HomeMy WebLinkAbout2117 COLINA VISTA CT - Building Permits, ..w . . • ! � •' -'
CITY OF COSTA MESA �
sva��N� o►v�s�oN
Ft � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • �wiw.ci.costa-mes .ca.us
�.��`o � � FOR INSPECTIONS CALL: (714) 754-5626
* PERMIT NUMBER P07-00545
PERMIT TYPE
JOB ADDRESS:
Vicinity:
SCOPE OF WORK:
PLUM
2117 CO
STATUS:
DATE ISSUED:
,., , --' x: :,:ISSUED BY:
, �
!ISTA CT CMA Suite/Unit '`
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ISSUED
10/15I2007
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OWNER: CURRY, ROBERT D ' �Address �2117 COIINA� VISTA CT;�; 1,q
PHONE: � , j � _ � City/State/Zip i�.COSTA MESA CA ' �' �
APPLICANT: HENRY QUAKE � +� Address ���-3959 GUASTI RD UNIT B��,`'
PHONE: 909-605-2011 �g �'�(9�-- " City/State/zZip. "ONTARIO,•`CA "t � '-
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CONTRACTOR. PLUM8-1N-TIME PLUMBING:$ERVICES INC License No.° 895793 a'` `��,I
Address: 3959 GUASTI RD.,'��� �� UNIT B �' PHONE: ' 909 605 20'11
Ciry/State:
PLUMBIN
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ONTARIO CA ��„� . ZipCode�-91761r� +.. -- - CELCr
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G PERMIT FEE SUMMARY . �
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PLAN CHECK FEE: � $0 00 -F
PERMIT FEE: $35.80 '
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TOTAL FEES: $35 80
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NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) . , .
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable wdes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE N. INSPEL710N ME
1616 Fized System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final Block/Retaining Wall
202
203
204
Final Factory Fira Place
Final Sign
Final Demoiition
DRTE INTITIALS
COUEk INSPEGlIONTYPE
206 Final Mechanical ,
208 Final Plumbing �/�-
210 Final ElecMcal
212 Finai Fire Prevention
220 Final Planning Appmval
222 Final Site
25o FinalBuiltling/Occupancy
UATE IN7fIIALS
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WORKERS' COMPENSATION DECLARATIO� .
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have antl vrill maintain a certificate of wnseM to self-Insure for vrorkers'
compensation, as pmvitletl for by section 3700 of the Labor Code, tor the
peAormance of the work tor which this permit is issuetl.
❑ I have anC will maintain v.orkers' wmpensation insurance, as 2quired 6y
secl'an 3700 of the Labor Code, fw lhe perfortnance o� the v.ork for wfiich this
pertnit is issued. My wvrkers' wmpensation Insurance carrier antl policy
number are: �{-.
Cartier. �nw..-� crc-L �� 1vir�JSfrY Sin 5�� •
(ihusectonneednoteemmyereentnece���aluedatmehun0 OMlars(Et00�orkssJ
Policy Number �n � W C- � 3 t 2$ U \
❑ I ceAify that in the pertormance of Ihe work for which IhiS permit is
issued, I shall not employ any person in any manner so as to become subject
to Ne workers' wmpensation laws of Califomia, antl agree [hat if I shoultl
beGome subject to lhe vrorkers' compen5ation provisions of Section 3700 of
ihe Labor Code, I shall forth ' h comply vrith these provisions.
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v .yynwnfsSignaWre Dale
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S
($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNirm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, antl
my license is in nfull force aantl eflect.
Lic. # 1 S 7 1� Class #
�rs � z� l O
' t2clor'sSig�uWre Da�e
CONSTRUCTION LENDING AGENCY:
❑ I hereby aRum that there is a constmction lending agency fw the
performance o( lhe v.ork for wfiich this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
lentler's AdCress:
Date
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for [he (ollowing reason (Sec. 7031.5,
Business and Professions Code: Any city or counry which requires a permit to
consWct, alter, improve, demolish, or repair any sWcture, pnor to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pureuant to the provisions of [he Contractors
License Law (Chapter 9(commencing vrith Section 7000) of Division 3 of the
Business and Professions Code) or that �e or she is exempt therefrom antl
the basis tor the alleged exemption. Any violation of Section 7031.5 by any
appliwnt for a pertnit subjects the appliwnt to a civil penalry of not more than
(ive hundred dollars ($500).): -.
