HomeMy WebLinkAbout2257 COLUMBIA DR - Building Permits�
PHOJECT ADOPE55: � 2 S% COLUMB IA DR
GWNEfl'SNRME: $IFOSS, GARY J
aooeess: 2257 COLUM$IA DR
COSTA MESA,CA 92626
719) 642-3333
NBCHIENGMEEH: flEG.N�.:
aonREss:
UNIT:
uxir:
PEFMITTEE: GARY SIPOSS (719)692-3333
aooeess: 2"l57 COLUMBIA DR
C.M. CA 92626
LICENSEO WNTflRCTOfl DECLAflRTION: I heaby a�iirm that 1 am IicenseA under provisions ol Chapter 9(cammencing wit� Section
7000) o� �ivision 9 0l Ihe Business antl Pmiessions Gotle, and my license is in �ull lorce antl effeci.
CITY LIC.: STpTE LIC.: CLASS: E XY :
Daie: Signaw�e:
W08KERS' COMPENSPTI6N 9ECWRATION: I herebY affirm thal I have a certi�iwle o� wnseal W seA4inwre Or a CeM1ificale of Workers'
Compensalion Insurance. or a cenifie0 copy Ihereol (Seclion 3800. Lab. C).
., POLICY NO.: EXP. DATE:
-„��COMPpNY:
"� Cehihetl copy is hereby �umi5he0. ❑ Certilied copy is �iled with �he ciry Builtling �ivision.
Date: Applica��- �
E%EMPTION FflOM WOHHENS' COMPENSATION OEQAHAtI�N: (This section neetl not be completetl if Ihe permit is for one hundretl (5100) or less�.
I cerlify Ihal in the pedormance ol Ihe w rk for which Ihis permii is issued. I shall no� emp�erson in anq manner so as to hecame
s ect to Ihe workers' Compensatio aws of Califo�nia.
Oa�e' g SignaWre'.
NOTICE: I1. afler making ihis tleclaration, you shoul0 become sublect to e W kers' Co sation Dmvisions of tlle Lahor
Cotle, you mus� lonhwilh comply wi1� such pro+isions or lhis permit all be eemetl revoked.
CONSTqUCTION LENOING pGENCY: I �ere�y allirm Ihat ��ere is a constmc�ion I ntling agency lor the peAormance ol Ihe work for
which Ihis permil is iuuetl ($ection 3097. Civ. C�.
LENOEfl:
AOONESS:
OWNEF BUILOEB UECLANATION: I �ereby allirm tbat I am exemp� �mm �he Conlraciors' Sia�e �icense Law br the lollowing reason
�Section 703L5 Business an0 Pm�essional Cotle: AnY ciiy ol couniy which requires a permi� to constmct, alter, improve, Oemalish, or
repair any simclure. orior to ils issuance. also repuires the applicani tor such pe�mii so tile a signetl siatemeni ihai IiPJshe is licenseb
pursuan� ta IAe pmvisions of the ConVactors' S�a�e License Law (Chap�er 9(commencing wnh Seclion 7000) Of Division 3 0� Ihe Business
an0 Prolessions Cotle) or Ihal nelshe is exempt there��om ana ihe basis for the alleged exemption. Any violalion of Seclion 7031.5 by
. any applicani for a permit sublects �he applicanl �o a �i�il penalry oi not more Ihan five huntlretl Oollars (5500).
I. as owner ol Ihe pmpeny or my employees wi�h wages as Iheir sole compensa�ion, will Oo Ihe work, and the
I❑ simcture is not intentle0 or otferea for sale (Stction 70a4, Business an� Pmiessional CoOe: The Coniractors' Stele License Law
tloes not apDly Io an owner of a pmDerty who builtls orimprovzs t�ereon, and who does such work himseli/herseli orihrough
his or her awn emDloyees. pmviUetl Ihal such impmvemen�s are no� intentletl or offered �or Sale. tl, however ��e �uilOinA or
improvemem is soltl within one year ol completion, ihe owner will have �he buraen oi pmving �elshe tlitl not build or impmve
lor �he purpase ol sale).
