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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 $ �