HomeMy WebLinkAbout3226 COLORADO PL - Building Permits_ ' 1" '
. . ApPlicant lo fill in all spatts except those.within neavy.Dortle� lines antl.sign all appro0�iate tleclarations. _.
ciTv.�oe COS7A MESA CONSTRUCTION PERMIT
P,��ct Address 3� a6 CpLQ2/a b0
'�wpplicant'sMailingAddress' ' ��/� ' ��p�
Owner'sName MR. CoWlE Phone�_a'
Address �aME �
Arch/Eng. � _ License Na.
Address n
Contractor'sName�O����,s �F���% Phone47���9��
Addresslmailing) ��p��{� �RN. �JJ._5,4NTRANA� qa'jO�n
CityLicenseNo. 3p / 34'
LICENSED CONTRACTOR DECLARATION . •
I hereby affirm that I am licensetl untler provisions of Charter 9(commencinq
with sec[ion ]000) of Dlvision 3 of the Business antl ProtessiOns COtle, antl
my license is in f/uI�I for e antl effect. CQ
LiC¢f152 CId55 `� i��nse Nt� �J(l� 5�
oate �l-1o1��R% Siqnatu�e
WORKERS' COMPENSATION OECLARATIO
1 he�eby afti�m that I have a ce�ti(icate of consent to self-insure o� a certificate
�f Workers' Compenialion Insurance,�or a certifietl copy thereof (Section
800, �ab. C:) � � �
�olicy No. Company
eCer[ifietl coOY is hereby furnishetl. ,
Certifietl copy is flletl with the city Builtling Division.
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thisseclion neetl not be mmplet¢tl it the perml[ is for One huntlretl ($100) or
less).
I certify that in Ihe perto�mance of the work !or which this perm�t i5 i55uetl, I
sM1all not employ any person in any man � so as tqibecome subject to the
Worker5' o en$�ti n Laws of Galifom /l� O
oate /% �—x� Signature L�TF'�edh1
NOTICE: If, after makinq this tleclaration, you shou bewme subject to ihe .
Workers' Compensation provision5 of the Labor Cotle, you mu5t forthwith
mmply with such provisiohs or this petmit shall be tleemetl revoketl.
CONSTRVCTION LENDING AGENCV
I hereby a/flrm that there is a conSVuctlon lentling agency fo� the perto�mance
of tM1e work. for which tnis permit is issued (Section 3097 Civ. C.)
Lentler'S Name
Lentle?s Atltlress ' '
OWNER BUILDER 6ECLARATION � �
1 nereby affirm tha( I am exempt from the Contractor's License Law tor the
followin9 reason (Section ]031.5 Business antl Professianal Cotle: Any city or
county which requires a permit to construct, alter, improve, tlemolish or repair
any struGture, priot to its issuance, also requires the applicant for such pe�mit
to file a siqnetl statement that he/she is licensetl pur5uant to the p�ovisions of
�the Contractor's License Law-(Chapter 9(commencing with Section ]000) of
Division 3 ot the BuSinesS antl Prote55ion5 Cotl¢) or that he/she is exempt
. Iherefrom antl the basis for Ihe allegetl exemption. Any violation of Section
?-'Ca031.5 by any applicant tor a permit subjects the applicant to a civil
%�� nalty of not more lhaB five huntlretl tlollars ($500).
'`� I, as owner of (he prope�ty or my emplOyees with wage5 a5 their sole
mmpensation, will tlo the work, antl the structure is not intentletl or offeretl
for sale (Section ]044, Business antl Professional Cotle: The Contractor'S
License law tloe5 not appty ro an�owne� of a properly wM10 builtls or improves
thereon, antl who tlo¢s such work himself/herself ot through his or her own
em0loyees, provitletl that such improvements a�e not intentletl o� otferetl,tor
sdle. If, M1owever, Ihe builtling or improvement it5oltl within one y¢ar ot com-
pletioq [he owner will have tne burtlen Of proving he/she tlitl no[ builtl o� im-
prOve for the pu�pose ot sale). . ,
❑ I, as owne� of the pro0erty, aT ezclusively con[�actin9 �+�[h licensetl Con-
Vactorsto wnstruct the project (Section 7044, Business antl Protessions Cotle:
The Contractor's License Law tloes not apply to an owner oi property who
builtls or improves ihereon, antl wno contracts for'sucn projects with a con-
tractor(5) I�cense pu�suant'to the Contractor's License Law). I am�aware that
proof of their Worker's Compensatlon insurance shoultl be provitletl ta me.
