HomeMy WebLinkAbout2326 COLGATE DR - Building Permits�
� . �
CITY OF COSTA MESA
.
. BI/ILDING DIYISION
F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(774) 754-5273 • Fax (714) 754-4856 • w.vw.ci.costa-mesa.ca.us
°. � FOR INSPECTIONS CALL: (714) 154-5626
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PERMIT NUMBE E07-00789
PERMIT TYPE ELEC
JOB ADDRESS: 2326 COLGATE DR CM
Vicinily: HALLWAY CLOSET AND REAR YARD
STATUS: ISSUED
DATE ISSUED: 09111/2007
ISSUED BY: BJK
Suite/Unit:
SCOPE OF WORK: CHANGE-OUY OF A FAU IN AN EXISTING SFD WITH THE ADDITION OF A NEW A/C (CONDENSER AT REAR OF SFD).
WORK INCLUDES ELEC AND MECH. �
OWNER: ZEMOJTEL, CHESTER J
PHONE:
APPLICANT: ZEMOJTEL, DOREEN
PHONE: 714-957-1449
CONTRACTOR: OW NER-BUILDER
Address: Unit: PHONE:
Ciry/State: ZipCode:
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $78.00
Reinspection Fee $0.00
TOTAL FEES $78•00
Address: 2326 COLGATE DR Unit:
Ciry/State/Zip: COSTA MESA, CA
Address: 2326 COLGATE DR Unit:
City/State/zZip: COSTA MESA, CA
License No. 000000
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NOTICE: The work authorized by thiS permit shall comply with all applicable handicap access requirements under Califomia sfatutes and related
regulalions. (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 appliwble 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.
GOOEt �xsaecnoxrne onre iHnnais CODEt �xsreenoxrne o�TF �NTI71��
1816 Fixetl System Final Fire Prevention 206 Final Mechanical
1286 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Eleciriral �_�
201 Final Block/Retaining Wa0 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 FinalSign 222 FinalSite
204` Final Demolition 250 Final BuildingfOccupanty
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WORKE�' CO ��NSATION DECLARATION� .
I hereby affirm untler pynalty o( perjury one of the lollowing declarations: „
❑ I have and will maintain a certi(w[e of consent to self-Insure for vrorkers'
compensation, as providetl for by section 3700 0( the Labor Code, for the
peAormance o( the work (or which this pertnit is issuetl.
❑ I have and will maintain workers' compensation insurance, as�requiretl by
section 3700 of lhe labor Cotle, fa the pedormance of the v.ork fw which this
pemid is issued. My workers' compensation Inswance ca�rier and policy
number are:
Carrier
(This sedion neetl�r be cwnpelea A Me pe�mrt rs valued al One hundietlCoNars (5f 00) a leas.)
Policy Number:
��I certi�y tha[ in lhe pedormance o( the vrork for which lhis permit is
Issued, I shall not employ any person in any manner so as to become subject
to the vrorkers' compensation laws of California, and agree that if I should
become subject to the vrorkers' compensation provisions of Section 3700 of
[he Lab)))or Code. I shall forthwith comply with these provisions.
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ncoi;,canr � i StGre oa�`e_�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions of Chapter 9(commencing
wi[h Section 7000) o( Division 3 of Ihe Business and Professions Code, and
my liCense i5 in fUll fbrce and efleCl.
Lia # Class #
Contraqor's SignaWre
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirth that there is a consWctbn lending agency for the
perfortnance of the wurk fa wfiich this permit is issued. (Sea 3097, Civil Code).
Lentler's Name:
Lentler's Address:
SlgnaWre Dale
OWNER-BUILDER bECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5,
Business and ProfeSsions Cotle: Any city or county which requires a permit to
construct, alter, impmve, tlemolish, or repair any simcture, prior to its
issuance, also requires the applicant for such pertnit to file a signed statement
that he or she is licensed pursuant to the provisions of �he Contractors
License Law (Chap�er 9(commencing with Section 7000) of Division 3 of lhe
Business and Professions Code) or lhal he or she is exempt therefrom and
the basis for the allegetl ezemption. Any viola[ion of Section 7031.5 by any
applicant for a permit subjects Ihe applicant to a civil penalty ol not more Ihan
(ve hundred dollars ($500).):
r��, as ovmer of the pmperty, or my employees vrith vrdges as their sole
compensalion, WILL DO 7HE WORK, and the structure is not intended or
offered for sale (SeC. 7044, Business and Prolessions Code: The Contraclors
License Law does not apply to an owner of propeny who builds or improves
thereon, and who d0e5 such work himself.or herself.or through his or her ovm
employees, providetl tAat such improvements are not intended or offered for
sale. It, however, the building or improvement is sold within one year of
complelion, the owner-builder will have the burden of proving that he or she
did not build or improve for purpose of sale.). ,
❑ I, as ovmer of the property,'am E%CLUSIV�LY CONTRACTING WI7H
LICENSED CONTRqC70RS to 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 who contracts for such project with
a contracta�s) license pursuant ro the Contractas License Laws.).