❑ I, as ovmer of the property, or my employees vnth wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
oKered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an ovmer of property who builtls or improves
thereon, and who does such vrork himself or herself or through his or her own
employees, provided that such improvements are not intended or oflered for
sale. If, however, the building or improvement is sold within one year o(
completion, the ovmer-builder vrill have Ihe burtlen of pmving that he or she
did not huild or improve (or purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
IJCENSED CONTRACTORS to construcl the project (Sec. 7044, Business and
Professbns Cotle: The contractors License Law dces not apply to an ovmer of
property who builds or impmves thereon, and who contracts for such project with
a cmt2ctor(s) license pursuant to ihe Cont2ctors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for Ihis reason:
�
Owner ID venfied by dn �i�. ,. ❑ Yes ❑ No
.. Dnver's License No. Expires:
� Verification of Ownership by (type of document, i.e. - property [ax bill or dee0):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:'� ' �
❑ I hereby certify [hat no excavation (rve (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authorizetl
by this permil, antl Ihat no building SWcture, scaffdding, falsework, or dem0lition
or tlismantling thereof, will be more ihan thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, Ttle 8, Califomia Administ2tive Code).
❑ As owner-builder, I will not employ anyone to do work which would
require a permit �mm the Division of Industrial Safery, as noled above, unless
such person has a pertnit to do such work from Ihe division.
Appliwnl'S SignaNre
Division of Indus[rial Satety Permil Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicam or present or future building occupant need to fle and
certify a Business Plan for emerqency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, that a Business Plan be filed with Ihe Costa Mesa Fire
Department by every business vmic� has at any one time during a reported
year a quantiry o( hazartlous materials equal to or greater [han a weight o(
500 pounds, or a volume of 55 gallons. or 200 cubic feet of compressed gas
al standard temperature and pressure).
2. Does or vrill the applicant or present or fuWre building occupant neetl to file
a registration form (or acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 0( lhe Califomia Health and Satety Code. vnlh some
exceptions, requires registration with the Cosla Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous ma[erials equal [o or greater Ihan a weight o( 500 pounds, or a
volume of 55 gallons, or 200 cubic feet ot compressed gas at standartl
temperature and pressure).
3. Does or will the applicant or present or (ulure building occupant need to
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Seclion 25534 of the Califomia Health and Safety Cotle provides that the
Costa Mesa Fire Department may require lhe preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
ro register awtely hazardous matedals vrith lhe Fire Department.
4. If an RMPP is presently requiretl, has Section 25534 of the California
Heal[h and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or vnll the applicant or present or (uture building occupant require for
the vrork which is the subject of this application a permil tor such construction
or motlification from the Soulh Coast Air Quality Management DisMct or from
any olher air polWtion control tlisMct or agency? ❑ Yes ❑ No
(Section 658502 0( the Califomia Govemmen[ Code requires [hat the requestetl
information be fumished on applica[ions f« rwmresidenlial building pertnits).
6. Will any part o( the facility to be constructed under this permil be within
1000 feet from the outer bountlanes of a school? ❑ Yes ❑ No
Qf yes", the facility must meel lhe requirement of Sections 25534 and 42303
o( the Cali(omia Health and Sa/ety Code).
7. If a pertni[ from the South Coast Air Qualiry Management DisMct or o[her
air polWtion contml district or agency is requiretl for the work which is the
subject of t�is applicalion, have all of the tlisclosures prescriDetl by California
Health and Safery Code Section 42303 been made? � Yes ❑ No
8. (If'yes", attach certificate of compliance from tha appropriate air pollution
conVol officer). -
CERTIFICATE-0F COMPLIANCE: I certify that under penalty of perjury the
information given above is cortect. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials antl Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of peryury thal I have reatl this application and state that
the information given is correcL I agree to comply with all state laws antl ciry
ordinances relating to building consWction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any builtling
au[horized by this permit until final inspeclion.
