HomeMy WebLinkAbout3244 COLORADO LN - Building Permits�nooxess: 3 2r
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FflCN/ENGINEEP:
COiORADO 7,N
h GEORGE C
C�AST HWY
T BEACH,CA
556-6137
92660
flEG.NO.:
UNIT:
AODflE55: UNIT:
PEXMITTEE: .SKY 2VERSON t 714 ) 556-6137
nooness: 3249 COLORADO I�ANE
COSTA MESA CA 92626
�ICENSEO CONTBRCTOfl OELIANATION: I hereUy aliirm thal I am lic¢nsetl wGer DrOvisions ol Chapter 9(commencinp wit� $ec�ion
70001 0l Uivision 3 0l Ihe Business an0 Prolessions CaOe, and my license is in lutl farte anG e��eci.
CITY LIC.: STATE LIC.: CIASS:
Oate: Signamre:
WOflNEflS' COMPENSRTION DECLABRTION: I here�y allirm I�at I �ave a certilicale ai mnsem ta seli-insure or a certificate al Warkers'
Campensation Insurance, or a cerlilietl coDY ��ereol (Seclion 3800. La�. C�.
POLICY NO.: E%P. �ATE:
"qMPANV: .
Cenified coOY �s hereDy fumished. ❑ CenilieE copY is lilea wi�h �he ci�y Builtlinp Oivision.
Oale: Applicant:
EXEMVfION FNOM WOflKEflS' COMPENSITION OEClAPl1TI0N: (This sec6on nee0 irot Oe comqe�eA if Ue permt is ta ane hunErM (5100� a less�.
1 cenily ItWt in ine Dedarmdntt ol t�e work far w�ic� t�is Oermit is issueE. I shall nol employ any person in any manner w as to bewme
5u01e�� lo I�e Wo�kers' Compensatian Laws of Calilornu.
Oate: Signalure:
NOTICE: II. aRer making IAis OeClafation, you ShoUltl Oetome SUbjet� Io �he WOrkerS' COmp¢nSatian pmvision5 of Ihe La�or
Code, you must lorthwilh comply wiih such provisions or this permit shall be deemed revokeA.
CONSTBOCTION LENOING RGENCY: I �ere6y ailirm ��al I�ere is a consimction lentling agency for �Ae pertormance o� Ihe work lor
whic� ��is permit is i55ueU �Seclion 3097, Crv. C).
LENOEN:
FDOHE55:
OWNEfl BWlOEfl OECLRflRTION: I AereOy aflirm itwi I am exem0� ��om the Comraclors' Slaie license Law tor the 1011owinp r¢ason
(Seciion 703t.5 Business an0 Prolessional CoGe: Any dry ol counry whicA rtpuires a Dermil ta cansiruct, alter, impmve, Oemolis�, or
repair any Slmtlure. pri0r l0 iis i55uante, als0 repuire5 ih¢ applitan� tOr Such permii Io lile a SigneC Statemen� ttut �¢/5�2 5 li[¢nSeE
Oursuan� to Ne pmvisions ai Ihe ConVatlars' Slaie Lic¢nse �aw (CAaD�er 9(commencinp vnth $ection 7000) 01 Divisian 3 oi ihe Business
ana Pmtessions Cotle1 ar inai ne/she is e�emo� Iherefrom ane tne Gasis for the alteAea eaemD�ion. Hny vioWtion oi Section 7031.5 Gy
any aDDlicanlfor a oermit sublects tne applicant to a civil penatly of not more ihan live hunAreO tlollars (5500�.
I. as owner ol Ihe property or my employees wilh wages as their sole compensa�ion, will Oo �he wolk, anU �11e
❑ slmcWre is nol imenGeE ar oiferee �or sale (Seciion 704a, Business and Prolessional Code: The Coniractors' State License Law
tloes not apply to an owner ol a propeny who builds or impmves ihereon, an0 who tloes such work himself/hersell or NmuAh
his or �¢r own ¢mploy¢es, provi4eG Iha� such impmvemen�s are n0i inlenOeA Or oifereJ �or Sale. i�, however �he builtlinA Or
im0�ovement is soltl within one year ol completion. �he owner will have Ihe Ourden ol pmving he/she Oi0 no� �uild ar impmve
' for Ine ourpose oi salel.