I. as owner oi �he pmOer�R am exclusively coPiracting with licensetl contrac�ars �o constmc� �he D�olec� (Seclion 7044, Business
`� antl Pmfessions CoOe: The Contractors' State License Law tloes no� apply �o an owner o� pmperty who bwltls or improves �hereon
antl who comracts lor such pmjec�s wi�h a contractoqs�license pursuam to t�e ConVacmrs' Siale License Law�. I am aware
I�ai pmo� ol Iheir Worker'p CnmOensalion insurance shoW� be pmvieee �o me.
� I am exempt unJer Sectionl 8. 8 P. C.
for ihis reason: ,
te: — � Ownec
ereby cenify inal l am aware of an0 uneerstantl ihe requirements of Califomia Health aq Saf y Catle Sections 25505. 25533, and
25534 antl �hat I or any future builtling occupam will/will not (circie one) neea to compty witKsaie s te ca0es antl t�e iequiremenis for a
permil for consimciion or motlilica�ion Irom Ihe Air ualiry Management Dislrict. Resitlential consimction applications are exempt �mm
ihese provisions.
Daie: FOP�itaP�'.
i hereby cerlAyiha� I havereaU Ihis application ana state Ihal Ihe aboveinformationis correcl I agreeto comply with all ci�y antl tounry
artlinances and sla�e laws relaling �o builtling cons�mclian antl hereby authorize reD�esenlalives of�tAis c}ry to enier uDon Ihe above-mentioned
prapetly lor inspeclion purposes. l / 1
� Signalure: _
License ar Socia� Securi�y n:
t64i�0fi Whne—Builtling�, Green—COCe EnlorcemenC Canary—Applicant: Pink—Revenue', GolEanroO—Assassor
CITY OF COSTA MESA — HUILDING PEAMIT
PERMIT NO: B U68219 PLAN CHECH NO: N
CONSTRUCTION TYPE: V—N FERMIT TYPE: STR
JOB DESCRIPTION ; T/OOF 6 REROOF FI/CONiP. SHINGLES
PEP.M NO: B 06S21.y
GOVT: N SUPP; �l
PORPOSE:. GZ.aH
SQ FT: 3,000
CLAIM VALUE: 3,OQ0.00 CALC—VALUE: 3,OOO,QO GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVRY BEDROOM S HALLWAY
�;+��**�#�rx+�*+�**�r��**u *� **�*******�r+r��r�*�r*�r�#�r�r*x�****��**�+�*�t���*�x�**�x **�c �r�t����
Z O N I N G R E Q U T A E M E N T S
S E T B A C K S
------------ MAZN BUILDFNG --------- -------- ACCESSORY BUILDING --------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ; PROV: PARCEL: 41908917 ZNE: REF NO:
PLANNZNG NOTE�:
.r:�.
� /Y
iE iE ih iE iE 3F iE iElt # 3E?E iE iF'k iE iE 3E 9t i; �?'r it �E iE jc iE ic'h iE if iE+t ih iE ie # if iE i! ie� it �: x aE iE 9t-% 3t iE iE �k iF jE iE �JF iF it� iF jE N� Y� iF #� it iE i(� ik iF i: ^k" 3t iE+c # 1E �1E iE 3E #
D E V E' L O P M£ N T S E R l/ I C E S R E Q U I R E M E N iT S
/'
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE; �
APPLICATION ISSUED HY: �%,Y�. DATE: ��Z� t�
iFiE�fii�iEiFiEiEiEiEifiFiE.iFiEiEiE�EiEi4it�lFirftir �F +FiF �r ±r� r itxe � jE*iEiFiFdEiFiEif9'c�.r��'xfrx-iFiF
i5iE1EiE3FiEiEifKif?e3Ei'riEifiEiFiFifiFiEiE3fiF3ElFiEiEii�iEjEfEif3EiE*ikiEiF9fiE�F#iiifiFic3f�)fifiFiE�EiE�1E�E�1f�Ei<Y.-iFi(�iE1E1E#9`�fil-��Y.� #jF�1E?E�F�if
LEGALIZATION:N F E E S 0 M M A R Y STRUCTUAAL SEGMENT;Y
bLDG PMT PLUMBING
PERMIT 54.00
PL'AN
ISSUE FEE
ELECTRIC MECHANI� FIRE SMIP/RES GRADING
SOV40�CE DETECiOFt So
SMIPlNON—RES
HUILDING—DIV—> PERMIT IS5UE PLAN—�HE K�� �� TOTAL PAID DUF
TOTALS----> 54.50 Q.00 0.00 54.50 54,50 .00
