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Home My WebLink About2395 COLUMBIA DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BI/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 2395 COLUMBIA DR Suite: Vicinity: HOUSE &ATTACHED GARAGE Parcel Number: 14145315 Applicant: TARROSA, IRMA L. Address: 2395 COLUMBIA DR COSTA MESA, CA Owner: TARROSA, IRMA L. Address 2395 COI:UMBIA DR� ' , COSTA MESA, CA Contractor. . OWN ER-BUI LDER Addre55: � � - ZiP - Arch : � � Address: � , , , �, BUILDING PERMIT Zoning: Phone: (714) 545-3340 Zip: 92626 Phone: (714) 5453340 Zip: 92626 Phone: License: 0 : Eng: Address: PERMIT NUMBER ,� 899-02018 77 FAIFi DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 12/2911999 Issued: 12/29/1999 ' - Phone: Phone: , . t � � ,Zip: ' " � � License: License: ` SCOPE OF PERMIT - REROOF EXISTWG SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (28 SQ). TEAR OFF EXISTING COMPOSITION SHINGLES & REPLACE SHEATHING AS NEEDED. INSTALL t-LAYER OF 30# FELT UNDERLAYMENT 8 REROOF WITH 30 . YEAR COMPOSITION SHINGLES. Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 Rear 0- 0 Rear 0- 0 FEE SUMMARY Calc Valuation: $z,soo.00 Claim Valuation: 5z,aoo.00 PLANNING & ZONING Left 0- 0 Right Left 0- 0 Right Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. i INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all i requlred inapeetions and tlnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARA710N: I hereby aflirm under penalry of perjury one 6f the tollowing tleclarations: � ' ❑ I have and will meintain a ceRlfica�e oi consent to self-Insure tor workers' compensation, as providetl for by section 3700 of the Labor Cotle, for ihe peAormance of ihe work tor which this permit is issued. � ❑ I have and will maintain workers' compensation insurance, as requirad by section 3700 oi the Lahor Code, for the pertormance of the work tor which this pertnit is issuetl. My workers' compensation Insurence Carrier antl policy number are: Carner: Policy Number: (This secfion need not be comp/efed il the pg�if is valued at one hundred tlallers ($100) ar less.) � � ❑ I certity ihat in ihe pertortnance of ihe work tor which ihis pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers' compansation laws of Califomia, and agrae that if I should become subjeq m the workers' compensation provisions of Section 3700 of the Labor Code, I shall torihwith comply with Mese provisions. Applicant Signature: Date: WAFNMG FAILURE TO SECUFE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEl1UNDRED Tl10USAND DOLLARE ($100,000), IN ADDITIIXJ TO THE COST OF COMPENSAiION, �HNAGES AS PROVIDED FOR M SECTION 3]Ofi OF THE LABOR CODE, IMEiiEST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATIqN: I hareby aHirtn that I am licensetl untler provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business antl Professions Code, antl my license is in full torce antl ettecL Lia a Class # Coniractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm tha� thera is a constmction lentling agency for the peAortnance ot the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lendets Address: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I hereby atfirm that under penalry of perjury tha� I am EXEMPT FROM THE CONTRACTORS LICENSE lAW for iha tollowing reason (Sec. 7031.5, Business and Professions Cotle: Any city or county which requires a p@rmit b consiruct, alter, improve, demolish, or repair any stmcture, prior m its issuance, also requires ihe epplicant tor such permit to fila e signed statemeN Ihei he or she is IiCensed pursuant �o �he pmvisions ot the