,ii I, as owner oi I�e D�operty, am excluvvely contraciinp wilh IicenseA conVac�ors to canstmc� Ihe Dmject (Sec�ion 7044, Buvness
L'� anG Professions CoGe: The Contractors' State License Law Aoes noi aDPN �o an owner al Dmperty who bmltls or imD�oves Ihereon
antl who tOnVaclS �ar Such prole��s vn�h a COnVaCIOr(S�license pur5uanila Ihe Conlratl0r5' State LicenSe Law�. I am awar¢
Ihal proal ollheif Warker's Comp¢nsalion insurance S�ouIE be pmn4eG to me.
� I am exemD� unUer Seciion: B. 8 P. C.
for I�is reason:
-flate: ��1'���� Owne��`y�"-'��—
I ao nereby cenily inat I am aware ol ana un4erstanA tne repuiremenis of Calilomia Healin an0 Safery Code Sections 2550.5, 25533, antl
25534 and iha� I or any fuWre building occupant will/wilt nol (circle one) need to comply wilh SaiG slate codes antl the requiremenis �or a
permil br constmc�ion or mo0ilicalion Irom t�e Fii Ouality Managemenl Oistric�. Fesitlen�ial cons�mct�on a001ications a�e eKempl Imm
Inese provisions.
Oate: Applicanl:
I here�y cerlilythal I have reatl Ihis application antl sla�e Iha��he aboveinlormaiioni5 correcl. I agr¢¢�o compiY wit� allciry anG couniy
orCinances and slalelawsrelalingto building consimclion and herebyaulhorizerepresenlalive5 o�lhis ciiyto en�er uponihe aGove�menlionetl
pm0eriy for insDe lion vurposes.
�1
. Date: Signamre: - �� =- ��� � ��
oriver's �icense or Sacia� Security x:
164La6 W�ne—BuilOino: Green—Co�e Enlorcemenl: Canarv—Aoolicanl: Pink—Ravenue: GolEenrotl—Assesmr
CITY OF COS"I'A N.ESA — BUILDING PERMIT i��:tM Nu; a u:,ae��
PE��IT h0: H 058357 PLAN CHF.CK NO; N f,uv1: rv 5ur�e�: rv
CONSTRUCTION TYPn; V—N PERMIT TYPE: STR ! PURPOSE: OTH
JOB DESCRIPTIOh : T/OFF RESHT. REROOF W/COMP SHiNGLES SQ FT; 4,70U
CLAIM VALUE; 4,'700.00 CALC—VALUE; 4,700,U0 GROUP OCC; R-3 /.
COMMENTS: SMORE DETECTOR REQUIRED IN THE HONE
����*�+:�*�ce����x*ar;�*x�*rt���xax**�����***xx�*x���*�*+�*���r����***xx**x�**�it�it�it#x
% O N I N G R E Q U I R E M E W T S
S E T B A C R S
------------ MAIN BIIILDING ---------- --------- ACCESSORY BUZLD2NG ---------
FRNT; FT IN REAR• FT IN FRNT; FT It� RcAFt; FT IN
LEF?: FT IN RGHT: FT IN LEFT; FT ZN RGHT: PT ' IN
PARKING kE • F'ROV: PARCEL: 13906810 ZNE: REF NO:
PI,ANNING 'N TES�
- j r, ,
iE �Ii� iE 3F iE iF it �E k i!-# it jE �F.i(' 3h aE iF �IF Y� iE if iF ii 3E iE af i4 iE # iF if IF i!� �1F ac �tE iF aFii 1� iE ie �1E i'r IE !E Ih iF jF iE if i4 �N� Y.� # tf i(-1E�aFif� �k j'r?f i'r K� iE i if 1F iEiF 3e iFiE �: if� �1'r iE
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 13 T S
n
ZONING APPROVED BY DATE: -
BUILDING APPRqVED BY :_ _ _ DATE: -
APPLICATION ISSJED BY; c�_-1�(� DATE: �<2—I/�Q�
aEdF3E9f�lEiPd(�iE1f161F#iEdFjl3fi6�i61Fik/f�iF' 3[� �f. }.' 'Y�'�;: � . • �3E#�iF3eielEkNiFit�.r .FifTr'�r�#•iF
lE3f-iE�lEiEi'riFM�3fiFiE%3f•#iF�)clF�IfiF�Elfi(�if�ff�iEiEiE�1F1(�iF�1FiEiFiElf�iE�YM�iFifit�aFi(..k. u :3FiE�16�1fk�EiEiEi49k�1FN��K�v�1FN�i!�iFiEil�ifli��ii"r}.3fii�i%�3i�iPiF
LEGAL.T.7.ATION;N F E E S U M M A R Y STRUCTURAL S�GMEN3:Y
1
