HomeMy WebLinkAbout2105 COLINA VISTA CT - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
Job Address: 2105 COLINA VISTA CT
Suite No
Vicinity:
Parcel Number. 42616202
npp�icant: HOLMQUIST, JUSTIN
Address: , ,
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Owner. 'iMULVIHILL, JOHN C
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Address:� � 2105 COLINA.VISTA CT
' �
�, ' COSTA MESA;CA
Contractor �.,,' AL' I SO �AI R I N C
�! Address: � 29736 AVE DE LAS BANDERAS
. ,' �RANCHO SANTA MARGARITA, CA
��r ,
Phone: 949-589-2021 � '
Zip:
Phone:
Zip: 92627
Phone: 949-589-2021
Zip: 92688
License: 526420
Status: ISSUED
Applied: 04/24/2001
Issued: 04/24/2001
ISSUED BY:
+ ;' � i � � � % � SCOPE OF PERMIT � , ��
� � -• -�CHANGE OUT FAU/ ADD AIR CONDITIONING. � r '
� . �
/% i . . . . �, '{ � ._ _ i �
� � FEE SUMMARY � % , ��= `.
�' �
,, ,. - � �
;•�' - � � - Quantity :i . jpuan�
ISSUEFEE—' � . � $23.50 -: ^ . , Repair/AltAbsorbttonUnit ' �,$0.00��
InsYFAU,�<100 k BTU'�. � $14.80 : _1— -- - - -� .- _ -_ ' � � Repair / All Refrigerelion�Unit „ f �$O.OQ `-0
Inst FAU >100 k BTU �- ' � $0.00 � 0 � - � Ventillation System �! ' $0,00- 0,�
Repair/Alt"Cooling/Heat $0.00 0 EvaporativeCooler J�.$0.00`�0
Inst / Rep. Recess Wall Htr $0.00, 0 Commercial Incinerator n/��$0.00� �0
Refrig Sys <100 k BTU' �. $0.00 0 � Domestic Incinerator fi/� �$O.00,JO �
Refrig Sy`s >100 k BTU '�' ` $0.00 0 Compressors % Absorption Systems ��f �, j � %
Gas Piping'� � �� $0.00 0 ��..Up to 3 hp / 100 k BTU ��/� /$0.00� 0�
Factory Fireplace,� �� . $0.00 0 - 3 To 15_ hp / 500 k BTU �-,; � �$0.00 �0�
Hood w/Mech,�Exhaust , ��� ,$0.00 0 .', � 15,To 30 hp / 1,000 k BTU �.- ,;� SOA0���0
VAV Box V��� , � ; . $0 00 0 . � ' -.30 To 50 hp /.1 750 k BTU , �,/ j '� �� $0.00� �% 0
Vent Fan / Single Duct ✓�' ,`�;$0 00 0+ -.,Over 50 hp % Over 1 750�BTU-;�� --�; $0. �� 0
Appliance �'�� � �`$000 �-0 �; .;Boilers = � /'� � �
Fire Dampers �� �/ � $0 00 � 0 �- ,� , Up to 3 hp �� � i U�1 $14 70 1
Smoke Damper� ��� � �� $0 00 V 0 � � , � 3 To 75 hp � '� � �� � //�$0:00 0
Inst or Relocate Appl,Vent� ��j$0 00 , 0�'� ` �=15 to,30�:hp- _- '�i� „\�/�� /�) � 50.00 0
Air Handlers < 10000cfrti ��� �� �$0.00�� 0� . � . ' �30 to 50�hp� c� � �� \ �:/ //�" �0.00 0
\
Air Handlera > 70000cfm`� � _ �' $0 00 / - 0 - - � Over 50 hp . �•1 � � j /% - $0.00 0
Floor Furnace � �- � � $0.00 �•0 Other Mecfianical Fee . � ;:ii /
Floor or Suspend Heater �'� -t$0.00 "0 �, �-� ,� ,�. �- � InJestigation Fee , -- i�� ;/� $0.00
� PlanCheckFee ->,%�� So.oO
� . " � � Reinspeclion Fee ._ � $0.00
� -_ � � ' - �� - ' .�TOTAL CALCULATED FEES $53.00
COMMENTS / SPECIAL CONDITIONS
A
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 7, 1241-92)
EXPIRA710N: 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 ot 180 days. _
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration.of this permit.