- Signamre oi Legal Ovmer(s) Da�e
Si9naWre . Oate � / ��¢ /�/�S , //�'7
�OAd6(3/W) � —�" �� �/
� A dlo onzetlnppuWnt Dale
Requested Inspect Date: WednesdaY, June 04, 2008
Site Address: 2117 COLINA VISTA CT CM
A/P/D Information
Activity: P07-00545 Type: PLUM
ConstType: Occupancy:
Owner: CURRY, ROBERT D
Contractor: PLUMB-IN-TIME PLUMBING SERVICES INC
Applicant: HENRY QUAKE
Description: REPLACE WATER HEATER
Requestedlnspection(sl
Item: 62 ROUGH PLUMBING Requested Time: 08:00 AM
Requeslor: Phone:
Comments: PM
Assigned To: "*`*"""" Entered By: TEMPEMP K
Action: Time Exp:
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Sub Type: RRIP
Use:
Phone: 909-605-2011
Phone: 909-605-2011
Status: ISSUED
Insp Area:
Insbection Historv
74
76
78
80
82
84
S8
90
92 '
102
108
110
116
120
208
TEST
Action: CO Correction(s) Required
EXTERIOR
Action: CO Correction(s) Required
'P LINE NEEDS A 90 AT EXTERIOR
REPT131 Run Id: 9455
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(714)754-5273 • Fa�c(714)754-4856
CITY OF COSTA MESA
BUILDING D/VISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
Job Address: Zi'I7 COLINA VISTA CT
Suite:
Vicinity:
Parcel Number: 42616205
Applicant: LAMERTON, RON
Address: 1112 CARSON ST
COSTA MESA, CA
owner: CURRY, ROBERT D
Address 21 t 7 COLINA VISTA CT
COSTA MESA, CA
Contrector: LAMERTON CONSTRUCTION
Address: 1112 CARSON ST
COSTA MESA, CA
Zip: 92626
Arch :
Address:
Zoning:
Phone: 7145572063
Zip: 92626
Phone:
Zip: 92627
Phone: 7145572063
License: 581711
Eng:
Address:
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 07/24/2000
Issued: 07/24/2000
Phone: Phone:
2ip: � License: License:
SCOPE OF PERMIT
CONSTRUCT 2 1/2" X 20FT STORAGE SPACE INSIDE THE GARAGE.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$1528
$23.50
$0.50
$0.00
$0.00
$0.00
$39.28
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existina: o
NOTES:
Rear 0- 0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNiNG & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
$aoo.00
saoo.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
tor a period of 180 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
requiretl Inspectlone and flnal approvel must be obtained. Failure to obtain inspections and final approval will resuN in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
N/ORKERS' COMPENSATION DECLARATION: '
.
I hereby aHirtn under penalry of perjury one of Ihe lollowing declarations: �
❑ I have antl will maintain a cartificate ot cronsent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for tha pertormance of the
work tor which ihis pertnit is issuad. �
❑ I have and will maintain workers' compensatlon insurance, as required by section 3700 of the Labor Code, for the perfortnance oi iha work lor which this pertnit Is issuetl.
My workers' compensation Insurance carner antl policy number are:
Carrier: Policy Number:
(This�ection need nof be completed il fhe permi( is valued at one hundretl dollars (5100J or less.)
I certify that in the peAormance of the work for �!ich [his pertnit is issueQ 1 shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califomia, antl agree Iha I 3 ould bewme subject to ihe workers' compensation provisions of Sectlon 3700 of lhe La6or Cotle, I shall forthwith
hes � �oni� s. J � / � /i GG
�
licant Signatu �-- Y T
: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS IINLAWFUT AND SHALL SUBJECT AN EM RIMINAL PENALTES AND CIVIL FINES lIP TO ONE MUNDRED
THOUSAND DOLLAilE (5100.000), IN A�DITION TO THE COST OF COMPENSATION, DPMAGES AS PROVIOED FOR IN SECTION 31W OF THE LABOR CODE, IMEflEST, AND ATTORNEI^S FEES.
