HomeMy WebLinkAbout2553 COLUMBIA DR - Building Permits(714) 754-5273 • Fa7c (714) 754-4856
CITY OF COSTA MESA
BUILDIN6 DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
JobAddress: 2553 COLUMBIA DR
Suite:
Vicinity: WHOLE ROOF
ParcelNunmber: 14139115
Applicank LARA, CARL C.
Address: 2553 COLUMBIA DR
COSTA MESA, CA
Owner: LARA, GLORIA J
Address. � 2553 COLUMBIA DR
�. � COSTA MESA, CA
Contractor ' � " -
: ,Address: .
Zip:
Arch :
Address:
BUILDING PERMIT
Zoning:
Phone: (714)540-5196
Zip: 92626
Phone:
Zip: 92626
Phone:
License:
Eng:
Address:
PERMIT NUMBER
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 06/18/1999
Issued: 06/18/1999
R
� ' Phone: , Phone: �
• �. Zip License: Zip: License: �
, SCOPE OF PERMIT • �
, TEAR OFF & REPLACE SHEATHING AS NEEDED. INSTALL 1-LAYER OF 30N FELT & 25 YR. COMPOSITION SHINGLES � �
� (23 SQ). , .
' Plan Check:
Permit:
SMIP Res:
�SMIP Com:
Other:
Inspection:
Total:
$0.00
$74.75
$0.50
$0.00
$0.00
$0.00
$75.25
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Ezistinq: 0
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
LeR 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$3,000.00
$3,000�00
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 780 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
' requlred Inapeetiona and final approval must be obtained. Feilure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (7/4) 7545626
WORKERS'COMPENSAnON DECLARAnON: � -
I hereby aHirm untler penalry of perjury one ot the following tleclarations: � . .
❑ I have end will melntain a certifiwte oi consent to sel4lnsure tor workeis' compensation, as provided for by section 3700 oi ihe Labor Cotle, for ihe pertormance of the
work for which Ihis permit is issuetl. ,
❑ I have and will maintein workers' compensation insurance, as required by section 3700 of Na Labor Code, tor Ihe peAormance of Ihe work tor which this peirnit is issuetl.
My workers' compensa�ion Insuranca carner antl policy number are:
Carner: . Policy Numher:
(Th/s section need not be camplefed il the Oermit is velued af one huntlretl dollars ($100) ar less.)
❑ I catlity that in Ihe pedormance ot the work tor which this permit is issuetl, I shall not employ any person in any manner so as to become subject b the workers'
compensation laws ot California, and agrae ihat if I should becrome subject b the workers' compensation provisions of Section 3700 oi the Lebor Code, I shall forthwi�h
comply with �hese provisions.
Applicant Signawre: Date:
WARNING: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CFIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADOITION TO THE COST OF COMPENSATION, DAhV�GES AS PROVIDED FOR IN SECTION 370fi OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm ihat I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code, antl my license is in full
force and eflect Lic. k Class a
Contractors Signa�ure: Date:
CONSTRUC710N LENDING AGENCY:
❑ I hereby ettirm that ihere is a construction lentling agency for the peAortnance of the work for which this pertnit is issued. (Sec. 3097, Civil Cotle).
Lentler's Name: LentleYs Atltlress:
Signature: Date:
OWNER-BUILDER DECLARATONS:
I hereby attirm that under penalry of perlury t�at I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which requires a permit to consWct, alter, improve, demolish, or repair any sWCWre, pnor to its Issuance, also requires �he applicant for such parmit
to file a signed statemaN that he or she is Ilcensetl pursuaN to the pmvisions ot Ihe Contrectors License Law (Chflpter 9(commancing wlth Section 7000) of Division 3 of Ihe
eusiness antl Protessions Code) or Ihat he or sha is exempt Iheretrom and ihe basis for the allegetl exemption. Any violation of Section 7031.5 by eny applicant lor a permit
su �ects ihe applicant to a civil penalTy of not more Ihan five hundred dollars ($500) J:
I, as owner of Ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl the siructure is not intentled or oNered for sale (Sec.