❑ I am exempt untler Section B. & P. C. tor this reason
Date owner
I hereby certify that I have reatl this application antl state that the.above
information' is correcL I' agree to comply.w�th all city antl county ortlinances
antl state laws relating to building construction, antl hereby authorize repre-
senta[ives of thl city to e r ypon the above-rnentionetl p�operry for
in5pection purp e [(/ ���
Signahre ' �/ �'Mn/,fUh oate - 2�S
Driverz' License Or SS � �� � �
Pink - Accountin9; Goltlenrotl - Assessor
PLUMBING
$howers � '
Service Sink
� , $ewer Cap
� Sewer Connection
Solar Collectors
Solar Piping -
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Trays
laue Fee
Hood or Type I ❑ ,
Canopy Typell� ❑ .
Refrigeration System _
❑0-100,000 BTU ❑100,000 BTU
Fire Dampers
Issue Fee
FEES
$ 3
$ 3
t
Automatic Washer -
Construction Pole Sub.
Cooking Unit .
Dishwasher '
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outl¢[5 '
Switches �
Garbage Disposal '
Generamr �0-5 KW �5-
9389 II/12/B7
Parking Req./Provided
' 30.50 TL
:on�
�
ELECTRICAL . . FEES
Transformer� � 15�50 KW
❑ SO+KW
Meter ❑up to 100 amps �
- Meter ❑over100amps
Suh Panel
Motors �0-1 HP � 1'/: - 8��
InaSolar �9-15 HP �16-75+ .
Microwave
Pole Light �
Range
Standing Sections
5 KW Trash Compactor
� Reinspection Fee I$15 � � Issue Fee
DEVEIOPMENT SERVICES REQUIREMENTS:.
Zoning APProved BY .
Building Approved By
Appliration Issued By
SUM� q/g� V/py�� FEES
BUILDING PERMIT � $ �.�� SMIP
PLAN CHECK $ PERMIT
PIUMBING � $ ISSUANCE
PIAN CHECK 25% $ � ' ENERGV P.C.
ELECTRICAI $ GRADING
PLANCHECK 50% $ � - MICFOFILM
MECHANICAL $ , TOTAL FEE
PLAN CHECK 25% $
Z
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" � POOL & SPA -
�CONSTRUCTION AIVD PLANNING . �
��� � "/ Date Inspector Date �. Inspector
,p,PPROVALS ^P,ermit # . APPROVALS Permit #
�
1i %Temporary Electrical�Se'rvice or Pole 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. � 53. Steel Reintorcement � '
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. � � 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE
7. Footings �'j� • � 58. Electrical ConduibUndrgrnd.
8. Foundation r 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd;-`_ 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK ' � ,
11. Property Sewer�Line & House Connection • 62. Backwash & Receptor-Final �
72. Sewer Cap � 63. Heater & Vent-Final
-13. Roof Drains � � 64. Plumbing SYstem � Final , �
14. Rough Plumbing � � 65. Electrical-Final ,
15. Rough Electrical-Conduit , 66. Solar System-Final
16. Rough Electric Wiring , 67: Fencing & Access Approval . _ . ,
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
_i
18. Rough Electrical-T Bar Ceiling � � � 69. POOUSPA SYSTEMS F;INAL �
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT i
20. Rough Factory Fireplace APPROVALS Permit #` �� �^� Y�
21. Ducts, in Struaure 70. Underground Hydro J
� ,
22. Ducts, Ventilating 71. Product Piping � Gas O,OiI �
23. Gas Pi e-Rou h& Test � - ` '
P 9 . 72. Underground Flush
24. Roof Framing � � 73. Undergrnd. Storage Tank"�O Gas ❑ Oil ,
25. Roof Sheathing 74. Overhead Hydro ,� (',
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . -, �'� t
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 �
37. PlastervBrown Coat 79. FINAL INSPECTION �, G;
32. Electrical Power Meter-Final - . 80. FOOD CERTIFICATE ISSUED (�
33. Final�Electric • Notes: � � t.,,,�
34. Final Heating & Air Conditioning . � ,, �
35. Final Gas Pipe-Test ' -
36: Hood or Canopy �,
37. Final Factory Fireplace � �. '" ��
,� _ ..