REVENUE DIVISION TOTALS--> CpLLECTED: Sq.50 OVER/SHORT: ,00
BLUG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRAUING PLAN—CHECK
sa,oe .so
jE iE 9E %� if % IE i@ iE if !k �!F if if iE iElf !E iF �E iF 9E if if iF iE if -k ie #�-k iElE if iE if iE iE i! fE �1E iE jk iF iE fE 9F IE X- �1f -IE iE iE iE � if if iF jE iE 9E ic �f iF iE �IF iF iF iE # 9E iF * iE iF iF 1E # dE
I N D I V I D U A L F E E B R E A K D O W N
TYPE
SFR
QTY D E S C R I F T I O N
3000 REROCF BY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST TOTAL COST
1.00 3,000.00
fll 00l64713-00164714 T�] T Ss.50
DATE: �7/26/94 TIhIE: 13.43
CONSTRUCTION AND PLANNING %'' � PG 3� SPA " �-�
� APPROVALS Permit # Date `� Inspector APPROVALS Permit # Date Insnector �
7. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2, Soil Pipe-Undigrnd. 53. Steel Reinforcement � •
3. Electrical Condu(t Utility-Und�grnd. 54. Forms
4. Electrical Conduit-Undrg;nd. � 55. Etectrical Bondfng
5. Steel Reinforcemenc 56. Rough Plumbing & Pressure Test '
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNiTE
7. Footings 58. Electrical Canduit�Undrgmci.
8. Foundation 59. Gas Pipe, O Undrgmd., Test �
9. Watet P�Pe-Undigrnd. 6Q. Backwash Lines, P-Trap, Cl 1.4,drgrnd. � �
10. Structural Floor System � 61. APPROVAL TO DECK
15, Property Sewer Line & HouseConnection _. 62. Backwash & Receptor�Pinat � �
12. Sewet Cap .� � 63. Heater & Vent-Final
13. Roof Drains � �� 64. Plumbing System - finai i
14. fiough Plumbing � 65. Electrica6Finai ' '
s !
15. Rough E�ectrica6Condult � 66. Solar SYstem-Finai , �
i6. Rough Electric Wiring 67. Fencing & Access Approval �
i7. Rough Wiring Sign 68. APPROVED FOR PLAS7ERING I
18. Rough Electrical-T Bar Ce�ting 69. POOL;SPA SYSTEP;15 FINAL
19. Rough Heating & Air Conditioning PIRE OEPT. REQUIREMENT - I
20. Rough Factory Fireplace APPROVAIS Permit � �
27. Ducts, in Structure 70. Underground Fiydro !
22. Ducts, Ventilating 71. Product Piping ClGas �Oii '
23. Gas PiPe�Rough & Test 72. Underground Flush
24. Roof F�aming 73. Underymd. Storaye Tar,k G Gas ❑ Oil (
25. Roof Sheathin9 y� Z: ��� 7A. Overhead Hydro �
v
26. T-Bar Ceiling (Structura�} & A-0onocoat 75. Dry Chemical �
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTE�9 FINAL
29. Insuletion . . 76. FIRE PREV. FINAL
30. Dry�vall Naiting � NEAI,TN DEPT. REQUIREM[NT �
i
37. Plaste� Brown Coat J9. FINAL INSPECTION
32. Electrical Power M14eter-Finat � 80. F�flDD CERI'IFICATE ISSUED �
' 33. Finat Electric Notesy:
34. Fina� Heating & Rir Condi?ioning �. `�.- , T•
2" �.� i
35. Finai Gas Pipe-Test ' ���
� l
36. Hood or CanopY ' ' ' ' .
37. Finai Factory Firepiace , • F -
38. Final Plumbing , � ,�' �
39. Water Service�Final � � �
40. Gas Service-Final '
41. Soiar OomesticFinal , k
42. Backflow Preventer � �
43. Backflow Irrigation .
44. Landscape Irri9ation System
45. Sound Attenuation
46. Handicap Regutations .
47. FINAL STRUCTURE & BUIl01NG � / �
48. FINAL P�ANNING ____-
49. Electric Release to Edison '�
50. Gas Release to Southern California Gas Cn ,_ -
51. CER71FICATE OF OCCUPANCY --
No. � Date �-
OWNER IfENDON HOMES INC.