FOR INSPECTIONS CALL: (714) 7545626
244fi-4fi(N00)
WORKERS'COMPENSAnON OECLARAnON: .
I hereby attirtn under panalry oi perjury one oi tha following declarations:
❑ I have end will maintain a cenificate of consent to selbinsure tor workers' compensetion, es provitled lor by section 3700 of ihe labor Code, lor the pertormance oi the
work tar whiCh this Dermit is i55ueC.
❑ 1 have antl will maintain workefs' compensetion insurance, as requiretl by section 3700 oF the Labor Code, for the pertormance ot [he work for which ihis permit is issued.
My workers' compensatlon InSurance carrier and policy number are: Y
Garner: Policy Numbec '6N TI L� .
(This section neetl not be cromplet i/ the permit is valued al one hundred dollars ($100) or /essJ ,
❑ I certity that in the peAorm ce oi the work for which this pertnit is issued, I shell not employ any person in eny manner so es lo become subject to Ihe workers'
compensetian laws oi Ca' rriia, d gree that it I should Decome subject to the workers' compensation provislons ot Section 3700 o Iha Labor Code, I shall forthwith
comply with these prov' o s. ��� �/D I
'AppliceM�SignaNre� Date:
WARNINp: FAILURE TO SECURE W R R� CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOVER TO CRIMINAL PENN.TIES AND GVIL FINES UP TOONE HUNDRED
TFqU5M1D00LLARE(5100.000),IN DD ��'TOTHECQSTOFCAMPENSATION,DAMAGESASPROVIDEDFOFINSEGTION3�060FTHEL4BORWDE,INTEREST,ANDATTORNEY'$FEES.
LICENSED CONTRACTORS DEC4AAAT�ON:
I hareby aflirtn that I am
brce end aHect. Lic. #
CONSTRUCTION LENDING
❑ I hereby aHirtn that ther
Lendefs Name:
Signature:
with Section 7000) of Division 3 of iha Business��a� �rpfessions�ode, antl my license is in full
Class # V . / . /
Date: li
Construction lending agency for the pedormance of ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Cotle).
Lenders Address:
Date: _
OWNER-BUILDER DECLApA710N5:
I hereby eHirm that untler�p ne elry,ot perjury Ihat I am E%EMPT FROM 7HE CONTRACTORS LICENSE LAW tor Ihe tollowing reason (Sec. 7031.5, Business and Protesslons
Cotle: Any ciry or counry'whiih reqwres a Dertnit to construct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the ap0licant for such partnit
ro lile a signetl statement ifiaY�he'or,she Is Iicense0 pureuant to the provisions oi tha Contractors License Lew (Chapter 9(commencing with Section 7000) oi Division 3 of the
Business end Protessions Code) ol iheLhe o� she�is exempt iherefrom and the basis tor the alleqed exemption. Any violation ot Section 7031.5 by eny applicant for e permit
subjecis ihe appliceM to e civil pen8lry bf not moie then five hundred tlollars ($500).):
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❑ I, es ownar of ihe property, or my employees wuB wages as iheir sole compensation, WILL DO THE WORK, antl ihe sirucWre is not in�entletl or oflaretl for sale (Sac.
7044, Business and Protessions Cotle: The Contiactors License Law does not apply lo an owner of property who 6uilds or improves ihereon, and who tloes such work
himself or herseN or ihrough his or her owri'employaes, provided that such improvemenis ere not intended or ottered for sule. If, however, the building or improvement is
sold within one year ot wmpl9lion, the owner-6uiltler will have �he burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, arti E%CLI151VELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7040, Business and Prolessions
Code: The comreaors License Law tloes not epply to an owner of pmperty who builds or improves thereon, and who coNracts for such project with a comractoqs)
license pursuant to ihe Conira��ors License Lews.).
❑ I em exempt under sec. Business and Professions Code tor this reason:
Signeture: Date:
Ownar ID venfied by drivar's license. ❑ Yes ❑ No Drivefs License No.