Coniractors License Lew (Chapter 9(commencing wit� Section 7000) of Division 3 of Ihe Business and Professions Code) or ihat he or she is exempt iheretrom and the basis for the elleged exemption. Any violation of Section 7�31.5 by any applicant for e permit �sub'ects the applicent to a civil penalty o1 no( more than five hundred tlollare ($5001�Y I, as owner ot the property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the structure is not intended or oflered for saie (Sec. 7044, Business end Professions Code; The Contractors License Law does not apply to an owner of property who builds or improves ihareoq antl who does such work himsatl or hersetl or through his or her own employees, provided ihat such improvements are not intended or oftered for sale. If, however, the builtling or improvement is sold within one year ot completion, �he owner-builder will have �he burtlen oF proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construcl Ihe prolect (Sec. 7044, Business and Professions Coda: The comracrors License Law does not appty to an owner ot pmpeny who buiitls or improves ihereon, and who contracts tor such project with e contrector(s) license pursuant to lhe Contractors License Wws.). ❑ lam Signature: Owner ID undersec. by drrvers q ves ❑ No Business and Professions Code for this reason: �/ Date: r� Driver's License No. � `+' � Expires: �(%j%Cy Venfication of Ownership by (type ot tlocument, i.a. - property tax bill or deed): -T DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICA710N: ❑ I hereby certity that no exravation tivq (5) or more feet in tlepth into which a person is requiretl to tlescend, will be made in connection with work authorized by this permit, antl Ihat no building strucNre, scattolding, falsework, or tlemolition or dismantling thereot, will be more ihan thirty-si: (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Title 8, Califomia Atlministrative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom Ihe Division of Intlusirial Safery, as noted above, unless such person has a permit to do such wark from the division. Signature: Date: Division ot Indusirial Satery Permil Numbec CERTIFICA7E OF COMPLIANCE AND AUTHORIZATION OF EN7RY: I certify under penalty of perjury that I have read Ihis application and state ihat ihe intormation given is correct. I agree m comply wi�h all state laws and city ordinances relating to building constmction, antl authoriza representatives oi the City of Costa Mesa to enter upon the a6ove-tles bed pmpeny for i�ction purposes. I egree not to occupy or allow occupancy of any building authorizetl by this permit until final inspection. �r, n�v i� . ��- ,�-iay ,�9 � S naWre Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE 1' INSPECTIONTVPE � 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 202 203 204 2648 d6 Final BIocWRetaining Wall Final Factory Fire Place Final Sign Pinal Demolition QAjg INTRIALS � �.� n,r,��y I /.!' COOEY INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecincal 212 Final Fira Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy QyfT� INTma�s ,�wntrt WHITLOCK, -Darrel JOB ADDRESS 2395 Columbi GENERAL CONTRACTOR S9tYt0 APNo.141-4 —1 LOT 144 TRACT INSPECTIONS Si notu SOIL GAS W ATER ROUGH PLUMBING PROP. SWR. LINE � HOUSE CON. � SPRINKLING SYSTEM MISCELLANEOl15 ROUGH HEATING ANO AIR CON�ITIONING TEMPORARV SER`/�CE OR POLE UN�ERGROUND ❑ POWER � ROUGH WIRING TRENCHES � FORMS � STEEL REINF. o- C FLOOR SVSTEM BONO BEAM STEEL REINFORCE SHEqTHING F0.AME AND FL/+SHING �ATHING - IN OUT PLASTER, BROM'N COAi STRUCTURAL,fINAL HEATING, VENY�, REFftIG. ANO A.C., FINAL PLUMBING. FINAL ANO GAS TEST n DATE SUBCONTRACTOR PAID .yy �}{`tric � '� 368�� 1IJFJ 20-73cwsc�0187_3 2 I.