HLDG PMT PLOMBING ELECTRZC MECHANIC FIRE SMZP/RES G.^��ADTNG
PERMIT 72,00 ,50
SMIP/NON—RES.�
PLAN -
ISSUE FEE '
BUZLDING—DIV—> PERMIT ISSUE PI.,AN—CHECR TOTAL PAID �� DUE
TOTALS----> %2,50 0,00 0,00" 72,50 72.50 .00
kEVENUE DIVISTON TOTALS--> COLLECTEP: 72,50 OV�R/SHORT: 00
BLD7zPM�� PLOMBING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING PLAN—�HECK
iF iF �1E i(�lEY.- if iF if iF iE IE N� iE �IE #E if �le if it 1E jF 3(� �lE ic ii 3F 3f 1E lE 1F if• if iF 3E if H� if iE iE 3E if if iF if jE k if ih if iF # aF if if i41'e if �)f iE i(� 3E if if ! iE iE if af 1Fl� � 3'r iE �S� k ih ih #
I N D I V I D U A L F E c B R E A K D O W N
TYPE QTY D E S C R Z P T I O N UNIT C65T TOTA,i;� COST
SFR 47U0 REROOF HY VALUE RESIDEh'I'IAI, NOZONE 1,00
END OF FEES
�
RUCTION AND PLANNING PO� SPA
ROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
- - ,.
1. T�mporary Electrical Service or Pole 52. Pool & Equipment Location
2� Soil Pipe�Undrgrnd. 53. Steel Reinforcement �� �
3. Electrical Conduit Utility•Undrgrnd. 54. Forms
�
', 4. Electrical Conduit�Undr9rnd. 55. Electrical Bonding -�
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO QECK
11 . Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System � Final �
14. Rough Piumbing 65. Electrical�Final
15. Rough Electrical-Condu�t 66. So�ar SYstem-Final
16. Rou9h Elearic Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEM1,4S FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. DuMs, Ventiiating 77. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72, Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing ?�L Z(Q Cv�-74, pverhead Hydro
26. T�Bar Ceiling iStructurall & Monocoat 75. Dry Chemical
27. Freme and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. fIRE PREV. FINAL
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter�Final . 80. FOOD CERTIFICATE ISSUED �
�
33. Finai Electric � Notes:
34. Final Heating & Air Conditioning _'
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. Backflow Preventer ,
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING � l� �p (,�j
48. FINAL PLANNING . =/
49. Electric Release to Edison ���"G )- C��`�r „���„�,(
l�L "�-% �� '-
50. Gas Release to Southern California Gas Co .�1: ��,
51. CERTIFICATE OF OCCUPANCY
No. Date
PXOJECT p00NE$5: 3 2 4 t� COLORADO LN
OWNEH'SNFME: IVERSON GEORGE C TA
ADDflESS: 1465 GALAXY UR
NEWPORT BEACH,CA 92660
556-6137
ANCM/ENGINEEN:
AOOHESS:
flEG.NO.:
UNIT:
UNIT:
PEflMITTEE: COAST TECH SERVICES ( 714 ) 589-6592
RDOHESS: 1Q SANTA CATRINA
RANCHO SANTA MARG. CA 92688
LICENSEO CONTBACTOfl DECLAflATION: I �ere0y allirm t�at t am licen Oer O�ovisions ol Cha r 9(commencinp wit� Sec�ion
70�0� oi Drvlsion 3 ol�he Pusiness antl Prolessions Cotle, and my licen ' in fullforce antl etf
cirr uc.: g���rare uc.: 3 5 5 9 2 5 as: 0 X P: 12 / 9 9
Da�e: _ Signaiure: —
WONNEFS' C PENS T N UECN ATION: I here�y allirm in ce�ilicate ol consent to sell-insure or a cenilicate o1 warkers'
CompenSalion Insurance. or a cetliliea coDY Ihereol �Section 3800. aU. C).