7044, Business and Protessions Code: The Contractors License Law does not apply to an owner ot property who builtls or improves thereon, and who does such work
himseli or herself or ihrough his or her own employees, provitled Ihai such improvemenis are not intended or ottered for sale. If, however, ihe building or improvement is
soltl within one year of completioq the owner-builder will have Ne burtlen of provinq ihat he or she did not 6uild or improve tor purpose ot sale.).
❑ 1, as owner of the properry, am EXCLUSNELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the prolecl (Sec. 7044, Business entl Profeuions
Cotle: The coniractore License Law tloes not apply to an owner of properry who builtls or impmves ihereon, and who contracis for such project with a contrecbr(s)
license pursuant to the Gontractors License Laws.).
❑ lam
Business and Professions Code tor this reason:
Ownar ID verified by tlriver's license. ❑ Yes ❑ No Driver's License No.
Verification of Ownership by (rype of document, i.e. - property tex bill ar deetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Expires: D/-2�'c70
❑ I hereby certity that no excavation five (5) or more faet in depih into which a person is required to descend, will be made in connection with work authonzetl hy �his
permi�, and that no 6uilding stmcture, scaMolding, falsework, or tlemolition or dismantling Ihereot, will be more ihan thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Galifomia Administretive Cotle).
❑ As owner-builder, I will not employ enyone to do work which would require a pertnit irom the Division oi Indusirlal5efery, as noted abova, unless such person has e
pertnit to do such work trom the divisian.
Signature: � Date:
Division of Indusinel Sefery Permit Number:
CERTFlCATE OF COMPUANCE AND AUTHORIZATION OF ENTRV: I certify under penalry ot perjury that I have read this application antl stete ihet the information given is
correct. I agree to with all state laws and iry ordinances relating to building conslmction, antl authonze representatives ot the Ciry of Costa Mesa to enter upon ihe
above-de�r insp " purpo . I agree not to occupy or allow occupancy ot any building authonzed by ihis pertpit � I fipa� i� pection.
„- 6 I r /
�S(gnaWr f Legal Owner(s) Da�e
And/Or Authonzed Applicant
COUE t. INSPECTIONTYPE
1616 Fised System Final Fire Preveniion
7266 Pool Spa Finel
200 Final Re-Root
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
2M&4fi
PPIE ixTmnis
!—+=�-F— �
�QOEt INSPECTIONttPE
206 Final Mechanical
208 Final Plumbing
270 Final Electncal
272 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Oaupanc
pdJ'~.�3 �6-r�cy�aJ Building
Address
�•f , Owner
CIi�N•ic..6µ"j p'� Contractor
,,���l�y�t aQ�tJ; (p�.� Address
Permit � Date
/�y n q q Number Jr 2'� 'f Issued
CITY OF COSTA MESA
DEPARTMENT
OF
BUILDING SAFETY
Registered Deputy Building Inspector
Certificate of Compliance
Date of this Certificate
(o,L/s/�j %
To the Director of Bullding Safety:
I hereby certify that the following portions of work on the buildings
at the above address which required continuous inspection and which I was
employed to inspect, were inspected by me and comply with the provisions
of the Building Code applicable thereto.
1) Concrete 3) Welding 5) Special Cases
2) Masonry d 4) Reinforced Gypsum
Swimming Pool Size �3 � Gunite (�_Hand Pack
Sacks Cement /.3 Tons of Sand 3 6
Approximate % of water in aggregate /p �O
r
This report covers work completed during week ending lo�/ B�9'%
Ti
xaux�cs • , d ....�. ti
�,,.�,�,LQ �.� ' .,a /�� '�
�L�'-v+�/��QpP�C� � REGISTERED DEPUTY BUILDING INSPECTOR
�� o�, �� � Name fY� /L��.L2�L`cL�.�u
.,_ rd-
Addreas �/O� �6�By�, ��
Laboratory �,,uJt- Telephone �l9—'1�2J=� 8F( i/
Fo rm BU 6
% ` �
{ %
� � n. � .
�?" ��p J6�����Q �Se�'r���"ai��'��°��� of cSout�zecn �a�lfo¢nia, �nc.