Venlication oi Ownership by (type of tlaumeni, i.e. - properry tax bill or deed):
DIVISION OF INDUSTRIAL SAFEY�' PERMIT CERTIFICATION:
Ezpires:
❑ I hereby certity that no excavetion five (5) or more teel in tlepih into which a person is required to tlescentl, will be made in connection with work authonzad by this
pertnit, antl Ihat no Ouilding stNCNre, scaflolding, falsework, or demolition or tlismantling thereoi, will be more than ihirry-siz (36) feat high. (Chap. 32, Grp 2, Art 2, Sec.
341, TWe e, Califomla Atlminis�rative Cotle).
❑ As owner-builder, I will not ertiploy anyone to do work which would require e permi� from Ihe Division of Intlus�rial Safety, as notetl above, unless such person has e
permit to do such work from the tlivision.
SignaWre: Date:
DiviSion of InduSirial Safety Permit Number:
CERTIFICATE OF COMPLI CE AND AUTHORIZA710N.OF ENTRY: I certify under penalty oi perjury that I have read ihis application antl state that ihe information given is
correct. I egree to comply th all state leW s and ciry o nces relating to building construction, antl authorize representatives of the City of Costa Mesa to enter upon the
ebove-tlescnbed property inspec�ion pyfposes. I no 0 occupy or allow occupancy of any building authorized by ihis permit until final inspection.
LODE 1. INSPECTIONTYVE
1676 Fixed System I
7266 Pool Spe Finel
200 Final R8-Roof
201 Final Block/Retaining Well
202 Final FattOry Fira Place
203 Final Sign
204 Final Damolition � �
29I�' IMRIALS
�^ /'� DlDate
�Y
Da�e
CODE 1 INSGELTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/OcCupanCy
Q9IE INfIT1AL5
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us - 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address: 2105 COLINA VISTA CT Status: ISSUED
Suite No Applied: 04/24I2001
Vicinity: Issued: 04/24/2001
Parcel Nunmber:
42616202
Applicant: HOLMQUIST, JUSTIN
Address:
" . �
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Owner..'�cMUCVIHILL,�JOHN�C � �
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Address. ; 2105 COLINA VISTA CT
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� - . COSTA MESA, CA
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? Contractor � �ALISO AIR INC
r'-` � Address: � 29736 AVE DE LAS BANDERAS
� . � -^' / � _ ..
�� � � � ' RANCHO SANTA�MARGARITA, CA
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Phone: 949-589-2021
Zip:
Phone:
Zip: 92627
' Phone:� 949-589-2021
Zip: 92688
License: 526420
ISSUED BY: - L�
�
� ;�" � - SCOPE OF PERMIT �� -'
.:� CHANGE OUT FAU/ ADD AIR CONDITIONING..1� MOTOR,FOR�COMPRESSOR �
�
�. ' .
` � FEE SUMMARY
. � �� ��} � . Quantity' — _ . . - � _ _ ' ` - '
� ISSUE.FEE � �', � $23.50 � � � � - Temp Dist System / Lighting .
�Temp seryice test ': $0.00 Busway /100 ft . `
Res.�a/cpackage �, $0.00 � StandingSection .
New Res'(1-2, unRs) �, �'i -. $0.00 0 Misc Eledrical Equipment
New Res (3+umts) �. •�' $0.00 0 TranSformers up to 1 kva/kw
Pool / Spa ` \ - � $0.00 0 _ , � � .... .up to 10 kva/kw
Lighting Fizts� � '� ,A$0.00 0 � � . - - .... .. ..�..up to 50 kva/kw
ReceptOutlets, � $0.00 0
Switches ���� � �$0.00. � �,,._0,.
