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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 �,mm�` �" , 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 CEI.L: I, rn, . . � '; S.� :.. • 9. r 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 r 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. � _ /�c' �� 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)) ' � � i 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. ��% �� � ��Jn Sipoawrea gal.0 (s7 Da�E_-� �? s2 � ��z s�i, 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: � �'• , � �a , ::: � 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. � pl n' Sip�u u �j e-�U� '— 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. .J�i� F �%� Z : O � �j� (�n Signaw�p clegal r(s n De�e gnawr � � _Dam �� �" - � �} 305]-G6�310]) � AnClor AutM1on etl AOOlicant ale � � 1 �� � �� � y�\ �� `'-� �� .`-- �� C�. �� 5 �� �� cs��' ' � �.L�` � � �z �� �� ( \ y�G.LI �� �� 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. sY:— � r','T�: �J (J % ►�i 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 �/ PROP LINE J i C.L. OF S 1��, . �`��t�i�� I� NI11dIICF fl{II�T � � � t�-- ------� , CITY 0,`I G4eTn, � w w � f N LL 0 J tS S T. 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_ ��a�� / ' �-r �J'�i • -rJ� . 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�� ciTv COsta MesB T�a: LI nacr� crli82'tSon 6C M1aa OR E IEER ADDRE55 Garden GTOVB Dike & Colegrove� CONTRACTOR nooRess �+�-9 E. 1%tll St. LEGAL LOT �ESCFIPTION No. 79 BL A,P. NO. u��s G%l��(�GiYi�� c�. 3���/� �- . �7f�A�10E DE�TT. GITY ps r!lSiA r"Fc� 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"