❑ I am exempt under sec. �
Business and Pro(essions Code (or this reason:
nawr _� D;Ia�
DOS]-46�3/0)) '
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Owner ID venfied by dri�nse. �"Fes ❑ No
or?ers cicense:No. F,zyfre ys: .5 .S
Venfication of Ownership by (ype ot document, i.e. - property tax � dl or ed): �
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: �
❑ I hereby certBy that no excavation (rve (5) or more fee� in depth inio which a
person is required ro descend, will be made in connection vri[h v.ork au[trorized
by this permit, and that no builtling strucWre, scaffdding, falsework, a tlemolition
or tlismantling lhereof, will be more lhan thirty-six (36) (ee[ high. (Chap. 32, Grp
2, Ari 2, Sea 341, Title 8, Califomia Administ2tive Code�.
❑ As ovmer-builder, I will not employ anyone lo do work which woultl
require a permit fmm the Division of Industrial Safery, as noted above, unless
such person has a permit to do such vrork from the division.
Apdiranl's SignaWre
Division o! lndusirial Safety Pertni� Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. Will the applican[ or present or fuNre building occupant need to file and
certify a Business Plan for emergency response ro release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Cotle requires, wit� some
exceptions, that a Business Plan be (led with the Costa Mesa Fire
Department by every business which has a[ any one [ime during a reportetl
year a quantiry of hazartlous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic (eet oi compressed gas
at standard temperature and pressure).
2. Does or will [he applicant or present or future builtling ocCupant need to file
a registration form for acutely hazartlous materials? ❑ Yes ❑ No
(Section 25533 of the California Heallh antl Safely Cotle, with some
exceptions, requires registration with ihe Costa Mesa Fire DepaAment by
each business which al any one time has on hand a quanti[y of acutely
hazardous materials equal to or greater ihan a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of wmpressed gas at standard
temperaWre and pressure).
3. Does or vnll the applicant or present or future building occupant need to
prepare an RMPP (Risk Managemen[ and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Seclion 25534 of ihe Cali(ornia Health and Sa(ety Code provides [hat the
Costa Mesa Fire Departmen[ may require the preparation, certification antl
fling with the Fire Department o( an RMPP by businesses which are required
lo register awtely hazardous materials with the Fire Oepartment.
4. If an RMPP is presentry required, has Section 25534 0( the Cali(ornia
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will ihe applicant or present or (uture building oCcuDant require for
the woB which is the subject of this application a pertnil (or such con5�rutli0n
o� modification (mm [he Soulh Coast Air Quality Management District or from
any other air pollulion control disMc[ or agency? ❑ Yes ❑ No
(Sectbn 658502 of the Califomia Govemment Cotle requires that Ihe requested
infortnation be lumished on applicatans tor rwo-residential builtling permits�.
6. Will any paN of the faciliry to be constructetl under this permil be wiNin
1000 (eet (rom the outer boundaries o( a school? ❑ Yes ❑ No
pf yes". the faciliry must meet the requirement o( Sections 25534 and 42303
of the Califomia Health and Safety Code).
7. If a pertnit (rom [he South Coast Air Quality Management Distncl or other
air polWtion contml district or agency is required for the v,ork which is the
subject of Ihis application, have all of the disclosures prescnbed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If'yes". attach certi(cale of wmpliance from the appropnale air pollution
control officer). '
CERTIFICATE OF COMPLIANCE: I certify Ihat under penalty of perjury the
information given above is cortecL I agree to comply with all sWte laws antl
city ordinances regarding Hazardous Materials and Emissions.
Oa�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify untler penalry ot perjury that I have read this application and state thal
the information given is correct I agree to comply with all state lavrs and city
ordinances relating to building construction, and authorize representatives of
!he City of Costa Mesa to en[er upoo the above-descdbed property for
inspection puryoses. I agree not to occupy or allow occupancy of any building
aut d by this perm t until final inspection.