38. Final Plumbing � � ;:, , " �l
39. Water Service-Final ; �1 -
ti
'140. �Gas Service-Final - � � ;� � .
�; 41. Solar pomestic-Final � ' � ;.>' �i � � � �
.Y
'742. Backflow Preventer ^" � r�. � 11 .-
� � 43. Backflow Irrigation - !,% � ��1'. �
!. '. tY
' 44. Landscape Irrigation System - . S` _
. 45. Sound Attenuation . - - _
�_ 1 ..
46. HandicapRegulations � �°� ��� '"
�-:
47. FINALSTRUCTURE&BUILDING �� �y„/ � �; >'�� � �-�' ��
'48: �Special Requirements Completed "t% � - '
�
- 49. Electric Release to Edison - � "
50. Gas Release to Southern California Gas Co ':'
r
51. CERTIFICATE OF OCCUPANCY • � <"
No. - Date _ . . , .
, , . `.. 4.. _.. .. . _. � �, _ . _. . � .. . , .,.
�OT H7 - TRACT 36z5
� , �����
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.,O. BOX 917 COBTA MEBA. CALIFORNIA
For Applieant fo Fill In Completely
TYPE OR PRINT '
BUILDING 4226. COLORADO PLACE
ADDR868 J
COSTA MESh CALIFORNIA
oWNER KENKOL CONSTRUCTION�CO.
Ao REss } 5 PLACENTVA HVENUE
NEWPORT BEACH rEL.MI
cm No.
ARGHITECT � TEL. ..
R K.W. Ko��
�SSS P�A�ENTIA QVENUE
�NEWPORT BEACH
6�t95 No: M� 6-3227
65X�oo �N°w�.",Na�rs.o
'U6E OF
EXISTING 6LOG.
�'j , z5
BVTu*vAe nv aTeev�M /O' o
C!O VGR�I
, g�
LEFT � RIGHT
DESCRIPTION OF WORK
IX II n� rcaannn� I II nno�r�oi
8B=1L.DING .�/11. SF ROOMS V
O STORIES �
E%TERIOR WALL STUCC�ROOF �:OOD SHAKES
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
SINGLE-FAMILY RESIDENCE AND ATTACHEC
GARAGE PLAN �-A
E�� �tt;��vtu
�`r-5, 5- i 3 - (9 a
FINRNCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
REGEIPT NO. � � PEF
onre �esueo
�aY 1 s �°so
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
DATE
ZONING
xo. oF � uee oF rvew �
tecw�
(CENTEfl LINE BTq
reu��oiNc �'i�� �
� r , s
EVES
] w' �i � �ApT�E � �I�
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o �'' n,
1 XEpEBY ACKNOWL8D08 THAT i HAVE RBAo TX19 APPLIGTION THE AMOUNT BHOWN UNOER VALUATION IB POR TNE
ANO BTATE THAT THE ABOVE 18 CORRELT AND AQREE TO COM- pURPOBE OF, EBTABLIBHING A PERMIT FEE ONLY.
PLY WITH ALL GIiY ORDINANLEe AND BTAiE lAWB IiEOULATINp
BuiLOiNo CONBTIiUrnON. . VALUATION
SIGNATURB OF , PERMIT FEEy $ �6 —
PERMITTE �/ � / / �
� / S ��/ F� P4AN CHECK $ �� �
