HomeMy WebLinkAbout2284 COLUMBIA DR - Building Permits; �i
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COSTA PiAESA BUILDIFVG DEPARTMENT
PA P 0. BOX 317
COSTA MESA CA UFORNIA
C.L. OF STREET �
' �iPROP. LINE
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I 10 FT. FOR 60 FT. STREET
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C.L. OF STREE
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CEI`IE�D FOR APPLICANT TO FII.L IN
�,/.3 S� Li e.� �
_ DEF '. I BUILDINOG ADDRESS � � � � '� _ ����^
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6 0 F"n ST.
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
Mail Address � ��� `'r-'L�WWL�--� �`'`�'�'
City C-�--� �'�'L C'�'�- Ph. No. —
Contractor'��LS G'��1,Ci��u/�L�'� Ph. No � � I'�-`
Address �� y �-S .L C'�ct-�.�:�c-,- ���''a�'J�
City Lic. No. I� �� State Lic. No. � 1 I���
Size oE Lot AP N�� ����
( �� I� r
Setbacks: C/L Street S C `�' Rear �'
h ) r f I
Side Yard - Right T.' Lef -�
� / ( 6
Type of Fence /C -e ��L.c--n—�--cl %• _��
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
Signature
of Permittee �C»-'� ��.,-�"�-��'� l.d.�. .. �=`L—'
FOR OFFICE USE ONLY
PeCr
(�
Received by Date Received Dat4
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VALUATION �
Permit Fee $_
J 9O,
Plan Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
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PXOJECT PDDNE55: `� Z B 4 �ULUMB IA DR
OWNEF'SNAME: KELLEY, ROBERT F JR
aoonEss: KELLEY, KIM
2289 COLUM3IA llP.
COSTA f1ESA.CA 92626
�� RflCH/ENGINEEH:
AOOflESS:
flEG.NO.:
uxiT:
UNIT:
PEHMITTEE: YOUNG'S ROOFING (714>953-5449
nnoness: 1.j1�j'1j'2p E,Z�,j CHESTNUT '7
LICENSEO CONTBACTOR D€CCAAAi10lf: -�Ih�e�reby allirm thai I am licensea wde oA �s�9s oi �Ch�ap�r 9 I�ommencing wi�h Section
7000) o� Division 3 0l �he Business antl Pmiession5 Code. anA my license is in full force and eflec�.
CITY LIC.: STqTE LIC.: CLASS:
04 1�78�-� 56856Q^,,, /�-39 EXP: 08/95
Date.� f�J� '��SignaNre: —�'�«'a0 �—
WOBREPS' COMPENSRT N OECNfl11TI0N: I hereby affirm thai I have a cehific of consent to self-insure or a certificaie oI Workers'
Compensalion Insurance. or a certilietl capY ihereoi �SectiPn 3800. Lah. C).
roucvnn.: WP94-529900-03 EXP.OATE: �4/��4l95
comraNr: FREMONT
❑ Cemhetl copy is hereby Iumi5he0. � Ceriilietl"""copnnnY is��_ Ii���leA with Ihe ciry Builtli �ivision.
Date'. � � ` � T�9 4' Applican��
E%EMPTION FflOM WOflNENS' COMPENSpT10N OECLAHATION: QhiS seClion nee0 noi Omple�eU if tAe permi� is farone huntlre0 (Ellp) of less�.
I certily �hal in �he pedormance of �he work lor w�ich t�is O��mii is issuetl. I shall no� employ any person in any manner so as to become
ubleci to Ihe Workers' Campensation Laws oi Califomia.
Da�e: SignaWre:
NOTICE: I�. af�er making Ihis tleclaration, you ShoNd pecome su�lect to I�e Workers Compensalion provisions of ��e Labor
Code, yau mus� forihwith comply with such pmvision5 or Ihis permit shall 6e deemetl revoketl.
CONSTBOCTION LENOING PGENCY: I �ereby aflirm Ihat �here is a constmction lentling agency �or Ihe pedofmance ol �he work tor
w�ich this permn is issued �Seciion 3097. Ci¢ C�
LENOEfl:
A�UXESS:
OWNEB BUILOEN OECIANpTION: I here�y aflirm Iha� I am exemD� ��om the ConUac�ors' Slate License law �or Ihe lollowing reason
ISection 7031.5 Business anA Pmiessional Code: Any city of coun�y wnich requires a permit to consimct. alter, improve. demolish, or
repair any StmcWre, prior �o its issuance, alsa requires �he applicani for such pe�mil to file a signetl s�atement that �els�e is IicenSeJ
pursuam m ine pmvisions of Ihe Coniractors' State License Law (Chapter 9(commencing with Section 7000) of Oivision 3 af t�e Business
antl Pw�essions Cotle) or Ihal helshe is erempl Ihere�mm and Ihe basis �or Ihe allegetl exemption. Any viola�ion ol $ection 7031.5 6y
any applicantlor a permit sublecis ��e applicanl to a civil penalry oi noi more �Aan five huntlre0 tlollars �5500).
, as owner ol the pwperty ar my employeee wilh wages as �heir sole compensaiion, will tlo lhe wod, and �he
❑ s�mclure is na� intenEetl or otleretl �or sale (Section 70C4. Business and Pmfessional Code: The ConVaciors' State License Law
tloes nol apply to an owner of a propeny who builAs orim0�oves thereon, antl who tloes such work nimself/herself or ihmuAh
his or her awn employees. pmvi0ed that such imOmvements are nol intendea or oifere0 for sale. If, however ihe builtling or
impmvement is saltl wi�hin one year ol compleiion. �he awner will have Ihe burden al pmving �e/she ditl no� builtl or impmve
lor ��e purpose o� sale�.
I, as owner of Ihe pmpetly, am e�clusively contraning with Iicense0 contraclors to cons�mc� ��e Orolec� (Sec[ion 7044, Business
❑ and Pmtessions Cotle�. The Contractors' State License Law Uoes not appty to an owner of Droperty who builas or impmves ihereon
antl who conVac�s for such pmjects wiM a contrat�oqs�license pursuant�o �he Contrac�or5' S�ale License Law),I am aware
Iha� pmoi o� their WoBer's ComDensa�ion insurance shoultl be pmvitletl to me.
� I am exempl untler Section'. B. 8 P. C.
lo� Ihis reason;
�ale: Owner.
i tlo hereby cenily ihat I am aware ol an0 un0erstanU Ihe raquirements of Caiifomia Healih and Safety CoOe Sections 2550.5, 25533, anA
2553a antl tha� I or any �mure builtlmg occupant will/will no (circle one) need Io comply with saiG state codes and �he reQuiremen�s �Or a
permi� lor conSVuclion or mo�ihcaiion Irom Ihe Air Ouality Management OislricL Be5i0en�ial constmc�ion applications are exempt �mm
I�ese provisions.
�ale'. ApPlicanL _
I �ereby certily thal I �ave read t�is application ana stale Ihat Ihe a�ove inlormation is correct. I agree to comply with all city an0 counry
ortlinances antl sta�elaws rela�inglo buil�ing cons�mc�ion and hereby aWhorizerepresenla�ives ofthis ciryio enterupon�he above-mentioned
properly forinspeciion purposes.
Da�e: I I—` r��� Signaio�._�� �
Driver's License or Social Secunly q:
ApPlican�: Pink—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA - BUILDIhJG PERPIIT » q ii'u-ns
PEP.MIT P70: B U64908 PLAN CHECK NO; N GOVT; N SUPP: D!
CONSTRUCTION TYPE: PEP.MIT TYPE: STR PURPOSE: P.LT
SOH DESCRIPTION : T;OFF ROCK, REROOF WiFIbERGLASS SHINGLES SQ FT: 1,800
CLAIM VALUE: ?,8(?0.00 CALC-VALUE: 1,800,00 GROUP UCC: R-3 /M-1
COMAIENTS: SMOKE DETECTORS REUIREL� PER 91UHC, REROOF 1800SF RESIDEPdCE
'If"N"K"IE if iE'If'1!-)E'N"1f iE'IF 1E Y y"V' iE M'IE iE'N' if �f E iF if-'N"I("Y� iG'N' 1E iE iE i�' 3"e �%' 1F iF 1f'lE'IE iM'M� if iE if if iF if ii if it tf if'�E if'IE iE if iE if iF iE'1F iF jF iF ii iF w:F �+'
Z O N I N GS ERTEBQAUCIKRSE M E N T��pKE DETE����R_
----------- r�arri sozLDzr�c ----------
FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN
- ACCESSORY BID1�11'�---- �
FRNT: ^ FT IN P.EAR; FT IN
LEFT: FT IN RGHT; FT IN
FARKING REQ; - PROV; PARCEL; 41908504 ZNE: P.EF NO:_.
PLANNIPIG DIOTES> ,.
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-lE �7E if iF *�M- il� if if iF-N- # iE 1F if ie if it iF if if # aF it if iE �lf if iE iF it if iE i� iflE if �rt if 3E i�- M AG ii �It K af iE if # it 4�X- iF �Y iF iF if� ii � ic {c if ih ac iF if k� r if �E if� if af� if if aR ac
D E V E• L O P M E N T S E R L* I C E S P. E Q U I R E M E N�T S
ZONING APPROVED'BY DATE:
BUILDING APPRIOCiED BY ; DATE;
APPLICATION ISSUEU HY: � DATE; ��� ��:�
ifi!riEi�-if�lE�1F�1tiEiFjfiE�"c+Exi�i�-�1(-iM11EiFif iF ic �lc . at il� jt .�E�1FaciciFxic�F�-af iF -tt--�Ta.xac
iE if if iE if if #� if� 1f if %K iE }-�F iE �h iF 1F K if if if iE iF iE iE iE if af �E'1F a4 �E aF 3f %�f if M iF * iF if jf iF i4 if iF i�' if af i(-aF K if aF iR iE if if iF 1f jc af it if iM if +f iE �1M1 iE if iE if #�- aE aF
LEGALIZATION:N F E E S U M M A R Y STRIICTURAL SEGMENT:Y
BLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADIDSG
PEP.P9IT 41 , UO , 50
SA1IP /NON-RES
PL�r�
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL FP.ID DOE
TOTALS----> 41,50 O,QO 0.00 91.50 91.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 91.50 OVER/SHORT: ,00
HLDG PP9T F�LUMBIDIG ELECTAIC MECHAC7IC FIRE SMIP/TOT GP.ADING PLAN-CHECK
41,Q0 .SO
1E Y'4'lf+f al'if Af}if 1f'1f il'il-'k'k +F iF +f Y�f 1f if aF']f af if a{'#' if if �F iF {Fif'if af if � Y�Yi4'M�if'M i')F F iE if iF a(��1F i4 M i!'d4'w Y-YiFi4 Y M�F iM1 if +f iF'1EY 1F'Y'M a(-�N-iF'IF'h'
I N D I V I D U A L F E E H A E A K D O W N
TYF�E
SFR
c�TY
18Q�
D E S C R I P T I O N
REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST TOTAI. COST
1.00 1,800.00
Ji OG17i,Gfi�-(1�i7Ifi61 T�AT 4�,5Q
PATE= i1/14/4;� 7IME: 13�46
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CONSTRi1CTION AND PLANNtNG POOL & SPA
APPROVALS Permit#'� Date Inspector ,4PpROVALS Permit?k Date Inspector
1. TemPorary Electrical Service or Pole 52. Pool & cquipmenc Location
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement .
3. Eleciricai Conduit Utiliry-U�drgrnd. 54. Forms
4. Elect�ical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumhing & Pressure Test
6. Electr�cal UPER Grnd. 57. APPflOVAL TO COVER-GUNITE
7. Fooungs 58. Electrical Cond�it�Undrgrnd.
S. Foundation 59. Gas Pipe, f> Undrgmd., Test , I
9. Water P�pe-Undrgrnd. fi0. Backwash Linas, P�Trap. �_: U�drgmd.
10. Str�cturat Floor SYscem 61. APPROVAlTO OECK �
t i. Property Sewer �ine & House Connection � 62. Backwash & RecepCorFinal
72. Sewsr Cap ' 63. Heacer & VenrFinal
73. Roo( Drains 64. Plumbing System � Fina�
14. Rough Plumbing 65. Electrical-Finai
15. Rough Electriw6Conduit 66. Solar System-Final
-16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PIASTERING
i
18. Rough Electrical-T Bar Ceiling fi9. POOUSPA SYSTEP?S FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
2�. Rough Pactory Fireplace APPROVAIS Permit � `
27. Duc.s, in Structure � 70. Underg�ound Hydro �
22. Ducts, Ventilating � 77. Product Piping � Gas ❑ Oil 1
i
23. Gas Pipe�Rough & Tes[ . 72. Underground Fiush �
24. Roof Framin9 , 73. Undergrnd. Smra9e Tank �7 Gas G Oil I
25. Roof SheaThing /�� /5-�� 6� 74. pverhead HYdro �
� � i
26. T�Bar Ceiling (Structurel) & AAonocoat 75. Dry Chemical �
27. Frame and Fiashing 76. Dry Standpipe '
28. Lathing & Siding 77. FIXED SYSTEh1 FINAL
29. Insu�ation .� 78. FIRE PREV. FINAL �
30. Drywali Nailing � HEALTH DEPT. REQUIREMENT
31. Piaster Brom�n Coat , 79. FINAL INSP[CTION �
32. Electrical Powzr IVleter�Final 80. FOOp CERTIFICATE ISSUED !
33. Fina� Elec:ric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy - �
37. Final Factory Firepiace •
38. Final Plumbing �
39. Wate� Service-Final
40. Gas Service�Finai
41. Soiai OomestirFinal
42, Backflow Preventer
43. Backftow irrigation `��•
1_
A4. �andscape Irrigation Sysiem , �
45. Sound Aitenuation _ � -
46. Hand�cap Regulations�'� . . �
47. FINAL STRUCTURE &.aUl'L"DING (� 23�� �trj�
48. FINAL PLANNING - �
49. Electric Release to Edis'on '
: , .
50. Gas Release to Southein•California Gas Co
51. CERTIFICATE OF OGCUPANCY
No. 'Date
:�iOWNER
�JOB ADDRE;
� GENERAL 0
�' AP No115-
�INSPECTION
`� SOIL
\\YGAS
�WATER
ROUGH PLUMBI
PROP. $WR. �I
SPRINKIING 51
MISCELLANEOL
ROUGH HEATINi
OWENS. Tollie H.
UNOERGROUN�
ROUGH WIRING
TRENCHES �'
FLOOR SYSTEM
BON� BEAM �'
SHEATHING
J HOUSE CON. U
M
10 AIR CONDITIONING
CE OR POLE
POWER �
%
iRMS STEEL (iE
STEEL REINFORCE I
FRAME ANO FLASM�NG
LATHING — IN �
PLASTER,BROWN COAT
NEATING, VENT.,
PLUM6ING, FINAI
ELECTRIC, FINAL
Drive
Date
DATE 10-11-
BUI�DING PERN
SUBCONTRACTOR
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33721
�iCT 11-7iv,_ru�� 37� �a:d:�ts,r(i ��'�
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 - �
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RE EI V V DATE REGEIVED DijTE ISSUED
BUILDING � � � /
AODRES Q �
r �'�� PEFMIT
OWNER l•. � LC .4.P. NO. d7
MAIL BUILDING ��� Col umbia r
ADDRESS ADDRESS
CITV (.+G, Y - NO�. TRACT J I I LOT eLOCK
CANSTRUCTION W ADD A R P
LENDER E
BRANCH
OWNER O I I W PJ�n S �/
ADDRESS � ''�iD VALVE ps
ARCMITECT � TEL S .W�'�G.� $ � '�^
i
OR ENGINEER N . .
FIRE
ADDRESS ' 20NE TVPE ROUP /
APPqOVED D�/ �
CONTRACTOR �� � � BV DATE !
AODRESS ZONE NO.OF USE OF NEWa�C
TEL. �—/, p�q� gVILDING �
CITV T � � NO.
STATE CITV �'ARDS APPftOVED VARDSAPPROVED
UC. NO. � LIC. NO. MAIN BUILDING ACCESSORY BUILDING
SI2E � NO.OF BLDGS. IFROM C/L STREET)
OF LOT �J , Q NOW ON LOT RONT. FT, ' FT.
USE OF
EXISTING BLDG. - S FT F!^
SI2E OF NO. OF
NEWBLOG. ROOMS STOFIES L.SIDE FT F�—_
EMERIOR WALL ROOF ! (%
COVEI7ING COVERING REAR FT, FT. (.�
USE OF BUILDING AND WOftK TO BE PERFORMED OISTANCE BET. � BET. MAIN &
MAIN BIOGS. AG;ESS. BLDGS.
/ � C� ' VAR.# DATE
C.U.P.� APPqOVED
APPROVE /O / _�
c�
I hereby acknowl¢dge thet I have read this aDP�ication and state ' �
that the above information is correct antl agree to comply with
all laws regulating building construction, and I shall no2 employ
eny person in violation of the workman's compensation laws of
the State ot California.
I hereby certity that I am-properly licensed as a connactor untle� SQ. FT,
the Stare of California Business antl Professions Code, Divistcn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl that such licenses ere in full torca antl etfect, or I THE PURP�E OF ESfABLISHING A PERMIT FEE ONLV:
em exampt from the Orovisions of the Sia<e of California Business VALUATION
and Professions Co e, Oivision 3, G apter 9. �
����/7yy�� . � PERMIT FEE $ � � d"'��
Sienature�of_ //�//// �., /�/C�I.//.�t�� �
Pe�mitte ��A�I����� �V �G $ � �'� PLAN CHECK $ i
AUMorizatl Agant ' �p �
TOTAL FEE $
owxEx KENDON HOML'S INC. • na.TE 7-14-58
JOB ADD$ESS 228(y COlumbi2 Dr, BLiILDING PERMIT NO. '700%
GENERAL CONTRACTOR K.W, Koll VALUE $�1Z,790.00 -
AP. No. LOT 7 TRACT jI61PIRE ZONE DESCR[PTION OP WORK Sin. F3m Res. Att. G2
GROCIP I' & J 'I'YPE 5 ZONE RJi PGAN NO.
INSPECTIONS
DATE � gUBCONTRACTOR
�PERMI-TSISSUED
I NUMBER
Li
��Z�y�
i_ .. .-c.�y -♦
� � ,/ O�Mi
COSTA MESA BUILpING.DEPARTMENT
P.O. BOX 31�
� COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
un.a�.
1 CITY
I I_l l 1:14-Y-9
COSTA MESq,�CALIFORNIA
vd.
�=EE RE'C/EIVED
�� ��{-�S � �� �t
fINANCE DEPT.
CITV �F 60S?A MFSR
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
PECEIGT NO. pERMIT NC
7 O G '7
Beach' Cal T�o: OR 36601 nooRe�s"s
R[� Koll Conat Co N�o: COSTA MESA. CALIFORNIA
FIRE
ZONE
ZONE � � NO.OF TYpE /
" d Koll Const G�o�Y �"o: 8534
>6 Newoort Hlvd. 'TNo: OR 36601 a�
LEGFL L07 �
oE5<AIPnoN ryp 7 BLOCK TRACT
A.P. NO.
SIZE R �OZ• NO.OF 0LOG5.
OF �OT riow orv �or AOIIB
IJSE OF
E%ISTING BL�G.
SETBnCK LINE FROM '
c[Ni[a or sraeeT S� ' REAR VARD z
SIDE YAR� RIGHT LEFT
DESCRIPTION OF WORK
NEW
REPAIR
BUIL�ING n
SIZE �j
E%' 2 W,
CO\ G
USE OF NEW
ALTERATION II ADDIT�ON
MOVING DEMOLISH
� �� NO. OF [
I ROOMS p STORIES �
ROOF
:CO � COVERING ' TOCk
fam resiAence & att Gar.
0
/ � �r / /� uATE �
CORRECTIONS
• /r� 5%� -- �. �
1 MEREBY ACKNOWLEDGE TMAT 1 XqVE RE4� TNIS FPPLI<ATION AN� /7 /
ST/�TE TH4T TME�BBOVE IS COFFECT pND AGREE TO COMPLv WITH ALL /�� ,!
CITY OROINANCES AND STATE LR�NS REGULFTING BUILUING CONSTFl1C�
TiOrv. VALUATI ON
SIGNATURE OF Kendon Hames� IIIC. ' PERMiT F�E $
I AUTHORIZED AG
$/^! � .�j/�s PLAN GHECK $
pf / l0
TOTAL FEE $
3D—
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DATE
anDREss 2284 Columbia Drive
GENERAL CONTRACTOR Fencemasters VALUE $ 3%0•�JO
AP. No. LOT 7 �rxacT 3161Fm� zorr$ DFSCRIPTION OF WORK Redwood Fence
GROUP � TYPE ZONE PLAN NO. HKA;
INSPECTIONS � DATE I SUBCONTRAGTOR
coat
Final Gas Test