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Sipoawrea gal.0 (s7 Da�E_-�
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And/or AulM1onz Appliranl Dale
PERMIT TYPE
•
CITY OF COSTA MESA �
BUILDING DIYISION
f - �
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBE M07-00481
MECH STATUS: ISSUED
DATE ISSUED: 0911112007
ISSUED BY: BJK
JOB ADDRESS: 2326 COLGATE DR CM
Vicinity: HALLWAY CLOSET AND REAR YARD
SQ. FT: 0
Suite/Unit:
SCOPE OF WORK: CHANGE-OUT OF A FAU IN AN EXISTING SFD WITH THE ADDITION OF A NEW A/C (CONDENSER AT
REAR OF SFD). WORK INCLUDES ELEC AND MECH.
OWNER:
PHONE:
APPLICANT:
PHONE:
ZEMOJTEL,CHESTERJ
ZEMOJTEL,DOREEN
714-957-1449
CONTRACTOR: OWNER-BUILDER
Address: Unit: PHONE:
City/State: , ZipCode:
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE: $65.45
PLAN CHECK FEE: $0.00
INVESTIGATION FEE: $0.00
REINSPECTION FEE: $0.00
TOTAL FEES: $65.45
Address: 2326 COLGATE DR Unit:
City/State/Zip: COSTA MESA, CA
Address: 2326 COLGATE DR Unit:
City/State/zZip: COSTA MESA, CA
License No. 000000
CELL:
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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 lhis permit to be wnsidered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obWin inspections and final approval will result in the expiration of this permil.
CODE t INSPEGTION TYVE DR�F INTITIRL¢ DE INSPECTION TYPE p� �
1816 Fixed System Final Fire Prevention 208 Final Mechanical q- IR-67
7268 Pool Spa Final
200 Pinal Re-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final �emolition
208
210
272
220
222
250
Final Plumbing
Final Electrical
Final Fire Prevention
Final Planning Approval
Final Site
Final Builtling/Occupancy
WORKERS' COMPENSATION DECIARATION:
I hereby aKrm untler penalty of perjury one o/ the follovnng declarations: �.
❑ I have and will maintain a certi(cate of consent to sel4lnsure for workers'
cqmpensation, as provided (or by section 3700 of the Labor Code, for the
p@Rormance of the work for which this permit is issued.
❑ I have antl will maintain workers' compensation insurance, as required by
section 3700 0( the Labor Code, for the peAortnance o( the vrork for which ihis
pertnit is issued. My workers' compensation Insurance carrier and policy
number are:
C3rrier:
(7hS sedion neetl iro( �e cbmpletetl A fhe pe�mrt is valued al one huntl�etlOdlars (5100) aless.)
POlicy Number:
�-D1 certify that in the pedamance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to Ihe vrorkers' compensation laws o� California, and agree that if I should
become subjec[ to Ihe workers' compensation provisions of Section 3700 of
t or Code, I shall torthwith comply with these provisions.
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WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALI SUBJECT AN EMPLOYER TO CRIMINAL
P�NqLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOIIARS
($100,000), IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS
PhOVIDED FOR IN SECTION 3706 OF THE 1A60R CODE, INTEREST, AND
A770RNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby aKrm that I am licensed untler pmvisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force antl eHect.
Lic. # Class #
LonVac�w"s Signawre Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn that there is a construqion lending agency for the
pedortnance of [he work fa wfiich this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lenders Address:
OWNER-BUILDER DECLARATIONS:
I hereby aKrtn that untler penalry of perjury thal I am EXEMP7 FROM THE
CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5.
Business antl Professions Code: Any city or county which requires a permit to
consWct, alter, improve, tlemolish, or repair any structure, pnor to its
issuance, also requires the applicaN for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 0( the
Business and Pmfessions Code) or tha� he or she is eaempt chere(mm antl
the basis for Ihe allegetl eaemption. Any violation of Section 7031.5 by any
applicant for a permit subjects Ihe applicanl to a civil penalty of not more than
five hundred tlollars ($500).):
��I�s owner of the property, or my employees vnth wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sea 7044, Business and Protessions Code: The ConUactors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such vrork himself or herself or through his or her ovm
employees, provided that such improvements are not intended or offeretl for
sale. If, however, the building or improvement is soltl within one year, of
completion, the ovmer-builder will have Ihe burtlen�of proving that he or she
ditl not build or improve for purpose of sale.).