2 �. y o
� �� � � P.O. BOX O. 77i0 AIRFORT ��/AY . LONG BcnCH, CALIr. 9080I . �113� 426�J355 . �713� 636�1386 .(714� 818�6432
B2ANC�' O��FICES:
TESTING isi�.oue.�nne,ce.z��.a� �."�',t,-:,�, Ne.�.�i,,,n�..i.e�.e
S.�ie n�e.C=[:o•.:a vnol � '` v.O.Bo.q
}("��i � Lonq BeecF, Celll. PoBO� �}I1� 4J6Q180
�]i�19LID�5 �
� . . �y2�: .fnn�.
June 21, 1977 � �xamination: 77-3344
GUiQITE
COMPRESSION TESTS ON �}�¢��S,�j{CYLINDERS
Jack Hubbard
3106 Ostrom Avenue
Long Beach, California 90808
PCOJ@CT SWIrL�fING POOL - G. CHUNIhG IfB8283 ��P,9
ADDitE55 2553 Columbia, Costa ?iesa, California
SAMPLE FROM Shallow End, Deep End, Bond Beam
' A1tCNtIFCT
ENOINiFR
- R. J. Kolodzig
N�IX
DATE CAST
DATE TESTED
CYLINDER NO.
COMPRESSION
TOTAL LOAD, �BS.
POUNDS PER SQ. IN.
COMPLIANCE
CYLINDERS
OISTRI6UTION:
4.2 to 1
6/14/77
6/21/77
1
7 days
58,000
2,050
CONT0.ACTOR
Anthony Pools
SUBCONTRACTOR
SPECIFIED
STRENGiH 2,000
SLUMP
6/21/77
r^.
7 days
75,000
2,655
7 day tests comply with specifications.
MADi 6Y
Lou
J. Hubbard - 2
Costa Mesa Bldg. Dept
DEIIVERED EY
J. Hubbard
6/21/77
3
7 days
64,000
2,265
RECFIVEO ON
6/15/77
�EZZ�Y���
JUN 2 '(1971
,
•Ll I�CrONTb �NC ]VOMITT[O �E �M[ �OM{ID[MTIAI rROI[R1Y OI CLIENTO, 1UTNORIi�T10N IOR VU�IIC�TION Of OVN 11[rORTS, CON LVS�ONS. OR CF�
T11�C1� IROM OM N[G�RpING TM(Y IS PC6LRVCD PCMD�Nf. OUA'A'MITTCM w�NOV�I /.S w MVTVwI �PO�[C110N TO CLICHTG, TX� YUOLIC AND OUR9CLVE3.
000�ia ap � . �
�v �
OWNER CALLiG� Y.
AP. No.
GROUP I &
INSPECTIONS
2SS3 �olumbia Drive
'RaC'coR �rbor Construction
LOT ].5 Txa,cT 3187 PIRE ZONE
' �TYPE V ZONE
DATE I SUBCONTRACTOR
naTE 9-26-57
BIIILDING PERMIT NO. 5 �
VALUE $ 12�400.00
UORK ReS, W�2.'tt. �ar,
PLAN NO. 5%30
PERMITS ISSUED
DATE I NUMBER
,� ��.
;
COSTA
S`�30
MESA BUILDING DEPARTMENT
P. O. BOX 31� .
COSTA MESA. CALIFORNIA - � �
�=EE RECEiiIED
SEP 1 31957
fiNAhCE DEPT.
crrv oF cosra mEsa
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
a���o��� BU I LD I NG
ADDRE55 2 COLUMB I A �DR I VE
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY�y��J
PECEIPT:��'J V
OWNER Cn G PA K N v-
RECEIVlD BY O4TE FECEiVED DnTE ISSIIEO
A�DRE55 � I I h SO MA 1 N S �%
TEL BUILIJING
cirr SANTA ANA CqLIF. No.'�KI ADDRESS
nRCHiTecT uG COSTA MESA. CALIFORNIA
OR ENGINEER NO.�
FIRE
AODRE55 ZONE
CIT IC. �ONE p��Ns TYPE GFOU
CONTRACTOR NA._ l�
TEL. APPROVED
ADDRE55- � ' NU. BV �ATE
LEGAL LOT p CORRECTIONS
oESCaiPTiON NO. I BLOGK TRAGT �(J '
A.P. NO. •
SIZE � No.oF aLocS.