LICENSED CONTRAC70RS DECLARATION:
I um that I am i setl u�ntlg� provisions t Chapter 9(commencing with Section 7000) of Division 3 of the Business
ceandenect.uc.a__ _5 X 1%��_____n_ _ �—a�
Date:
Code, and my license is In full
CONSTRUCTION LENDING AGENCY:
❑ I hereby aMirtn that Ihere is a construciion lending agency for the pertormance ol the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lentlers Atltlress:
Signatura: Date:
OWNER•BUILDER DECLARATIONS:
I hereby aNirm ihat untler penalry of perjury that I am EXEMPT FROM TNE C
Cotle: Any city or counry which requires a permit to consiruct, alter, improve,
to file a signed statement Ihat ha or she is licensed pursuant to the ""
Business and Pwtessions Code) or that he or she is e refrom antl �
subJects tha applicani to a civil penalry of not r�cr ive hundretl tlollars (
u
0
I, as owner of the propeny, or
70a4, Business an e
himself or he or t is or her
soltl within e yea f plation, th
I, as owner of
Code: The contractors License
license pursuant to the ConVacto Lic
cempt un er sec.
ture:
r ID veritietl by tlriver's license. �[.
ippry m an o�lner:G
s.).
_ Business
❑ No
Veritication of Ownership by (rype of document, i.e. - propehy tas bill
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
�ORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
, or repair any strucwre, prior to its issuance, also requires tha applicant for such permit
bntrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of iha
for Ihe allegetl exemption. Any vlolation of Sectlon 7031.5 by any epplicent for e permit
mpensation, WILL DO THE WORK, antl Iha structure is not intentletl or ottered for sale (Sec.
3inkepp ner of properry who builds or improves thereon, and who tlaes such work
i improvemenis ere n or ottered tor sale. If, however, the building or improvement is
oi proving that he or she did not build or impmve for puryose of sale.).
-d'CONTRACTORS to construct the pmject (Sec. 7044, Business entl Professions
erty who builds or improves Ihereon, end wha contracts for such praject with a coniractor(s)
License
Ihis reason:
❑ I hereby canily thet no excavation five (5) or more feet in tlepth into which a person is required to tlescenQ will be matle in connection with work euthorizetl by ihis
permit, and Ihat no builtling structure, scaHoltling, talsework, or demolition or dismantling thereot, will be more than thirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomia Adminisirative Code).
❑ As owneo-builder, I will not employ anyone to do work which would require a parmit from the Division of Indusirial Safery, as noted ebove, unless such person has a
pertnit to do such work from the division.
Signawre: Date:
Division of InduStrial SaFery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUT}10RVA710N OF ENTRY: I certity untler penalry of perjury that I have read this appliwtion and state that the information qiven is
correct I agree to comply with all state laws and ciry ordinances relating to building construction, antl authonze represeniatives of the City of Costa Mese to enter upon ihe
above-descn6ed pmpetly for inspection purposes. I agree not to occupy or allow occupancy of any building authodzed by this pertnit until Ilnal inspection.
CODE t. INSPECTIONTYPE INTRIALS
1616 Fixed System Final Fire Prevention
7268 Pool Spa Final
200 Final Ra-Roof
201 Flnal BIocWRetaininq Wall
202 Final Factory Fire Place,
203 Final Sign
204 Final,Demolition
2a48-48
CODE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final ElecMcal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
PSIE INTRIALS
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DIVISION_QOF R'��S v ED
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CITY OF COSTA MESA
CALIFORNIA 9262&1200 P.O. BO% 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
n FAIR DRNE
Builaing Division (714) 754-5626 • Code En�orcementl8usiness License (714) 754-5234 • Planning Division (714) 754-5245
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