Owner ID veri(ied by dri� ise.�Yes ❑ No
DnveF` s_-�icense No F�pf'res:. � �
Verification of Ownership by (rype of ocumem. .e. - property lax b I or tle tl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: '
❑ I hereby certify that no ezcavation frve (5) or more feet in depth into wfiich a
person is required to descend, will be made in connectbn with work authorizetl
by this pertnit, and ihat no building strucWre, scaffdding, f2lsework, a demolition
or tlismantling thereof, vnll be more than thiAy-siz (36) feet high. (Chap. 3.2, Grp
2, M 2, Sec. 341, Title 8, Califomia Atlminist2tive Cotle).
❑ As owner-builtler, I will not employ anyone lo do work which would
require a permit /rom the Division o� Industrial Safety, as noted above, unless
such person has a permil to do such work from the division.
ApPlitanfs Signature
Division ot Intlustrial Safely Permit Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or Wture building occupant neetl ro file and
certily a Business Ptan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of Ihe Califomia Health antl Satery Code requires, wiM some
exceptions. that a Business Plan be fled with the Costa Mesa Fire
Department by every business which has at any one time dunnq a reported
year a quantity of hazartlous materials equal to or greater man a weight o(
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
a1 slandard temperature and pressure).
2. Does or wi0 (he applicant or present or (uture building occupant need to Tile
a registration fortn for acutely hazartlous materials? ❑ Yes ❑ No
(Section 25533 of the Calilomia Heallh and Sa/ery Code, wilh some
exceptions, requires registration vnth the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight o! 500 pounds, or a
volume ol 55 gallons, or 200 cubic leet of compressed gas at stantlartl
temperature and pressure).
3. Does or will Ihe applicant or present or future building occupant neetl to
prepare an RMPP (Risk Management and Prevention Progrem tor acutely
hazardous materials)? ❑ Yes ❑ No
(Seclion 25534 ot the Califomia Health and Sa(ery Code provides that the
Costa Mesa Fire Oepartment may require Ihe prepa2lion, certification antl
filing with the Fire Department o( an RMPP by businesses which are required
lo register acutely hazardous materials vrith the Fire Department.
4. If an RMPP is presently required, has Seclion 25534 of �he Califomia
Health antl Safely Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future builtling occupant require for
the work which is the su6jecl of this appliwtion a permit for such consWction
or modifcalion fmm the South Coast Air Quality Management Dislrict or from
any other air pollution control district or agencyl ❑ Yes ❑ No
(Section 658502 of the Calilomia Govemment Cotle requires that the requested
intormation be lumishetl on applications for nornresidential building pertnits).
6. Will any part of the faciliry to be conslructe0 under Ihis permit be within
1000 (eet from the ouler boundaries o! a school? ❑ Yes ❑ No
Qf "yes", the (acility must meet the requiremenl of Sections 25534 antl 42303
o( the Calilomia Health and Safety Code).
7. If a permit (rom the South Coast Air �vality 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 the disclosures prescnbed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
B. (If'yes", altach certifcate of compliance from the appropriate air pollution
contml officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty oi perjury the
information given above is correct I agree to comply with all state laws and
p p rty, am EXCLUSIVELY CONTRAC7ING WITH city ordinances regarding Hazardous Malerials and Emissions.
[�J I, as owner o( Ihe ro e
LICENSED CONTRACTORS to constNct the project (Sec. 7044, Business and
Prolessions Code: 7he contrdctas License Law dces no! appty to an rnmer o( S¢�awre oa�e
property who builds or improves thereon, and who cont2cts for such projecl wilh CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contracta(s) license pursuant tothe Contractors License Laws.�. certi(y under penalry of perjury that I have read this application and state that
❑ I am eaempt untler sec. � the information given is wrrect I agree to comply with all state lavrs and city_
ortlinances relating to building construction, and authorize representatives of �
Business antl Professions Cotle for this reason: � the Ciry of Costa Mesa to enter upon the abovetlescribed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
_ authorjzec� by this permit until final inspe tion.
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APP��JV�D
c�r� or• cosTn Mrsn
PLANhING DIVISfON
SUBJECTTO BLDG. DL'P'I'. RrG.
NOTE: ADDITfONS, DELFTIciNti,
OR CORRECTIONS SFIAI.L i�I
APPRUVED BY THE !'i.AA'NING 1�1 V.
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COSTA MESA BUILDIPIG DEPARTMEMT
P. 0. BOX 317
COSTA MESA CALIFORNIA
F T.
C•L. OF STREET
___JiPROP LINE
T — —
T. FOR 60 FT. STREET
�-�IC hi � V ,L'.,�
CITY 0= CCSTq A,F_SA
PL=,� ;i?�;G i)1'PT.
