HomeMy WebLinkAbout2116 COLINA VISTA CT - Building PermitsCYTY OF COSTA MESA
CALIPORNIA 9262&1200 P.O. BOX 1200
DEVELOPMEM SERVICES 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
320 East 21st Street
NEW ADDRESS
2100-2121 Colina vista Court
A.P. NO.
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, �_'/"/��
1
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 ORIVE
6uiltling Division (714) 754-5626 • Cotle EnforcemanVBusiness License (714) 754-5234 • Planning Division (714) 754-5245
0
L
N
m
�
�
�_i
2�05 2109
nu
2121 ' '
� .� �
y Lot #1 - I.ot #2L:_1Lot #3J'�Ir.ot # _' ot #5 ` ot #6 I ' 1 F1
j"'i�� ' Plan C Plan I ,� lan. f � Plan Plan �lan � �� :
� 4 '
I ^ ' � _ � B I' T A � " � B ' I p = � g � "- ; �
�.`'..-..�•�„�c �°� I i �• dc I• � � y,;_9
�-' I � I I • #
I��?�.m 4 , i � I i I � 7. =
• •C ��- �.�� - J� r. . � �
`I \ �, = l
/4� '—` -�� � ^ ^ ' J..__ � �� ': ' � `� " � � ��� c
.. .,�..� � —
� JI M ^—�\ J�: �.�- ' �_ . 'I I ' If� ' fl
; I ' ��.i. ��c I i � ._��' � � �� I It jI I
i � i i I � i j �� �I
i
_'— J Plan � Plan =--•� Plan I; I L� � ,�
� ',--� �..J —_�� Plan 4�►-.� Plan r: '•• fl ir
"+' _ � B '— A _� � B Ylan C B I � A I, � I, �'
I
' fLot #1 + Lot #11- Lot #lOj _ � _ . ILot #8 i fLot #7�•
. _ - � �
� �ra� - s�oe �r�— ui6 z12o �
� .� o ,
� °� U
o�
v
-= =J
I �I
Pfl0.1ECTRODRE83: - i1SG COLINA VISTA CT
OWNEN'S NpME: CFiERYL CARLSON �
nooxess: SAME
"722-7607
RflCH/ENGINEEfl: � ;
FOORE53:
NEO.NO.:
UNR:
UNIT:
PEIIMIfTEE: j�THURS ELECTRIC ' � ( 714 ) 522-2155
nooxess: 5600 ORANGETHORPE 4309
'- LA PALMA CA 90623
' LICENSEO fANTMCTOB OEClAN1T10N: I hereby affirm Ihat I am licensed unEer pmvisians of Chapter 9(commencinp with Section
� 7000) of �ivision 3 of ihe Business antl Pmfessions CoUe, antl my license is in tull lorce anE effect.
CITY LIC.: O S 1�I 9 7 /�' STRTE LIC.: S S% O Z��j��c7y1ss: //� 0
Date: � O — I ��1 � SiqnaWre: —�� T�(/.._1--1�
WOBNFBS'COMPENS�TIONDECIAMTION: Ihere6yaifir IhatlAaveecertificataotconsenttosetl-insuraoracertificateolWorkers'
Campenution Insurance, ar a certifieU coDY �hereof (Sect on 380U, La6. C).
' POLICY NU.: *' ' E%P. DRTE:
COMPRNY: ��. '
Certifie0 coOY �s hereby fumiSheE. ❑ Certi�ieU caDY i i etl witA [h ciry ildi p DiviSion. ,
Oate: �� —. � ' � � �lppliont: �
�� F%EMPfION FHOM WOBNENS' fAMPENS11T10N OECIAMT10N: ti ctian need not 6e comDleteA if ihe permit' for one �narea �aiaal or iess�.
�, I certiry ihat in tAe De�ormance of ��e work tor which this De m' is sueU, I sAall nat emDloy an D sun' any nner so as ta Uecome
suCject ro the Workers' Compensation Laws of Califomia.