DATE
Joa annxrss 2257 Columbia Dr. BUILDING PERINIT NO. 7060
GENERAL CONTRACTOR K. W. K011 VALUE $- 1�Ii03.00
AP. No. LOT an TRACT zi�i PiRE ZONE DESCR[PTIOtv OP WORK Ci.. F...., A.... P. ,1a1 �__
& J. TYPE 5 ZONE RLt PLAN NO.
1NSPECTIONS I DATE I SUBCONTRACTOR I�T
coat
Final
� �17
� . � � �����
COSTA MESA BUILDING DEPARTMENT
P.O. 60% 3��
COSTA MESA. �qLIFORNIA
FOR.APPLICAN7' TO FILL IN
nooaEs"s 2257 Colllmbl6 Ih`.
COSTA MESA. C,4LIFORNIA /
OWNER ge�an Homes� Iric. .
aooae55 2826 Newport ffivd.
��r� N ort Beach Cal T�o: OR 366C
� % 41 Koll Cons$ Co ;'o,
TY L�C.
��I�� ��C���E�
�� /t��.S Y II�L.
FINAfdCE DEPT.
ClTY OF COST� MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
euI�DING " .
A�ORE55
COSTA MESA. CALIFORNIA
CONTRACTOR t NJ j1011 llOIIBG (i0 NO. O��L�
ADDRE55 2�G6 NEJ4 Ol Y��• TNO. OR J"""� BV
LEGnL LOT /� . �}�/i
DESCPiPTION NO. Q� BLOGK TftACT � ai
A.P. NO.
5ize 63 X lu 1,%y rvo. or a�ocs. ]1pIIB
OF LOT � HOW ON LOT
USE OF
E%ISTING BLOG.
SETBACN LINE FROM �(� /Q
CErvTEA oF SiREET J�/ REAR VARD �W
NEW
REPAIR
BUILDiNG
SIZE
E%TERIOR W.
COVERING
USE OF NEW
aui�oiNc
RIGHT 6 LEFT �
DESCRIPTION OF WORK
g AI.TERATION I ApDITION
MOVING DEMOlISH
� NO.OF
� RO�MS 6 . STORIES
L ROOF
L SYIICCO � COVERING j��
sin�le fam reaidence & att g
�
/
�j��+/r' ( ATE
CORRECTIONS
G
� ��Z 6 A� �
1 HEREBV RCNNOWLEDGE TMtT I HRV[ pE/D THIS RPPLICATION ANp d/
STRTE THAT TME ABOVE I$ COFRECT Ary0 hGREE TO COMPLY WITH hLL S�
CITY OFOINANCES AND STATE L>WS flEGULATiNG BUIlU1NG CONSTRUC- 0
tiorv. VALUATION •
SIGNATURE OF PERMIT FEE .$ � � �'
PERMITTEE tl IIC .
��// /7 (/��� PLAN CHECK S �� —
/Y.C�C� ` lJ/�--r/(. J T'U //
AUTHORIZE� AGENT TOTAL FEE $ i'� � veM/
O�VNER GENDRO�I. Jg7T DATE5-22-59 _
JOB ADDRESS 2257 Columbla Driva BUILDING PERMIT NO. qqft7
GENERAL CONTRACTOR Safe�uard Constr. Cp, VALUE $ 2i0.00
AP. No. LOT (�9 TRACT (1 FIRE ZONE DESCRIPTION OF WORK Rlnrk Wa� � _
INSPECTIONS I DATE GROUP TYPE � ZONE ..,
SUBCONTRACTOR
210—SM-4-59
OWNER NIC MIIS.AN� JAMES '--• AUG � 0 190u a�c � DATE 6- 3-60
JOB ADDRESS 22S% .COltlmbl.8 BUILDING PERMIT N0. 1.Q23Q
GENERAL CONTRACTOR A.A.A. Fence C�_. Tnc. VALUE $ lSZ_f1n
AP. No.
INSPECTIONS
Gas
OCCUPANCY
LOT (Q TRACT �lh FIRE ZONE DESCRIYTION
DATE �GROUP TYPE
.G. Water ___� SUBCONTRACTOR �
-�S _
Form 210-5M—i 1-59 5-B P- 1223�
" �� C2230
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA ME9A. CALIFORNIA
For Applieanf fo Fill In Complefely :
TYpE OR PRINT
BUILOING ra -� ��-. �7 . � � .� .