POLICY NO.: E%P. �ATE:
LOMPRNY:
❑ Cenifietl copy is �ereby Imnishetl. ❑ CertilieA coDY is filetl wit� t�e city BuilAinA Division.
Date'. Applicanl:
E7(EMPTION FPOM WOXREfl$' COMP SATION DECLAPATION: (TAis setlion neeA n0� De tomplele0 i� IAe p¢rmil is �ar one hunGr¢4 �8100) or 1¢55�.
I teNly I�ai in I�e rlorman[e a e work Ior w�ith this permit is i55u 5hall n0I ¢mplo ny person in any manner 5o as �o betome
SUElec1 to Ihe W ers' CamD sation Laws of Califamia. /� •��
c �
� Dale: � Signaiure: � �
NO L If, ter m ng mis aeclantion, yrou should Ue e suEien t I¢ Workers' CamOe���ion O��s�ons o� lhe La�or
COGe. ou musllo 10 COmDIy vnlh SutA D�ovisions or tNs permii SAall �e AeemeO revoke0.
CONSTBu TION LENOING RGExCY: I nereGy ailirm tAat there is a mnsimctian lenaing apency for �he peflormanre of ihe work for
w�ic� Ihis Dermit is i�suetl (SeCtiOn 3097. Civ. C).
LENUEfl:
FODPESS:
OWNEN BUILOEB UECLAHp710N: I �ere�y allirm that I am exempt iwm ihe Contracmrs' Staie License Law for tAe toilowinp reason
(Seciian 7031.5 Business antl Pw�essional Cotle'. Any ciry o� counry which reQuires a Dermi� �o construct, al�er, impwve, tlemolish, o�
repair any AmcWre. prior ta its issuance, also repuires Ihe applicant tor such permit to file a signe0 statement ihat ne/she is licensetl
pursuanl to Ihe D�ovisions ol �he ConVaclors' Sta1e License Law (C�ap�er 9(commencinq wi�� Section 7000) o� Division 3 0l Ihe Business
an0 Prolessions Cotle� ar I�al M1e/sne is e�empt iherefrom anE the basis for the alleAQO exemptian. Any violalion ol Settion 7031.5 by
any aOPlicanl lor a permil SUUjects �he a0�li[anl lo a civil penalry af noi more Ihan live huntlretl Oollars (5500�.
I. as ovmer oi IAe pm0eny or my employees with waAes as their sole compensati0n, will Eo Ihe work, an0 tAe
❑ slmcture is no� im¢nEea or aliere� lar ute (Section 704a, Business and Pmfeuional Cotle: The Contractors' State License Law
aoes no� apPly to an owner of a O�openy who builtls or impmves inerean, anA who daes such work nimself/hersetl or thmugh
nh or ner Dwn emoloyees, provieee ihal such imOrovements are notinteneea or oflere0 far sale.lf, however ihe builaing or
impmvement is soitl within one year of completion, the owner wiil have the burEen of pmvinA he/s�e Uitl not bui10 or impmve
br ihe puroose ol sale�.