Oate: � D I ^ q0 Sipnature:
NOTICE: If, atler makinp ihis Eeclaration, you sAoultl 6 ome su ect to Ihe orkers pensation pmvisions oi ihe LaEor
COAe, you mu5lforthwitA campty with such Drovisions r[his permfl shall Ce deemetl revakad.
fANSTBUCTION 1FN01NG 10ENCY: I hereby aflirm that ea is a consimctian IenOinp agency far the pertarmance af Ihe work tor
' whicti �his permii is issued (Sec�ion 3097, Civ. C�. � � '
LENOER:
- eooness: �
OWNEB OURDEB DECLAMTION: I hereby attirm tha[ I am exempt imm ihe Coniroctors' State License Law for IAe followinp reason
(Seciion 7031.5 Business and Professional Cotle: Hny ciry a/ counry which requires a Dermit to cdnsiruc6 alter, improve. Eemolish, or
rtpair any slmciure. pnor to its issuance, also requires the applicant for such Dermit to file a signeA statement IAat he/she is licensetl
pursuant to tAe D�ovisians o/ IAe Contracrors' State License Law (Chapter 9(commencinA ��h Section 7000) oi Didsion 3 ot the Business
an0 Prnfeuions Code)-or t�at he/she is exempt iherefmm and �he basis tor the alleped exemption. Nny violation oi Section 7031.5 by
any applicant Por a OermiCsu0lec�s Ihe applicant ro a cidl penalry of no[ more I�an Me �unOreO Eollars (5500�.
I, as owner of ihe pmperry or my employees wiN wapes as t�eir sole com0e��tion, will tlo the woB, antl ihe
❑ stmcture is not intenCeO ar ofleretl far sala (Secnon 7044, Business an0 Pmfessional COAe: The Contracrors' State License Law
. does not aOPly to an owner of a DroPenY who builOs or improves thereon, anE who Ooes such wark himseti/herself or I�muAh
-�is or Aer own emD�oyees, provitletl that such impmvemen�s are nat intendeE or oflereE lor sale. Ii, �owever ihe huil4inA or
impmvement is mltl witMn ane year al comple[ion, [he awner will have the burden ot provinq he/she 4i0 nat EuilU or impmve
/or ine vuroosa oi sale�. .
' ,I, as owner of Ihe Omperry, am e�clusiveN wniractinq with IicenseC contractors to construct ihe Drol� (Section 7094, Busineu
❑ anA Professions CaUe: ihe Coniractors' SWte License Law dces not apD�Y �o an owner oi propaM wha hmlAs or imD�s [hereon
and�who contracts torsuch pmjecLs ryt� a contactaqs) license Dursuant ro Ihe Contractors' State License Law�. I am aware
that proof ol t�eirWorker'S CamDe�s:lian insuronce shoul0 �e DmNUetl to me. ' .
� I am exemp� under Sedion: ' B. 8 P. C. '
for this reasan: � • .