Non Res Appl �� � � i� $0.00 ;, � . 0 ' �
Res Appl � . �; j� $0.00 � � - 0 ,
Service to 200a ��� Ll� $0,00 ��V 0\
Service to 1000a �`� $0.00� � 0 -�-� �
i
Service over 1000a\�~.�� t$0.00 0�- �_ �
Motors to ihp ��.$0.00 � l 1� 0�
Motors to tOhp � � �$12.30 � ` �, �_ � 1 , ,
Motors to SOhp \$0.00 � . 0 ,
Motors to t00hp $0.00 :�' 4 0' �,
Motors over 100hp $0.00 -���� -�` 0 � � �
Communication drops $0.00 . 0- -. �
Sub panel to 200a $0.00 0 _�
Pole Light Pkg $0.00 0 �
Sign Circuits $0.00 0
Temp Pwr Pole $0.00 0
Intermed Pole $0.00 0
.. . .. ..up to 1�00 kva/kw
� � - ...over 100 kJa/kw •-: r
, Low Voltage Equipment � � '
Low Volt Wiring System / Ckt,' �
Misc._Conduit� ` _ ,3 �/
>Misc.�Conductor , � ,
. - . Circus (�gen or ride) � - �
Circus'(mech ride-or lights) �1��
Christmas Tree Stand , ���\'
'Fireworks Stand � -
OtherElectrical�Fee '
- j ;
�%
� �_'_
;
f! ��
Quantity 1 % t �)
$0.00 0 �(�/ r � 1
ao.00 o j��J� ; � �
$0.00 0 % � � � �� �� I
$0.00 0- II � � �� � J +
$0.00 �0� � ^' i �., J/
$0.00 . �,Af �� � i �) �
$000 "i 0 ti ���
$OOOi j 0 . � �
$0 00/ 0 ?�? �
$0 00 , _ 0 , ��
� Investigation Fee , - � �� �$0.00
PlanAheckFee-� � � $0.00
Reinspection Fee $0.00
TOTAL CALCULATED FEES 535.80
COMMENTS / SPECIAL CONDITIONS
0
t!
�
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 abantloned
for a period of 1 BO 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
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration. of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaas-as (rvoo�
WORKERS'COMPENSAnON DECLARArON: `
I hereby aflirm untler penalry of perjury one oi the following declarations: ' �
❑ I he end will maintain e certiticate of consent ro self-Insure for workers' compensation, as provided for by section 3700 oi the Labor Cotle, tor ihe pertormance of ihe
rk for which ihis permit Is issued.
I have flnd will maintain workers' compensetbn insurance, as requiretl by section 3700 of ihe Labor Code, for ihe pertortnance ot ihe work for which this pertnit is issuetl.
My workers' compensatlon Insu ance carner and policy number are:
Carner. b�`-' �� �-� � PolicyNumber.
((his section need not be completed il the permil is velued et one hundred dollars ($100) or less.) �
❑ I cenity that in the ped rtnance of tha work for which Ihis pertnit is issuad, I shall not employ eny person in any manner so es to becoma subject b t�e workars'
compensation laws o alifomia, ntl egree t�at if I s�ould become subJect to Ihe warkers' compensation provisions oi Section 3700 of the Labor Code, I shell forihwith
�lYwi�hthese o i5ion5. � /�� / D�
—j /
;,qpplicent�Slgnetura: Date:
WARNING: FAILURE TO SECU E RKERS' COMPENSATION COVERAGE IS UNLFWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIE$ AND GVIL FINES l/P TO ONE HUNDREO
TMOUSANDDOLLARE(5100, IN OOITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTION3]O60FTHELABORCAOE,IMEREST,ANDATTORNEY'SFEES.
LICENSED CONTRACTOFi�$ DECLARATION:
I hereby aflirtn ihat I am lic�qsed under provjsio
CONSTRUCTION LENUING
❑ I hereby attirtn that Iher
Lendefs Nema:
Signeture:
OWNER-BUILDER DECLARATIONS:
9(commencing with Section 7000) ot Division 3 ot tha Business and Pro(@ssions Code, end my licanse is in full
� qess a —LC.7
Date: �
lending agency for the peAormance of �he work for which t�is permit is issued. (Sec. 3097, Civil Code).
Lenders Address:
Date:
I hereby affirtn thet untler penalry of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe toliowing reason (Sec. 7031.5, Business and Professions
Coee: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requiras the applicant for such permit
to fila a signetl statemen� Ihet he or she is licensed pursuent to the provisions ot ihe Gontrectors License Law (Chapter 9(commancing with Sectlon 7000) of Division 3 of Ihe
Business and Protession3'Code) or t�at he or she is exempt therelrom and the basis tor the alleged exemption. Any violation of Section 7031.5 by any epplicent lor e permit
subjects ihe applicant lo e clJil penalry ol not more Ihan tiva huntlretl tlollars ($500).):
�.nn�i�, i.: ��_
❑ I, as owner ot the property,pr.my,employees with waqes as their sole compensation, WILL DO THE WORK, and Ihe siructure Is not intentletl or ofleretl for sale (Sec.
