HomeMy WebLinkAbout3037 Coolidge Ave - Building Permits�/U� /�ib'�
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RECEIVED '7 ��/C ��/
CITY OF COSTA ME3A
DEVELOPMEYT �Ci.':ICES DEPARIMENT ^���
JU�_ 12 igf:>3 ��+-� rf
i�5 3 a � � o �. /� �r � c „-�/�.
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Ci7Y OF COS7A MESA CO ST{j�� UCTION PERMIT �%
Projert��ddres� 1 \ �Q � I ,
A�piicant'sMailingpdd e �y s� � �fYv`ri1C . �rL
Owner's Name t l� �� �� ---� Phone
Address �A
— •
Arch/Eng. � License No.
Address
Contractor's Name -- Phone
Addresslma'I' gl �SS _. /���% — �---.��
� ( g'04 ` .
City License No. � � '
LICENSED CONTRACTOR DECLARATION �
1 hereby affirm that I am licensetl untler provizlons of CM1arter 9(commencing
with section ]000) of Divislon 3 ot [he Business antl Protessions Cotle, antl
my license is in full forc@ aTjtl-e��e t. 2 1
License I ss `�O License No. •� �
Date � � 5'9 t �� G �
WORK RS' OM ENSATION DECLA AT N
I hereby attirm that I have a certifitate ot consent t se f-insure orea<ertltiCdte
� Workers' Compensation Inzurance, or a cerilf y tner ot (Sectlon
'�00, Lab. C.) � (�� �
olicy No. Company ��`�`� �
❑ Certifetl co y is hereby furnishetl.
l�Certff e'al� iletl with the city Buil " ",'on. �
Date Applicant � J
EXEMP ION F OM WORKERS' COMPENSATION DECLA ION
(This section nee0 not be comple[etl if the permit i5 fo� One Nu tlretl ($100) o�
less).
I certify that in the performance oi the work for which this perm�t is issuetl, I
sM1all not employ any p¢rzon in any manner so as to become SUGject to the
Workers' Compensation Laws of California.
Oate Signature
NOTICE: If, after making this tleclaration, you shoultl become subject to the
Workers' Compenwtion provision5 Of Ihe Labor Cotle, you must (orthwith
comply with 5uch provisions or this permit shall be tleemetl revoketl.
CONSTRUCTION LENDIN6 AGENCV'
I nereby affirm tha[ there is a ronstruction lentlin9 agency for the pertormance
of Ih¢ work tor which this permit is issuetl (Sectlon 309] Civ. CJ
LRnaer's Name
� Lentler's Atltlress
'� OWNER BUILDER DECLARATION '
1 hereby aifirm Lhat 1 am exempt from the Contractor's License Law for the
following reason (Section �]031.5 Business antl Professional Cotle: Any city or
county which requires a p¢rmit to construGt, alter, imDrov¢, tlemolish or repair
any structure, prior to its'issuance, also requires the applicant for such permit
lo file a siqnetl slatement that he/she is licensetl pursuan[ to the provisions of
the Contractor's License Law (Chapter 9(commencing with Section 7000) of
DiviSion 3 ot the BuSinesS antl Professions Cotle) O� that Ite/she is exempt
�?refrom antl the basis for the allegeG exemption. Any violation of SecHon
�1.5 by any applicant for a permit subjects the applicant to a civil
dlty of not more than tive huntlretl tlollars ($500). •
.� I, as owner of tne property or my employees with wa9es as their sole
compensation, will tlo the work, antl the s[ructure is not intendetl or.offeretl
for sale ($ection ]044, Business antl Professional Cotle: The Contractor'S
License -Law tloes not apply to an owner of a property wM10 builtls or imprOves
thereon, antl who tloes such work him5elf/he�selt or thrOugh M1Is o� h¢r own
employees, provitletl Ihat such improvements are not intentletl or offeretl tor
sale. If, however, the bulltlin9 or improvement is soltl within one year of com-
pletion, lhe owne� will M1avC tha bu�tlen Ot proving he/she tlitl not builtl or im-
�rove for the purpose ot sale).
I, as owner ot the property, am exclusively contractin9 witM1 licensetl con-
tractorsto construct tM1e prqect (Section ]044, Business antl Professions Cotle:
The Contractor's License Law Does not apply to an owner of property who
builtls or improves therean. antl.who contracts tor such oroiects with a rom
tractor(s1 Lcense pursuan[ m[ne Contractors License Law). I am aware,thax
proof of their Worker'S Compensation insurance shoultl be prOvitletl to me.