�ate: ' � Owner: '
I Oo AereUy certity t�at I am aware ai and unOersWnOlha requirements of Califarnia Heatth an0 Satery CaUe Sections 25505. 25533, anE
25534 and Ihai I Or any tuNr¢ builGinq oCCupant WiIVWilI no� (tirCle one) n¢¢E �o compty with Said Siate w0es an0 �he requif¢m¢nis �or a
permit for construdion ar maOAication Irom [Ae Air Qualiry ManaAement OisMct. Resitlential consimction applicafions ara exempt fmm
Iheu Drovisions. � � '
Date: Rpplicant:
I hereby cenity t�at I have read this apDliwtion antl stata Ihat t�e aEova infarma[ion is correct. I aprea ro comply witA all ciry,an0 counry
ortlinances anU state Wws reWtlnq to builOinA ��struction antl fiere6y authonze repre5enW6vw oi ihis ciry to enter upon the above-mentionaE
property lor inspection puryoSes. ,
Daie: � SignaNre:
�
Driver's LicenSe or, $ocial Sxuriry , �
16C1-4fi W�ite—Buildinp; GreBn-Catle Enforcemeni; Cenary—Applicanp Pink—Revanue; GoMenraE—Asaesmr
CITY OF COSTA MESA — BUILDING PERMIT ,PERM NO: E ,04924�5
PERMIT NO; E 049245 � PLAN CHECK NO; N GOVTc N SUPP; N
_ . , ,
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE . PUAPOSE; OTH
JOH'DESCRIPTION ;�ADD TWO GFI OUTLETS SQ FT:. � �
�
CLAIM VALUE; � • CALC—VALUE: , GROUP OCC: R-3 /'
� - ' � � . � ' i: . _
COMMENTS: TWO NEW GFI OUTLETS IN BACKYARD F.�
***�*+rx�*�****�r�r**�*�r�r�***���r�r�r**�*x�*********+r�r***�**�r**�r�r**�rx�x�***�t*+r+r+r*x�+r*�r�r'ar*
, 2 O N I N G R E Q U I R E M E N T S � '
•S E T H A C K S '
------------ MAIN HUILDING --------- --�------ ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN'
PARKING REQ• PROV; PARCEL: 00000000 ZNE: REF NO:
PLANNING NfSTES> , �
� . . _ _ • . . . .. - _ . . _ _ .
iF ik 3k iE ik iE iE i! ik if iE if iE ik ik iE iElE iE ik ik ik 1F fF 1E 3k ik iF ik ik±E iF i! 3klE k if iF ik itlE IE It iE±E ik±F 1F ik if if iE k if ik N 1E iE if %if iE If iE if ik iE if it it iE 1E iE IE iE if iE iE iF
D E V E L O P M E N T S E%R V I C E S R E Q U I R E M E N.T S
ZONING APPROVED HY ' DATE:
HUILDING APPROVED HY : DATE:
u
0
x.
APPLICATION ISSUED�HY: DATE;�� aU/ �
3kit±EiElfiFiFiFitiFiFilikkiliEiliFiFifikk iFAi�iFifiFfFiFiEiFlflkiEiF 1F '
iE1EaFiFiFiFlfiFiFiFifiEiFifiFiEikiE�EiEikiklfifiFiEiE1FlFifiFa F.iE�iF.iFiliE klkif3FlfiFiklFikiFifififiEiFMfFaEikikiFifiFifik�lf�lFiE3EiFiFikif�3kiEi@�EiFiF
LEGALIZATION:N F E E S�U M M A-R Y STRUCTURAL SEGMENT:N
PERMIT BLDG PMT PLUMHING ELEC3�00 MECHANIC
, �OR
PLAN �
ISSUE FEE 15,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 3,00 15,00 0.00
AEVENUE DIVISION TOTAL§--> COLLECTED;
HLDG PMT PLUMBING ELECTRIC MECHANIC
• 18,00
u
FIRE SMIP/RES GRADING
SMIP/NON—AES
TOTAL PAID DUE
1B4O0, 18,00 ,00
18,00 OVER/SHORT: ,00 '
FIRE SMIP/TOT GRADING PLAN—CHECK
iF 3F 3k iF jk 1E ik if ik If iF it if !E i! if ik 3E if iE jf iF dF i! �F iE iF iF i! i! iE iF if if iE dk 1f iF iF If 1F �F iF 3F iF iF �k iE k �F �F iF iF ik if if iE M 1E iF �F 9F iE if fE iF iF iE 1F iF iF 3k if iF iF iF iF iE if
I N D I V I D U A L' F E E H R E A K D O W N
TYPE (JTY D E S C R I P T,I O N UNIT COST TOTAL COST
ELE 2 RECEPT/OUTLET 1 ST 20 EA.. '.75 1.,50
ELE. 2 RECEPT/SWITCH 1 ST 20 EA, ,75 ' , 1.50
END OF FEES ,
. i �
0
� I �
oF o�n�a�sc�-eaa�a�so �r�roi-
.. DATE� 1CJ4i/9fl TIttE: iil: �2
1�.OQ
CONSTRUCTION AND PLANNING , � . _ - POl . SPA � '
APPROVALS Permit# Date �nspector qppROVALS Permit#. Date Inspector
1. Temporary Electrical Service'or Pole .� - 52. Pool & Equipment, Location �
�-2_�Soil Pipe�Undrgrnd.� • y - ' � ' - 53. �Steel Reinforcement .