I, as owner ol ihe o�ooertY. am eKclusively contracting with IicenseA conlractors to cons�mti ihe pwjeci,Settion 704a, Business
❑ an0 Pm�e55ion5 CoOe: The Canlrat�ors' State License �aw aoes not apply m an awne� ol property who CUil45 or imprw¢5 (hereon
and w�o toniratis lor Sut� pmletis wiih a tanttattOr(s) license pur5uanl Ia Ihe COnifat�ors' Sta�e License Law�. I am aware
tha� proal ot I�ei� Workei 5 COmpenSaiion insurante sMUIE Ee DmviAeG Io me.
� I am eKempt untler Sec�ian: B. 8 P_ C.
for this reason:
CITY OF COSTA MESA — BUILPING PERMIT PERM NO: M 068939
PERMIT NO: M 068939 PLAN CHECK NO: N GOC�T; N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PORPOSE: OTH
JOB DESCRIPTION ; 2NSTALL NEW A/C UNIT SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
�r+�x��**�r**�x-*�**x��r*��-x-***�t****�r�*+�*�r****�rx�**�*�****+t+r*�+�+�***�tx�*+�-+r�-+�*+�*��r*****+r*�r*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- 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: 13906810 ZNE: REF NO;
PLANNING NOTES>
>
*�**+��x��*�+�**�r+r�r�******���******��************+�*��r�e*+�*x�**�***���********�**��*
D E V E L O P M E N T S E R V I C E S R E Q D I R E M E N T S
ZONING APPROVED BY � DATE;
BUILDING APPROVED BY : DATE;
APPLICATION ISSUED BY: -; p�
DATE: l ��� ���
iEiti6i4itifiEifiFiEfEiliElFiEkiFiE1E3E9EiE�EiFTr�f�3F��F3F�F3F3F3F3F3F��j"t�FiF�t�FiFiE�t�t )t �3FitiF3EiEffjtiEifiE3f�"���F4iE
iP iF iE * iE iF iE iM1 iE iF 1E 1E it it if iE iE jE iF �F iE iE iE iE iE ik M iE iE iF �t aE iE iE iF if� iE # iF iE iE iF it fE if iF �1F iF iE iE iE 1E iF iE ff iE iE iE �1E iE ik iE iE iE fE jf iE �)E if iF it �1E iE iE iE If k iF iE
LEGALIZATZON;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
9
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PEAMIT 9,00
25$ SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 9,00 15.00 0,00 24.00/ 24,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 24.00�OVERlSHORT: .00
HLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK
24.00
/
i! 1F iE fF 3F if if iE if if fE iE fF iF 1E iE iE iE iE k iE iE iE iE iE iE if iE it it it 1E if if iF iE iF if if iE iE iE iE fE if fE iE 1ElF if if iE iE 1F 1E iF 1! k ik 1k iE if �1f� if if iE jk jFlk if i! i! i! iE if iE iF jt iE
I N D I V I D U A L, F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N ONIT COST TOTAL COST
Da�e: Owner. I MEC
i tlo nerebv �enify tnat I am aware ol ana unaerstantl the requiremenis ot Caiilamia HealtA an0 Safery CoOe Sections 25505, 25533, an0
25534 ana ihal I or any iNure Ouilding occupant will/will not (circle one) nee4 io comply wil� saitl Slate cotl¢5 antl Ihe requirements tor a
permit lor consimc�ion or mo0ilication Imm Ihe Air Oualily Managemeni DiSVic�. Residen�ial cons�mclion applica�ions are exemp� irom
ihese pmvisions.
Dai¢: Ap0litani: _
I �ere6y cetlify ihal l have Bad tAis apPlication and state Ihat Ihe
orOmancesanOsiatelawsrelaf gtaOuilEinpconsimciionandherel
pmpetly lor i ecti0n put se5.