❑ I am exempt untler Section B. & P. Q!Or this reason
Date Owner, .
I nereby certity tbat 1 M1ave reatl this application antl state tnat the above
Iniormation is correct. 1 aqr to comply with all city antl county ortlinances
antl Sta[e laws relating to uii ng con5truction, and he�eby aut o�lze repre-
Sentdtives of this city ta e I' pon_ 1 thC dbove-mentiOned D ope! y I
inspection purposes. "�l /' J '� 1�
$I9natu�e � � X Date '-!� V
Drivers' License r SS $ �
ant to flll in a11 spaces ezcept tnose within heavy OorGer Iines ane sign all approoriata tleclarations.
P IT NO. TRACT NO.' LOT NO. . UNIT NO. A P#
S Main Buildi
TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E
'❑ CONVERSION ❑ DEMOLISH ❑ O ER ' � T Front
ESG RIPTION OF OfiK/U� OF LDG � " � � Rear �
O0�' - N _37- 1
� � Right
TYPE OF PERMI GRADING FOUNDk1Tl0 STRU����i� K
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MEGHANI L S� Left
❑ �OTHER • �' � Ping. Ref. #
PROJECT DESCRIPTION SQ. F7: - OCCUPANCv Planning No[es:
.CONSTRUCTION TVPE � - VALUATION $ '
ZONE GRAOINGCU.VDS. ACRES . ._
Remarks:
Sink
Preventer
Irrigation
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks _ .
Gas Service Outlets
Kitchen Sink
Lavatories
Roof Dreins
Reinspection Fee
ShoWerS
Service Sink
Sewer Cap
Sewer,Connection
Solar Collectors
Solar,Piping
Solai Tank
Swimmi g Pool w/Spa
nal
Water Closet
�Water Heater
Water Service
� Auto-Wash
Laundry Trays
$15 Issue Fee
Boiler . �
Duct-UnderGround
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact.Blt.ICBO# �
Heating System & Ducting
❑0.100,000 BTU � 100,000
Reinspeccion Fee � $75
0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
Hood or T e I ❑
Canopy ype 11 ❑
�efri ration System
-100,000 BTU ❑100,000 BTU
System Repair/Alteration
Fire Dampers
Registers
� laua Fee
FEES
Zone
Accessory Building:
Parkin9
ELECTRICAL
Automatic Washer Tronsformer ❑ 15-50 KW
Construction Pole Sub. ❑ 50 + KW
Cooking Unit Meter ❑up to 100 amps
Dishwasher Meter ❑over100amps
Dryers ❑Gas ❑Electric SubPanel • ,
Fan - Momrs 1 HP �1X-8
F.A,U. In olar 09-'15 HP �16-15+
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator DO-5 KW �5-15 KW
Pole Light
Range
Sign
Standing Sections
Trash Compactor� `�
Reinspection Fee � $15 luue Fee
$ 3 DEVELOPMENTSERVICESRE�UIREMENTS:
Zoning Approvad By
FEES Building Appraved By' —
$ 3
� $ 3
R
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I
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G
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E
�
M
T
S.
SUMMARV OF FEES �
BUILDING PERMIT $ �3• a0 SMIP � � � $' O. ,�O
PLAN CHECK $ PERMIT �
PLUMBING $ ISSUANCE � $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADINGi) $
PLAN CHECK 50% $ MICROFILM $ /' �
MECHANICAL $ TOTAL FEE � $ v�. S�
PLAN CHECK ZS% $ .
�1 OO�J250SQ–QClJ2509T %'d�p'� c::,5�i
9ATE� 02l�J9;g4 TltiEc 13:52
. . _ ��.. � ,� . ;,:,� v . :�. . . . . . .
CO�ISTRUCTION AND PLANNING + POOL 'A
''•" Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
� ' Temporary Electrical Service or Pole `, •, 52. Pool & Equipment Location
J
/L
.�� 21� Soi� Pipe-Undrgrnd. „ -' 53. Steel Reinforcement
✓ ' ' `-
, •� ; 3'�Elect`rical Conduit Ufility-Undrgrnd. - �` . 54. Forms �
� ,
�•� �y4��Electricel Conduit-Undrgmd. _ 55. Electrical Bonding �.,.
. SteelfReinforcement � �' 56. Rough Plumbing & Pressure Test
i i�
�6.�ElecficalUFER,Grnd.. . 57. APPROVALTOCOVER�GUNITE "'(�
-7=Footings '�,��n !'" 58. ElectricalConduit-Undrgmd. � `'.'