OF lOT riow Orv LOT '
USE OF
EXISTING B�DG. '
SETBFCI( LINE FROM
ccHrcA or s.acer Q REAR VARD 2
SIDE YARD RIGHT LEFT
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAIR MOVING OEMOLISH
BUILDING NO.OF
SIZE � 2 ROOMS STORIES
EXTERIOR WALL ROOF .
COVERING COVERING
USE OF NEW
eui�oiN� R SI�D NCE HC ATTACHED
r F
I HEREBV PCNNOWLEOGE THAT I HFVE FEFD THIS /�PPLICATION AND
STi1TE TMTT THE ABOVE IS roRHECT ANO 4GflEE TO COMPLV WITH wLL
CITV OROINANCES ANp STATE L/��N$ REGULATING BIIILUING CONSTRUC�
T�o�. ' VALUATION ¢
SIGNATUR OF Y� I PERMIT FEE $ J O�
PERMIT E C F F A K N O LI.
S I��L�OO� PLANCHECK $ /,5'�
nurno ze e TOTAL FEE S r
LMi
OWNER CHUNNING� GLORIA C.
JOB ADDRESS 255� Columbia Drive
RACT
�
Pool Location .
Forms
Main Drain _
� Steel Reinforce
Elec. Bond
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final _
Filter System Final
Backwash and Recep. Final
Fencing Final
DATE
BUILI
DESCRIPTION of WORK Pv
FIRE ZONE VALU
SUBCONTRACTOR
Electric
Plumbing
5-27-77
PERMIT N0.
Swim Pool
4.800.00
.�
� , �40i:9
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING � /
ADDRESS LN �
OWNER � � C �N Nv
MAII n��_ A i.. � __ T
CITY
BRANCH
ADDRESS
ARCHITECT
TEL.
NO.
TE L.
CONTRACTOR O �60L-S
ADORESS %
CITV ,�i...�i[.�, � NO�. pG 'O,}'�
F STATE CITV
� LIC. NO. � 7��� LIC. NO.
{z� SIZE NO.OFBLDGS.
C. OF LOT NOW ON LOT �
a USE OF
.�. EXISI'ING BLDG.
�
� Separate permits are required for
p electric, plumbing and heating work.
[.W.� S OF BUILDING AND Wo,� K TO BE PE F ED
¢� w L fa'v
�
d
>
�+
�
�
W
��
1t�Y7_7-77PAILO01413�- **�;*48.SCJ
cns�
APPLICATION FOR STRUCTURAL PERMIT
RECyIVfpD BV DATE R�CEIVED nni6 155uFn
A.P. NO.I
BUIIDING
ADDRESS�
TRACT
OWN
FIRE
20NE
APPROVED
ZONE NO.OF
PLANS
VARDS APPflOVED
VAR..$
QU.P. �
LOT �iS I BLOCK
DATE
USE OF NE
BUILDING OQL �f�
VARDSAPPROVED
ACCESSORV BUILDING
DATE
APPROVED
FT.
