COSTA MESA� CALIFORNIA 02B2E
For App11rnM ro Flll In Compbtaly
TYPE OR PRINT
�����No 6 -C'o%c=
�ncaeaa r�
COSTA MESA, CALIFORNIA
7t4
8 6ETBACR LIN61POr
DESCRIP'f10N OF WORlC
BUILDINO
s¢e
EXTERIOR WA4L
COVERINO
UDQ OF GYIIOIp�
►rov-t-6�00 oa� �**���S.00
AIPLICATION FOR PERMR
BUILDING
for OfNc� Us� Only
Rcc[Irt No. _�I
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No. �v. — y�- z — � �
B: NO GV6 OVERMANO 6NALL OH L688 THAN
YAHDf MPROV ED
MAIN BUILDINO
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TOTAL PHH � � �
S. RICH
AP. No. LOT
GROUP
Dr.
guard Fence
'�9SS PIRE ZONE
ZONE
INSPECTIONS � DATE � gUBCONTRACTOR
coa[
DATE 12�3��5a
BUILDING PERMIT NO.