_y 8uF,oundation j`.C'�� ��d,'� i�' 59. GasPipe,O Undrgrnd.,Test ,
�� -.:.� i � .�
�
t 9� Water Pipe-Undrgrnd. �' =� ✓- 60. Backwash Lines, P-Trap, O Undrgrnd. - �'
�V 10. �St'ructural Floor System .�' '� ,✓ 61. APPROVAL TO DECK
/.�., 11. Property Sewer Line & House Connection "' ' J' _� � 62. Backwash & Receptor-Final
j� 72. Sewer Cap �-7; ' � 63. Heater & Vent-Final �- -" �'
Gi 13. Roof DrSins .� � �" 64. Plumbing System - Final -- ••
, t_ �.
�i _ '
�' \ 14. Rough PlUmbing';� �` `, 65. Electrical-Final `�- -
i
U15. Rough Electrical-Conduit 66. Solar System-Final
�t�6. Rough Electric Wiring 67. Fencing & Access Approval -
L7, Rough.Wiring Sign . 68. APPROVED FOR PLASTERING
�
,1�8.' Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
1�9. Rough Fleating & Air Conditioning FIRE DEPT. REQUIREMENT
�1:,
20. Rough Factory Fireplace � APPROVALS Permit # �
�t
' ��1. Ducts,iri'Structure 70. Underground Hydro �
22. Ducts, Ventilating , 71. Product Piping OGas ❑Oil ' � -
23. Gas Pipe,Rough & Test 72%Underground Flush �
�24. Roof Framing '' " r 73. Undergmd. Storage Tank O Gas O Oil ;� �
,25. Roof•Sheathing �• . yy ,' .74. Overhead Hydro _ , ,. � _ � . �
" 26.�T-BarCeiling (Structural) & Monocoat ' 75. Dry Chemical � /
27. Frame;and Flashing 76. Dry Standpipe
� 28. Lathing 86Siding 77. FIXED SYSTEM FINAL
29. Insulation ' 78. FIRE PREV. FINAL
.-.30. DrywalLNailing � � HEALTH DEPT. REQUIREMENT
�,_
37. Plaster�.Broivn Coat.-}' 79. FINAL INSPECTION
32. Elect�ical•Power. Meter-Final 80. FOOD CERTIFICATE ISSUED
,.�
33. Final Electric Notes: 2_ 2j_� N oT {z� p� -02
34. Final Heating & A`ir Conditioning �
- S tf'It, _ i u s �, �-
35. Final Gas Pipe-Test �
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflo'w Preventer / -
��
43. Bacliflow Irrigation f ;� _
�. 44. .Landscape Irrigation System 1,`��,-
45. Sound Attenuation � ��� ,
, 46. Handicap Regulations - � 5' . �
. 47. FINALSTRUCTURE&BUILDING � -�- �� 3O . �
' 48. Special Requirements Completed � � � � �.• r. .��
49. Electric Release to Edison ' �• .�
� �
5fl. Gas Release to Southern Califomia Gas Co � . � �� U 1N
51. •CERTIFICATE OF OCCUPANCY , '�. � J � �/� � �
No. � � Date t1� Q � �!-
To:
CITY OF COSTA MESA
CALIFOFNIA 9262&1200 P.O. BOX 1200
DEVELOPMENT SERVICES DEPARTMENT
Buildirg Safety Division
Code Enforce�nt
Canrmm icatiors
Cotmty A�ninistration Office
County C1eLic/Boaiti oE Supervis�zs
Coimty Registrar of Voters
County Tax Assessor
En-yiaaer;rcj Divisior� i2}
Fire Prevention
Manager, MIS
Mesa Consolidated Water District
Newport-Mesa Unified School District (2)
Pacific Bell (2)
Iblice Department - Ping. & Research
Santa Ana Heights Water CcmPany
Sanitazy District Engineer
Southern Cali£ornia Fdison Co.
Southern California Gas Co.
State Baazd cff Equalization
Screet uivision
United States R�st Office, Adams Averrue
United States Post Office, Santa Ana
Zip 4 - Santa Ana
File (2)
The City of Costa Mesa wishes to advise you that the followirg addresses have
been changed or a�ded:
.� . :.,.;: .
3037 Collidge 64, 65, 66
3039 Collidge 70, 71, 72
�ia. . �1� : a..
3037 Coolidge A, B, C
3039 Collidge A, B, C
A.P. N0.
141-141-49
141-I41-48
For yois convenience we are listing the agencies abo�e that we ha�e notified
of the charye. In addition to ttnse listed, you are advised to notify your
correspondents oE the change in order to awid ary possible interzuption of
mail service.
