HomeMy WebLinkAbout3209 COLORADO PL - Building Permits(714) 754-5273 • Faz (714) 754�4856 • www.ci.costa-mesa.r��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 3209 COLORADO PL
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: 13908515 Zoning:
Applicant KEATOR, BARBARA _ _.
Address: 2626 NEWPORT BL .- - ^ " "'. - _ _ . �� ISSUED 8Y:
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COSTA MESA, CA' `� `-- :j`--�. � . i Zip: 92627 j' � . -- _ .
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Owner. HEALEY;:MICHAEL,ROSS 1 � '—' `-' �� �__; �� ,�� � ' ' ��� � �
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Address ,320�COLORADO PL . �' / _ _� -' �' , _ -� "� t �'�r j� � �. �
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,�COSTA MESA, CA � Zip: 92826 � ' � � � � �
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Convactor. �PETRONECL�A"�ROOFING �`�� � ' ' �
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iAddress: 2626 NEWP.ORT BL ��� � i �
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Zip:�-�` 92627i i �`License: 460707 ! . _ _`, � . �
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Status: ISSUED
Applied: 06/22/2005
Issued: 06/22/2005
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�REROOF RESIDENCE AND ATTACHED GARAGE T/O EXISTING WOOD:SNAKE�1/2" CDX TO',BE APPLED, 1 LAYER 30# FELT, APPLY "30-
� YEAR ELK COMR SHINGLES." 25 S�UARES - - . - _ - .- . - -. � . , _ � ' ; �
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Plan'Check:, ; $0.00
Fermit: „ . $111.25
SMIRRes: ; � $0.50
SMIP Com:'� , � $0.00
,��,��� Other;��, `�,�$0.00
Inspection i $0.00
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,Total: -� _$111�7,5:°;
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ACCESSORY
PARKING
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NOTICE: The work authorized by lhis permit shall comply with all applicable handicap accass requirements under Califomia statutes and ralated .
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 100 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all �i
requlred Inspections end ttnal approvel must be obtained. Failure to obtain inspections and final approval will result In ihe expiration of this permit. .
FOR INSPECTIONS CALL: (714) 7545626 '
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WORKERS' COMVENSATION DECLARATION:
I hereby aXirm under penelty of parjury ona of the followinq tleclaretions:
❑ I heve end will malntain a certificate of consent to seli-Insure for workers' compensation, as provitlad for by section 3700 of ihe Lflbor Code, for the pertormence of Ihe
�'ork for which Ihis permit is iuued.
�m/ I have antl will melntain workers' compensetion insurence, es reQuired by section 3700 oi Ne Labor Cotle, for Ihe peAortnance of the work for which Ihis pertnit is Issued.
My workers' comRe�nsatlon Insurance cerder end policy number ere: U �1
Eartle�`}X� �'"0.T'( C D �i'�;a PoliCy.�Nu�m�be�r.: � .S� / �n .L � � �
(ThisrsecNon need not be cromp/eteC il the p rmit Is velued et one hundred dollers ($100) or IessJ
❑ I cerlity that in iha peAortnance of Ihe work for which Ihis pertnit is iuued, I shell not employ any person in eny manner so es to become suDject to Ihe workers'
compensellon laws of Celiiomie, and egree ihat ii I shoultl become sub�act to the workers' compensation provisions of Sec ion 3700 of the Labor Coae, I s�all forthwith
comply with t Drowsl s.
WARN�I�LU ET�O' ECURFiWORKERS'COM1�PENSAT��COVE� UMAWFULMIDSHALLSUBJECfANEMPLOVERTOCRI�NALP �SAN�LFlNESUPTOONEHUNDRED
T}IOUSAND OOILARE (5100,000), IN ADDITION TO THE CQST OF COMPENSATIIXJ, DAM4GES AS PHOVIDED FOR IN SECTIIXJ 3�O60F THE UBOR CODE, INrEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARA710N:
I here6y aHirtn ihat I am licen d uf �der rovisic
torce end eHact. Li�: p—r �� `� � ��
CONS7RUC710N LENDING AGENCY:
of Chapter 9(commencing with Section 7000) ot Division 3 of Ihe Business end Professions Code, an0 my license is in full
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❑ I hereby atfirtn ihat there is a construction lending agency for Iha pertortnance ot t�e work for which Ihis permit is issued. (Sec. 3097, Civil Cotle).
Lender's Name: Lender's Address:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby eflirtn ihet untler penalry of perjury Ihet I em EXEMPT FROM THE CONTflACTOHS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions
Cotle: Any dry or counry which requires a permit to constn�ct, alter, improve, demolish, or repair any siructura, pnor to its iuuence, also requires the applicant for such pertnil
to flle e signeA statement thet he or she Is Iicensetl pursuant to �he proNsions of ihe Conirectors License Law (Chapter 9(wmmencing with Seclion 7000) of Dlvlsion 3 of the
Business and Protessions Code) or Ihat he or she is exempt Iherefrom and ihe Desis for the alleged eaemption. Any violellon of Sectlon 7031.5 by any epplicent for e pertnit
subjecis ihe applicant to e civil penalry at not more than fve hundred tlollars ($500).):
❑ I, as owner of the properry, or my employees with wages es thelr sole compensation, WILL DO THE WORK, and the structure Is not intended or oHeretl for sele (Sec.