� I hereby acknowletlge that I have read ihis application and state �
y� that ffie ebove Informecion is mrract and agree to comply wkh "
m
�+ all.laws regulatin8 buildin8 construction, antl I shall not employ , �
z any person in violetion of the workman's compensation laws of � �
� the State of Celifornia. '
m
3 I heraby cartify that I am p�ope�ly Iicensetl as a contractor unde� SQ. FT. �v
the Siate of Callfornia Businass and�Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chepier 9, antl that such licensas are in tull force entl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am exampt from the provisions of the Stete of Calltornla eusiness $ a
VALI�/Cl%1�j�lO PERMITFEE �2�Q �
antl Profassions Code, Division 3, Chaptar 9. ��•� U
/ �� �J PLANCHECK $ �OO o
Signature of /� /�� // LL
Parmittae � �� �-C"z/v.���/ $ �� TAX $ ' � D �
U
Authorizetl Agent ' . TOTAL PAI D $
OWNER ��NING, GLORIA DATE
JOB ADDRE55 2553 Columbia Drive BUIL[
AS
WRTER
m���cci�a�.�.r.e
ISCELLAN�OUS
)OGH NERTING ANO AIR CONOITIONING
UNOERGROUND C� GOWER
ROUGH WIRING
BONO BEAM
SHEATMING
FRAME RNO FLASHI
LATNING - IN j�
PLASTER. BpOWN C
XEATIN6, VpNT., REFRIG. ANU �.C., F
PLUMBING. FINAL 4N� GAS TEST ❑
ELECTFIC, tINAL
BUILOING, FINRL
SUBCOHTRACTOR
, I �4096
COSTA MESA BUILDING-SAFETY DEPARTMENT �
PA30 3t �t**3il
1UN —1-77�pSAOO'026 s.5o
f.V.OVA 1 VV�lIM1YCJN�VMLIfVf�1VIM�
PL A ON FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
/'�� � � F I E V DATE RECEIVED D T= I$-UEy
ADIDRESS r4�SJ �KIhBI,/ . H'�• � �• � / �
� ^I' _� ' PEFMITNO.
OWNER G�O.�(If a_.I�K/�(�G A.P. NO.
MAIL q [— ' BUILDING 7/�/L� ! ��'A rJ . ' .
ADDRESS v.aS3 L�1Mdl � M. /a�DRESS Cs�v/ /�� w� F—
TEL.' � TRACT � LOT BLOCK
CITV � NO. ��
CONSTRUCiION . N W' ADD ALT P
LENDER
BFANCH OWNER(% ;/� (_%f'7�J I v •
ADDRESS ' `'1 VALUE
ARCHITECT . TEL. S W� $
OR ENGINEER N . ' �
FIRE
ADORESS ZONE YPE GROUP
574�` Ip' APPROV � 1
CONTRACTO � ��„ BV DATE � 7
ADDRESS
- � � TEL. ZONE NO.OF USE OF NEW
CITV � NO. P��� BUILDING
STATE CITV �'ARDSAPPROVED YARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE ` NO.OFBLDGS. (FROMC/LSTREET) . � ��
OF LOT NOW ON LOT I FflONT FT. FT. D
.i
USE OF p�
EXI5TING BLOG. AGS���a�Q � FT. FT
� � . L
Separate pemiits are required for L. SIDE PT. � I T.
electric, plumbing and heating work. �
REAF FT. FT.
USEQF�% IIL�JG ANp�R TI� _ O g�f�RFOFjjA'F�D v� DISTANCE BET. BET. MAIN &
YS /> LOG "�.�"/ t N! MAIN BLDGS. ACCFSS. BLDGS.
'J VAR.# DATE
r/'Z� �jC}�Q/J ' � �LI�J C.U.P.�r` A APPflOVED
. APPROVED'...2 �r ' .� �
Q.w
I herebY acknowletl8e that I have reatl this applicaiion antl state '^
�
that the ebove intormation is carrect anJ agree to�comply with , �
all laws regulating builtling construction, and I sholl not employ ' � �
any Derson in violation of the workman's'compensation laws of v
the State of Calitornia. - -
m
I hereby certify that I em properly licensetl as a contractor under . FT. N
the Stata of CalifOrnia Business and Professions Code, Divislon 3, THE AMOUNT SHOWN UNDEfi VALUATION IS FOR m
Chapter 9, antl that such licenses ara in full force antl ettect, or I �� THE PURPpSE OF ESTABLISHING A PERMIT FEE O V: e
am exempt from the provlsions ot th State of Celitornia Business VALUATION PERMIT FEE p
antl Professions Cotle, ' 7sion CI ter 9. $ �n
� n
�{. PLAN CHECK $ m
Sipnacure of ` . � ( /� �
Permittae �T'" 5 � TAX $ �
U
Authorized Agent � � , � TOTAL PAID $ �