Your coc�eration in this matter is appreciated.
Si�csrely,
� � �
JEFF APRAiinMIAN
Plannirg Intern
JA:jl(C-5-80)
cc: Stanton L. Eilenberg
P.O. Box 174
Wrightwood, CA 92397
77 FAIR DRIVE
Building Division (714) 750-5628 • Code EnfarcamenVBusiness License (714) 754-5234 • Planning Division (714) 754-5245
9
Z
� �
UNIT "C" �
UNIT " r3'�
UNII' ��A"
3037 CoOLIDGE
I.�NIT "C"
UNIT " B"
UNIT "A"
303�i COOLIDGE
May 28, 1991
To:
��
CITY OF COSTA MESA
CALIFORNIA 9282&1200 P.O. BOX 1200
DEVELOPMENT SERVICES DEPARTMENT
Building Safety Division
File (2)
Communications
Copley-Colony of Costa Mesa
County Administration Office
County Clerk/Bd. of Supervisors
County Registrar of Voters
County Tax Assessor
E�gineering Division (2)
Fire Administration
Fire Prevention
Mesa Consolidated Water Dist.
Newport-Mesa Un. School Dst. (2)
Pacific Bell
Police Dept. - Plnq. & Research
Santa Ana Heights Water Company
Sanitary District Engineer
Southern California Edison Co.
Southern California Gas Co.
State Board of Equalization
Street Division
U.S. Post Office - Ais
U.S. Post Office, Adams Avenue
The following change of address notice is being resent askinq the
agencies to check their records to ensure that the change has been
made.
OLD ADDRESS
NEW ADDRESS
A.P. NO.
3037 Coolidge 64, 65, 66 3037 Coolidge A, B, C 141-141-49
3039 Coolidge 70, 71, 72 3039 Coolidge A, B, C 141-141-48
If you have any questions, feel free to call me at (714) 754-5245.
Your cooperation in this matter is appreciated.
Sincerely,
Richard Welmers
Planning Intern
(3037COOL.REC)C70
RW/mm
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�nf �� F�/ F�YFRIVE
Buildinp Division fJi4) 7�54-5628�26 �e�o0����P��i �i�i%t��'k��c�n� 3'�-523d elanrp�Q�IM �Pliv�i�i
Building Divi3ion (7 4) 754- � jr5$� � �6¢��i.szas
FAX l71G1 55G750B
�or 36 TRACT 4Z8�
... Q7
COSTA MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX D17 COHTA M88A. CALIFORNIA
,For Applieanf fio Fill In Com�lefely
� " TYPE OR PRINT
DRE�85 �0�7 COOLIDGE AVENEU � , �%. �
COSTA MESA. CALIFORNIA �
. .. „ _ „ _ KENNETH�W:_KOLL,,,
A AVENUE
3 IYVIVL _ _ NO._. �����
TEL.
' X 50' � H.°,:�,°.P,..e�nas.
ZONE
�ecw�
USE OF YARDS
EXIBTING BLDG: APPROV
9HTBACK LIN6 PPOM � � «�TeR
CeMex on sixeei 67 REAf2 YARD 2� FRONT
SIDE YARD I LEFT � � I RIGH7"� R. SIDE
DESCRIPTION OF WORK
F No. OF
z
FEE RECEIVED
��/JAN 4 iss2
rrfINANCE DEPT.
CITY OF GOSTA MESA .
APPLICATION FOR PERMIT.
BUILDING
For Off3ce Use Only
PECEIPT NO. PE!\Mjj flEj.`q
� oAre� �aa��yo2
COSTA MESA. CALIFORNIA
ZONING
no. or use oF x¢w J.L
PLANB 2 I9UIlDiNO WI aYti
L N ZBR ��
1 H6RGlY AIXNOWLE068 THAT 1 XAV6 R6AD TXIB APPLIGTION }HE AMOUNT BHOWN UNDER VALUATION �B POq TXE
AND�,BTATE iHAT TH6 ABOVH 18 GOPPECT AND AGRlE TO COM- pUPP08H OF. EBTABLIBHING /� PERMIT FEE ONLY.
PLY V/ITX ALL CITY ORDINANCEB AND 6TAT6 UW! RCGULATING
BuIIDiNo GON6TRUrnoN. ' VALUATION �
�i (i��
SIGNATURE OF ��� � / PERMIT FEE �
PERM17TE GI /� �� _
' . $� J PLAN CHECK $ � �
AUTHORIZED AGEN7