7044, Busineu entl Protessions Code: The Coniractors License Lew tloes not apply to an owner of property who builds or improves thereon, and who tloes such work
himself or hersel� or ��rough hls or her own employees, provided ihet such improvamenis ere not IntenAed or oNered tor sale. If, howaver, the builtling or improvement is
sold within one yeer of completion, ihe owner-builder will have the burden of proving ihat he or she did not builtl or improve tor purpose of sele.). '
❑ I, es owner of Ihe Oroperty, em EXCLUSIVELV CONTRACTING WITX LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business antl Prafessions
Cotle: The coniractors License Law tloes not apply to an owner of property who bullds or improves thareon, enA who coniracts for such project with a conirector(s)
Ilcense pursuent to ihe Contractors License Wws.).
❑ I em exempt under sec.
SignaWre:
Owner ID verified by drivers license. ❑ Ves ❑ No
Business and Protessions Code for this reason:
Vedficetion of Ownership by (type of dwument, i.e. - praperry teu bill or tlaea):
Drivefs Licensa No.
oate:
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hareby certlty that no excavetion five (5) or more feet in depth Into which e pe�son Is required to descentl, will be metle in connection with work euthorized by this
permit, antl that no building sirucWre, scalloltling, falsework, or demolition or dismanNing ihereot, will 6e more Ihan ihirty-six (36) feet high. (Chap. 3.2, Grp 2, Ah 2, Sec.
341, Title 8, Califomia AGministrative Code).
❑ As owner-builder, I wlll not employ anyone to tlo work which would require e pertnit Irom [he Division of Industriel Setery, es noted above, unless suc� person has e
permit to do such work irom the division.
Signature: Date:
Division oi Industrial Sefery Permit Number.
CERTIFlCATE OF COMPLIANCE AND Al7TTIORQA110N OF ENTfiV: I certity under penalry of perjury that I have read this epDlication and stete ihet the informatlon given Is
correct. I egree to comply with ell stete laws end ciry ordinances relating to building constructlon, antl eut�onze representatives of lhe Ciry of Casta Mesa to enter upon Ihe
ebove-descnbed property far inspection purposes. I egree nol to occupy ar allaw occupency of eny building euthorized by ihis pertnit until fnal inspection.
COOE 1. INSPECTIONTYPE
1616 Fixed System Final Fira Prevantion
1266
200
207
202
203
Pool Spe Final
Final Re-Roof
Finel BIocWRetaining Wall
Final Fac�ory Fire Plece
Finel Slqn
204 Finel Demolition
PAAIE It�1.5
P
Z�g -05� �
LOOE 1 INSPECTION TYPE
206 Final Machanical
208 Final Plumbing
210 Final Electrical
212 Finel Fire Prevention
22o Finel Plenning Approval
222 Finel Site
250 Finel Bulltling/Occupaney
PL� IIi�LH
L0T SO - TRACT 3625 .
� �..��' 13
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 CO6TA MEBA. CALIPORNIA
For Applieani fo Fill In Complefely
- TYPE OR PRINT
BUILDING
ADDRES6 2O COLORADO PLACE .
COSTA MESA. CALIFORNIA
MAiL ��55 PLACENTIA AVE NUE
ADDRESS
____ NEWPORT BEACH TE�±"�I
TEL.
�555 PLACENTIA
NEWPORT BEACH
,STATE /l�O� NOM.I 6-3Z'Z7 LEOAL
LIC. NO. � � / oeecni
SIZE NO. OP BLOG9. Q
__ � 65.zzxioo I.._...--..--
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n.vi.. Oi���...C�i �1..�✓
.�.��, s- �3- ��
� INr�i�CE DEFT.
CITY OF COST1� PJIESA
APPLICATION FOR PERMIT
BUILDIPIG
For Office Use Only
FECE�PT NO. PHRMIT NO.
COSTA MESA. CALIFORNIA
ZONING
NO.OF I USE OF NEW
vLANB BUILD�NG
� `do, TG�
BfiTBACK LINB PROM �Q � z0 � FRONTa LINe aTJ �F
CENT6R OP BTPH¢T REAR YARD
I �o� I 5�
61OE YARD LEFT RIGHT R.SIDE F'
DESCRIPTION OF WORK s,
L. SIDE
.._... IX II-•-----._..� II...�._._.. I �a
nu�winca ��tiSSF
81ZE
EXTERIOR WALL�
COVERING STU
USE OF BUILDING ANI
SINGLE-FAMILY
GARAGE
NO. OF
ROOMS 570RIE5 '
IeooF � WOOD SHINGLES
COVERING
iK TO BE PERFORMED
iIDENCE AND ATTACHED
aN �-%?
APPROVED/J` �-/` i/
BY . A rl (Y
_•�,i ii �
_/5 /1.L
L/ c7 i� '
EVES
1 HEREBY ALKNOWLHOGE TMAT 1 H�VE qEAD THIB APPLIWTION TXE AMOUNT BXOWN UNOER VALUAT�ON IB FOR THE
AND BTATE THAT TH6 A90VE 19 GORRECT AN� AOREE TO COM- pUPP06¢ OF EeTABL18HING A PERMIT FEE ONLY.
PLY WITX ALL CITY OIiOINANC¢9 A�'1O BTATE LAWB NE6UUTINO
Bu1LDIN6 CONeTRVCnON. VALUATION
SIGNATURE OF � PERMIT FEE S��
PERMI7TE n G
� �'I� ��� $ /r/���— PLANCHECK $ /��
AUTHORIZED AGE � �,t � _____ ___ _ ,.s-tJ_