��;3HElectiicalCon�$UtilityUniirgrnd. ''� 54. Forms � �
'-. � .
'''y4 Electiical Condai�'fi�7jidrgrnd. , � 55. Electrical Bonding "� -
�C5. Steel�Reinforcemeni 56. Rough Plumbing & Pressure Test �- �
-n.-, n + �'
=.'~.6. Electrical UFEf,t-�,Grnd. � : ' 57. APPROVAL TO COVER�GUNITE
�'.=7. Footings ✓ � 58. Electrical Conduit-Undrgrnd.. , �
" S. Foundation n� �-� � . ' 59. Gas Pipe, O Undrgmd.,'Test -
'y 9. Water Pipe-Undrgrnd.. �� � _ . 60. Backwash Lines, P-Trap, O Undrgrnd.�
:�10.StructuralFloorSystem ' � 61.�APPROVALTODECK �
y11. Property Sewer Line & House,Connection -- . 62. Backwash &'Receptor=Final
12. Sewer Cap :� ��� � '' � 63. Heater & Vent�Final
0
13. Roof Drains .� � . � ,� � � �
�� � 64. Plumbing SYttem - Final
14. Rough Plumbing � 65. Elecfrical-Final �
��
� 15. Rough Electriczl-Cond�uit . . 66. Solar SYstem-Final '� • . ,
i6. Rough Electric,Wiring� - 67., Fencing & Access�Approval ,
17. Rough Wiring`Sign � ��. j _. 68.�APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling .�� .- � 69. POOUSPA SYSTEMS FINAL
� 19. Rovgh Heating &.Air Conditioning � r � .`. �, �_ rFIREyDE�T. REQUIREMEN:T, tirc;
^ :� 1-� c t ( 7 M I Cc' -• r.^ " 'G M ' � rJ _ r .
i ,,n,�� y, . L� .� _ ... . � [ v%i M ''
20;;�Rouyh Fectoiy FZreplace i rir. .�� M S c'* +: APPFCOVA1�Si-.:�.Permit # �
- •' CrH t
21��D _•s, in' St�ictuCe'� � '• '. riS * � �7 ;^x .,, ` � c7." � *
u�S � �x ;�, ��: .ti :.x �; �70. llndergr�und Hj!jlro ,:
22,.r,Du`cts, Ventilstirig* � "�j z�;, rg •;j E-:�: x: '71, produci'�Riping OGas ��Oil
,. ,-.
23yGa�-PiPMRo"'u�qh & Tes[ i�� �.f� ��T. r" •� �* � j72. UndergroLr'pd Frush � `"
�
�r c �. .. -3+ � r� � `..�.., r ;;. n x x � •_ --• �' _
24.'Roof F[a.ming ,-;� �q �; ' is .;� * ..73t=Undergrnd.Storage:Tank�OGas ❑Oil
r.
25; Roof Sheathing �^ � �` x,� � T; y y '74�"Overhead Hydrd�,,, w
�n �'F x ~ �-t :� x ��, �� ir. x > J �-+
26a'._,,T-Bar Celling (StruGtural) &'Moratuoat * p ;. ri* � 75TDry Chemical =.p s J ,?.+.