7044, Business entl Professions CoCe: The Contiactors License Law tloes not apply to an owner of pmpetly who builds or improves thereon, and who tloes such work
himself or harseltor ihmugh his or her o`wri employees, provided ihat such improvements ere not intended or oHered for snle. If, however, Ihe building or impmvamenl is
soltl within one year of completion, ihe ownertiuilder wi0 have Ihe burden of proving that he or she did not builtl or impmve for purpose of sale.).
❑ I, as owner of the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Professions
Code: The contrectors License Law tloe's not epplY to an owner of propeny who builds or improves thereon, and who contrects for such project with e contracmr(s)
license pursuant to ihe Contractors license Laws.).
❑ I am exempt untler sec. Business antl Pmfessions Coda tor this reason:
Signature: Da�e:
Owner ID venfied by tlnvers license. ❑ Yes ❑ No Driver's License No.
Venfication of Ownership by (type of tlocument, I.e. - property tax bill or deatl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I hereby ceNfy Ihat no exwvation five (5) or more feet in depih into which a person is required to descend, will be matle in connection with work authorized by Ihis
permit, and Ihat no builtling siructure, scaftoltling, falsework, or demolition or tlismantling ihereof, will be more than ihirry-six (36) fee� high. (Chap. 32, Gry 2, Atl 2, Sec.
341, Title B, Califomia Atlmini5ira�ive Cotle).
❑ As owner-builtleq I will not employ anyone to tlo work which would require a pertnit from the Division of Intlustriel Satety, as notetl above, unless such person has e
permit to do such work fmm ihe division.
SignaWre: Date:
Division of Indusirial Safery Permit Number.
CERTIFlCATE OF COMPLIANCE AND AlJTT10RIZATION.OF ENTAY: I cenity under penalty of perjury thai I have reatl Ihis application and state ihat the information given is
correct I egree to wmply wit all stete laws end ciry ordinances relating to builtling constmction, and authonze representatives of ihe Ciry of Costa Mesa ro enter upon ihe
above-described property foxspaction purposes. I egree not to occupy or allow occupancy oi any building authorized by this permit until final inspection.
COpE �. INSPECTIONTYPE \ /
\./
161fi Fixed System Pinal Fire PreveNion
1266 Pool Spe Finel
200 Final Re-Roof
psg' I T RL QQ,Q� INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
�{ s��1ec�r
ate
201 Final BIocWRetaining Well 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
PAI4 1tlIIDELfl
CITY OF COSTA MESA
CAUFORNIA 9262&1200 P.O. BOX 1200
DEVELOPMENTSERVICES DEPARTMENT
September 20, 1989
To:
Building Safety Division
Code Enforcement
Communications
Copley-Colony of Costa Mesa
County Administration office
County Clerk/Bd. of Supervisors
County Registrar of Voters
County Tax Assessor
Engineering Division (2)
Fire Prevention
Manager, MIS
Mesa Consolidated Water Dist.
Newport-Mesa Un. School Dist. (2)
Pacific Bell (2)
Police Dept. - Ping. & 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
U.S. Post Office, Santa Ana
Zip 4 - Santa Ana
File (2)
The City of Costa Mesa wishes to advise you that the following
addresses have been changed or added:
OLD ADDRESS
NEW ADDRESS
A.P. NO.
320 East 21st Street 2100-2121 Colina Vista Court 426-161-05
For your convenience we are listing the agencies above that we have
notified of the change. In addition to those listed, you are
advised to notify your correspondents of the change in order to
avoid any possible interruption of mail service.
Your cooperation in this matter is appreciated.
sincerely, ,_C,�,✓ n//
� �� /�
EANNE RUSSELL
Planning Intern
JR:jl(ADDCHNGE.48)
cc: Mr. Ron Amburgey
Amburgey/Carich Construction, Inc.
135 Commercial Way
Costa Mesa, CA 92627
77 FAIR DRIVE
BuilOing Division (714) 754-5626 • Code EnforcemenVBusiness License (714) 754-5234 • Planning Division (7/4) 75d-5245
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