$0 _� COSTA MESA BUILDING-SAFETY DEPARTMENT - P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � APPLICATION FOR BUILDING PERMIT For Applicant to Fi!l in Completely REC$}VEjitBV DyTEREc`EI ❑q=�g�ED� BUILDING L�� (C o�Q./ � n ADORESS �6 F' A.P. NO. � -� .� ... PERMIl7� !� OWNER�� L C �, `� MAI L BUILDING ADDRES ADDRESS�I �� Z ' W W TEL. TRACT LOT BLOCK a U CI �, NO. � Q- zZ Q CANSTRUCTION . W ADD A P O � LENDER � . . am J � BRANCH _ i -J� OWNER� L L �% C m J AODRE55 VALUE � m ARCHITECT TEL S 1C S � J a OR ENGINEER N. U � FIRE J Wa ZONE TVPE (- GFOUP ¢ ADDRESS - aW - � W Z APPROVED / � 0„ J O CONTRACTOR �BV DATE 00 Z ` J � ADDRESS w w TEL. ZONE . NO.OF USE OF NEW . / �= GTV NO. P�� BUILDING c J / Z � w� STATE CITV �'AFlDSAPPROVED VARDSAPPROVED . y 2 LIC. NO LIC. NO. MAIN BUILDING ACCESSOfiV BUILDING �� SIZE + NO.OF BLDGS. _/' (FROM C/L STREET) f OF LOT � NOW ON LOT t FRONT FT. "FT. USE OF ' EXISfING BLDG. E T. FT. F' SIZE OF NO. OF - Z NEWBIOG. ROOMS STORIES L.SIDE FT. FT. U EXTERIOR WALL ROOF - COVERING COVERING REAR FT. FT. . J. USE OF BVI�DING AND WORK TO eE PERFORMED DISTANCE BET. � BET. MAIN'& ' ' a MAIN BLDCaS. ACCE55. BLDGS. a 'Q VAR..$ . DATE ' O C.U.P. # � - APPROVED ~ � APPROVED P G N Z O UI hereby acknowledge that I have reatl this aOP��cation antl state � that ffie above information is correct antl agree to comply wiffi , . � all laws regula[Ing building construction, and I shall not employ � 4 O F„ any perwn in violation of the workman's compensation laws of �� r m y the State of Calitornia., �, � zI he�eby ce�tity that I am p�ope�ly licansetl as a contracto� untle� SQ. FT. O the Stata of California Business and Professions Code, Divisicn 3, _ THE AMOVNTSMOWN UNDER VALUATION IS FOR � Chapter 9, and tha2 such licensas are in tull force and effect, or I THE PURPOSE OF ESiABLISHING A PERMIT FEE ONIV: m am exempt from ffie provisions of tha State ot Galifornia Business ¢ antl Professions Cn�ie, Division 3, Chapter 9. VALUATION � PERMIT FEE $ ! � Si0^atur O_y �_. y//� /// ��) X�" , m Permittee Ll Lw Q,� �,�_ '.DyA A�� $/� � i/ �� PLAN CHECK $ [/ • C'�� E (J (! `o LL Authorizatl Agent TOTAL FEE $ � � � J�_ � ----�•- . �� ` _ R 5�� 'COSTA MESA BUILDING DEPARTMENT - P.O. BOX 31] COSTA ME5A. CALIFORNIA FOR APPLICANT TO FILL.IN ' BUILOING ADDRESS 94q5 Cn7om�h;� n„ioe COSTA M�SA. CALIFORNIA OWNER MAIL AD�RE55 cirv pgi ARCHITECT OR ENGINE ADDRE55 LEGAL LOT oesceiPnoN NO. A.P, NO. SIZE 1 OF LOT X 1 USE OF EXISTING BLOG. � E FFOM TN� LI & � LIQ � NO. ' Tg� �al i fnm,j a QTV LIC. .olegrove No 4615 TEL. NO. I BLOCK TRACT NO.OF BLDGS. c[NiEa ov s1AEer fN �� - REAR VARD LU� r� SIDE YARD RIGHT 5t LEFT lO� DESCRIPTION OF WORK : NEW X ALTERATION AOD�TION FEPAIR MOVIN� DEMOLISH BUILOING NO.OF SIZE ROOMS STORIES EXTERIOR WALL ROOF COVERING StllCCO COVERING - COIIIp• USE OF NEW � BUILDING �n am' Residence and FEE RECEIVED, ��, t�s1 -�•�. FINAnNFCrE DEPT. . APP�IC:A'TIC�T�FZSER PERMIT BUILDING FOR OFFICE USE ONI.Y � FECEIGT NO. PERMIT NO . �y3 � BUILDING ADDRE55 COSTA MESA. CALIFORNIA FIRE ZONE ZONE/� NO.OF TVPE � GR i P � ./ PLAN$ � APPROVED � BY DATE CORRECTIONS � � J � 'N � DEP'f. SUB.IEL'T TO G. OEPT. RE . pLAry T� � I HEREBY ACNNOWLEOGE TX4V I HPVE REnD THIS APPIICATION ANO STATE TX4T THE PBOVE IS CORRECT ANO RGREE TO COMPLY WITH ALL CITY�ORDINANCES l�NO STnTE Ln�yS IiEGULATING BU HltYCON5TFl1G nov. � �p/ VALUATION SIGNATURE OF / �,.� PERMITTEE L•� ' a 14,I46.00 Dike and Colegrove ' AUTHORIZED AGENT 1 PERMIT FEE S '; PLAN CHECK $ 1' TOTAL FEE 8 S� nI� � �M{ v�J