��
27?�Fr�me a�Sd Flasking� �QS � � %' ��'� 76. Dry StandAi�ie '" A ' n � ''•,.�.,
., � .� x t- 1 x � r: . at F+ H: _. J
�, ., �r; � . � ;� � . .. x r c '=; o -� .... � r- �-
r;28. LatTing'& Siding��; " ���, �j � �� ��l� � � 77 ; FIXED SVSTEMcF..INAL� -- n ��
29. Insulati n '" � � .. x :: � i -'• �: ^: L ^ � � x ��_z
Si "i: ;, * r. � I;; I} x 78LLyFIRE PREV. FI.N?�L x F-r-�
'�30. Dr wall:Nailin C�� * l * ' x ; � �, Y �
y g_.;K ,..a , x c_, � !� I i� x � ;1�]-, E_ALTH�;DEPT�: REQUIR�fV1ENT
731. Piaster Brow�,`n, Coaik F' ��"T � ' I f;�.K 79.�FINAL I`N,�..ECT16N; ��
�i _. K /l I ~ Y N I �:i*� �: n ^] -yi x _.
;T32:yElectrical Podyer'Mater-Final; .r � �� j;'�;; r 80:--;POOD CERTIFf§A'i�E ISSUEDH
; � . :: y� �Y � _ � �
�3�Fin31 EYe'ctriC �: * C' ' �. Noies:
r� n t - i�.� :.w r•J <f "+ ^ �: �'
r3 r, e- �^ t e_ . i�- c ['� � � � � Ix ! .L •^.� •.n [� X •�
34:,;Firtal Heatin '& Air Condrtionm
t� 9 ... � : � g [� � : � f �, '�x� � ui ��oo o i - � * " --,
.,
� 35%iFirial Gas Pipe-TestK �� •� w � I � {'.' � *' � ,�o _ � +� � evr,y:r
,... . � J n .;: n �. F-
^'36...Hood or CanoPY x"r i t••; �;, x�,', � r� * r 2 �^o r: ;^
� � I."'..�'; C M I ��FEcy r :-_O A'.^. _�„^•?
'737�•Final Factory Fireplace%' � ^: � * � �, � �*.' *
� r„ {U
� x T < *
__ m Y: ni I J ` � � �>' �: W
�'38. Firral Plumbing a, � . o �� � ��t � x � �:
�� ,. . � � ' ' .. .. - , .:....
39. Water Service�Final.: ; � �!: a I I 7� x' � ��y >� :T,^
- ' - ! 1 !.� i: � F'� � '.y 'C; �;
�40. Gas Service-Final � -7 `�^"'' '- �^: r � I �*'" �'� ''��� � � • •
x ;,, �. � p-. n i P: x r� • o� ac <t
`\ rt > t � �� r •,J. � • .-
47. Solar OomesticFinal m . i � :� m `ic c� x� :�.^,
� � �-. rl i
42 Backflow Prevente�F � �=' x^ �! , �' '• %'�' "�' c '�
i� � N O y �-, :.-� x. '-; O x F
A �� �
43. Backflow Irngationi: > * � � :r u x � .^. • •
- z i - ^} * "� i �
r.. " ' uC�irJ �, " D7 �=, �.• GK Y' .. Ri Cu TCJ ?: � i'� ZJP�
��44.�LandscaDe liripatioy System_�� r; '.e ,` � �,� * � £ S �,�. � �' r
2,' L� ,J _ F ^ ;.,:-� �� a. L - r• r^ . . . '.,' _ " .:
45,,Sound Atte�uation: ' . ., x „ r^ �!x x , c+ :- �; ;i= x
- . >� � -,o �:
C46.•Handicap Regulatio�hs '" �' � � ;;� * ` ^ `^ � -'� S '�
a: <- X• S i ' � : (�x `� !+'i C% [j �
�;47:'FINAL STRUCTURE & BUILDING � i--� I j j"� � r� _� �� i c� a: E�
� � > C
48^TFINAL PLANNIN ' • � �'' � � ;� �` ' � � r'
� � I I.;� a � `r� s s e:
:�49�:.ElecEric Release to Edison � .; , 1 � .� z = k; •n �M y
+- e r �•-• �e n ti•�
"= 50=Gas�Release to Southern Califoc'nia Gas Co '� � � �'%� '�: - ` .G � v- .w. U � •
4 d� -�� h' • S �C il � Gi �UPJ
'-51. CEFifiIFICATEOF'OCCUPANCY •� ••" '� � -
No. Date