SU8JEC7 T �LllG. UEPT. REG,
ALAN
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CITY 0,`I G4eTn,
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOIID LINES
i ��� i
FOR APPLICANT TO FII.L IN
BUILDIN� DDRESS���f� ������� j�/�
.
�� � /L'� � .
City Lic. No. �� 7-� State Lic. No. Z3 —
-----�-,--- �----� f���_
Size of Lot 7d,��� AP No. d ,�i t–S–
Setbacks: C/L Street �U + Rear � ��
Side Yard - Right (� �� Left l% ��
T �"yk"x i6 " �c ��-�
ype of Fence_
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I hereby acknowledge ihat I have read this applicaiion and state
that ihe above is correct and agree to comply with all City Ord-
inances and State Iaws regulating building construction.
Signature � // iJ �� �
of Permiiiee /.L,Cv�ra.ci/�Ge
a
FOR OFFICE USE ONLY
�`.'� � �1- // s � � �l ..
VALUATION I � ��
� I O Permit Fee $ ,'x "
� c.% �l �) � Plan Check $ ^
TOTAL FEE $ � �
USE REVERSE SIDE FOR DETAILS
G���
NER ZEMOJTET � CHESTER .i_ DATE 2_l l-S9
ADDRESS Z3ZG C0�8t2 Dt�. � BUILDING PERMIT NO.
GENERAL CONTRACTOR Safeguard �onst. VALIIE $ 2$S.00
AP. No. LOT %S TRACTZ9SS PIRE ZONE DESCRIPTION OF WORK BI_OCk W�l
GROUP 1'YpE ZONE PLAN NO. ''�(jl
INSPECTIONS I DATE I SUBCONTRACTOR I DATE ` VNUMBER
Pinal
owrrEu TROJAN LAND C0.
DATE
JOB ADDRCSS 2326 CO1RSte Drive � BUILDING PERMIT NO. 6S�t6
GGNSRAL CONTRACTOR Dike & Coleerove, InC. VALUE $ 13,690.00
AP. No. LOT 79 T,�cr 2955 F�� ZONE DESCRIPTION OF WORK Residence W�att double
GROUP I g J TYpE V ZONE Rl PLAN NO. 6��8
i � i ...-....._......,.��_ _
INSPECTIONS
Final Gas
SUBCONTRACTOR I DATE I NU
�• .�► 6�6
. .
,.
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
ADDRE'S5 2326 Colgate Dr.
COSTA MESA. CALIFORNIA
owNeR Trojeri Land �'O.
MAIL t
ADDRE55 �� E• 17t.LL St��
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ADDRE55 Garden GTOVB
Dike & Colegrove�
CONTRACTOR
nooRess �+�-9 E. 1%tll St.
LEGAL LOT
�ESCFIPTION No. 79 BL
A,P. NO.
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�7f�A�10E DE�TT.
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APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
PECEiPT NO. PERMIT NO.
G SS�G
RECErvE� 9Y DnTE RE<ENEO OSTE ISSUEO
��.,.-�/ 3- 3 �- �� 3- 3 i- s"�
COSTA MESA. CALIFORNIA
FIRE
ZONE
�T� ��� 7333 �°"E R �
NO.
TNo, LI 8-115 BVFROVED
TRACT 2955
� !O X �VV NO.OF BLDGS
NOW ON LOT n�ne
USE OF
EXISTING BLDG.
SETBACK LINE FROM COt
CENTER OF STREET l
REAR YARD <��t
SIDE YARD RIGHT S LEFT
DESCRIPTION OF WORK
NEN' x ALTERATION AODITION
REPAIR
BUILDING 1W1
SI]F
EXTERIOR WALL
COVERING Stll
USE OF NEW S�]
BIJILDING _ .
fti�ROOMS V STORIES 1
ROOF
COVERING (�,nm=
family dwelling
Plan No. 750A
I HEREBV tCKNOWLEOGE TMRT I HnVE REeD TNIS APPLICnTIOrv nNO
$TATE TMAT TME ABOVE IS ORRECT AND .�GREE TO COMPLY WITX 4LL
CITY OROINRNCES RNO ST E LwWS NEGULniING BUILD�NG CONSTHUC�
rioN. VALUATION
SIGNATURE OF
PERMITTEE
. • . � 13,690.00
AUTHORIZED AGENT D�e & C018gI'OVe� Inc.
onTE
CORRECTIONS
PERMIT FEE S 3z�VU
PLAN CHECK S 16�W
TOTAL FEE S 4g•��
9"