COSTA MESA. CALIFORNIA
■ MAIL
�ucTNo.�•`�% �l��iJ9 No.fTC` ��J�l•i�
SIZE I NO. OF BLDGB.
FROM
OF WORK
BUILDING NO. OF
SIZE ROOMS STOF
EXTERIOR WAL ROOF
COVERING ,(� ' COVERING
� USE OF BUILDING AND W RK TO BE PERFORMED
yx �� x 7z' �n•rn ,�`jy�b k 7�
I H¢REBY ACKNOWLEOGE YHAT 1 HAVE READ THIB APPLIWTION
ANO eiAT6 THAT TH2 ABOVQ IS CORRELT AND AGREE TO COM-
PLY WITX ALL CITY O INANGE9 D ATE LAWB REGIILATIN�
BUILDING CONBTiIURI N. � ////
91GNATURE OF /1 ��� n ALf�ADY�C�
■ AUTHORIZED AGENT
'F EE RECEIV ED
`��,,� (9-(3'�°�
- FINANCE DEPT•
• ��TY OF COSTA MESA
APPLICATION FOR PERMIT
sua�i��
For Office Use Only
RECEIPT NO. PERM�T NO.
BY
ILDIN�`^ �..� /
�RESS / ��
COSTA MESA.
ZONING
Z N INO. OF I UBE OF NEW
PLAN6 BUILO�NG
LBGAL � � /
ICENTEP LINE BT.)
�
�
APPqOVED
' TXC AMOUNT BHOWN UNOER V�LUATION �B FOR TX¢
PURPOB¢ OF EBTABLI6HING A PERMIT F6E ONLY.
VALUATION µ��
PERMIT FEE $.�
$/, ^� ..�{ � PLAN CHECK $
�/ `l �. is,U
F ,+�,�`.A .� /y�• ^�� 1 1 � �O
li
` � � ���'� '�9�� �EE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT s_�,,.Z _ �`t
P.O. BOX 31� � GOSTA MESA, CALIFORNIA FINANCE DEPT. �''`
fOR APPL/CANT TO f/ll /N COMPLETELY APPLICPiT10N;CFOR�PERMIT
TYpE OR PRINT
� MAIL
ao�LEGNL
MESA, CALIFORNIA
/O�.L/Y/leL'�'l/ .
TEL.
N�P
.LIC.
NO.
I3id /
BLOCK . TRACT
SIZE A} /� J NO.OF 6LOG5.
OF LOT � O�/( / NOW ON LOT
USE OF
EXISTING BLDG.
SET6FCK LINE FROM '
CENTER OF STREET REAR YARD
SIDE YARD ILEFT IRLGHT
DESCRIpT10N OF WORK
BUILD�
SIZE
EXTERIOR WALL
COVERING
USE_OF BUILDI�
NO.OF
ROOM_
ROOF
BUILDING
FaR offic� usE oNcy
I RECEIPT NO. I �jFjt�flT
Y
lJ C7
JVEO BY OATE RELEIVED DATE I8:
� l l _ � l �l )�
B�LDING �
A DRE55
COSTA MESA, CALIFORNIA
FIRE t�7E group
ZONE
APPROVED
BY DATE
ZON(IVG -
ZONE� I NO. OF I USE OF NEW
� f PLANS �i BUILDING / . i �
.�vv
BYPRO� fJ �'�/ �i
ti--�P �A�)YL/ DATE ���'�'���
v
YARDS � EVES
REpU1RED ALLOWED
(CENTER LINE STJ L �
FftONT J � FT. IN.
R.SIOE O FT. IN.
L.SIDE '� FT. IN.
1 HEREBY ACKNOWLEDGE THAT I HiIVE FEAD THIS APPLICATION THE PMOUNT SHOWN UNDER VALUATION IS FOF THE
pND STATE THAT THE pBOVE IS COflRECT TND qGREE TO COM- pUNPO6E OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY OkO1NANCE9 NNO STATE LNWS REGULATING
9VILDING CONSTRUCTION. �� ypLUATION
SIGNATURE OF n� PERMIT FEE S "�-�
PERMITTEE n� I� .
$ , // PLAN CHECK $
/1 /1
AUTHORIZED ENT � �� � TOTAL FEE $ � \
PROJECT ADDRESS
22- S'1 Csa-�c.. ti.n � i a G�,�•
DATE I PRINT NAME I I.D.
�..
193346