�o comply wiih all ci�y an0 coun�y
io enler uoon ihe aEove-men�ione0
Date: Sigwwre: `�
� �river' �icense or cia� Seari�y r:
`6ai a6 WM1na—Bvileing: Green—Cotlo Enlorcemem: Canary—ApPlicant: Pink—Revenue: GolOenroO—Assessor
1 REFRIGERATION SYSTEM <= 100 K BTU/H
END OF FEES
. l
9.00 9.00
r II
ul Q0t6798o—OD]57936 T GT 24.�0
DAiE= Q9/.9l94 7FflE: 14:1E �
CONSTRUCTION AND PLANNING
POOL & $PA �
APPROVAIS Permit # Date Inspector qppROVALS Permit �k Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgmd. 53. Steel fte(nforcement
3. Electrica� Conduit Utility-Undrgrnd. 54. Forms
4. Electrical ConduR-Undrgrnd. 55. Electrical Bonding
5. Steel Reintorcement 56. Rough Plumbing & Pressure Tzst
6. Electr�ca� UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Pootings 58. Electricai Conduit�Undrgrnd.
8. Foundation � 59. Gas Pipe, L7 Undrgrnd., Test �
9. Water Pipe-Undrgrnd. r 60. Backwash Lines, P•Trap, O Undrgrnd. , �
10. Structur�l Floor Svstem � 61. APPROVAL TO DECK '
17. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
72. Sewer Cap ' 63. Heater & Vent�Final
13. Roof Dra�ns 64. Piumbiny System - Final
14. Rough Piumbing � 65. Electrical-Final -
15. Rough Electrira6Conduft 66. Solar Syst=m-Final
76. Rough E�ectric Wiring 67. Fencing & Recess Approval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rouc�h Electricai•T Bar Ceiling 69. POOLJSPA SYSTEPAS PINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVAhS� Permit #
21. DuCts�, in Structure 70. Uriderground �Hydro
22. Ducts, Ventilating 77. Product Pipi�g O'Gas � Oil
23. Gas Pipe�Rough & Test 72. Underground Flush .
24. Roof Framing 73. Undergrnd.Stora9eTank �Gas ❑Oil
25. Roof Sheathfng 74. Overhead Hydro
26. T�Bar Ceiling (StructuraU & Monocoat 75. Dry Chemical
27. Frame and Fiashiog 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAI.
30. Drytvall Nailing HEALTH DEPT. REnU1REMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electricai Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final HeSting & Air Conditioning : � , " ' �i / ;
„ T'yi_ j ` �.! � � ' "�Cy v
�.:_ - - -.d�
35. Finai Gag PiPe•Test
36. Hood or Canopy
37. Final PaCtory Fireplace
38. Final Plum6ing
39. Water Seivice-Final
A0. Gas Service-Pinaf
41. Solar pomestic-Final '
42. Backflow Preventer
43. Backfiow Irri9ation
44. Landscape Irrigation Sysiem
45. Sound Actenuation
46. Handicap Regulations
' 47. FINAL STRUCTURE & BUILDING
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern Califor�ia Gas Co
51. CERFIFICATE OF OCCUPANCY
No. Date '
�
ti
PPOJECIj�00flE5S: 3 z 4 4 COLORADO LN
OWNEfl'SNAME: IVERSON, GEORGE C TR
aoowess: 1466 GALAXY DR
NEWPORT BEACH,CA 92660
556-6137
ppCHIENGINEEfl:
AUDflE55:
sec.xo.:
UNIT:
UNIT:
PEflMITTEE: COAST TECH SERVICES ( 714 ) 589-6592
aooness: 14 SANTA CATRINA
RANCHO SANTA MARG. CA..92688
LICENSEO CONTBRCTOH OECUIIATION: I �er¢Gy atlirm thai I am Iicen5e0 Oer pm�sions al CAapier 9(commencinp w�lA Seciion
7IX10) ol Ondsfon 3 of I�e Business and Pro�eAions Co�e. anU my license' m tull b¢e anC efleti.
ciTruc.;�551Ei�$ �TATELIC.: 355425 C2 EXP: 12/94
� G / `'/'
Oate: _�. � f� 7�q Sipna�ure:
WOPNEN COMPEN�RTION �ECIANFTION: I here�y aflirm f ave a certificate of consem m selbinsure or a cenilicate of Workers'
Compensation Insurance. or a cenifiea coDY �hereol (Secuon 3800. Lab. C�.
POLICY NO.: EIIP. UATE:
COMPANY:
❑ Cerii�ietl tOpy i5 �er¢�y Iurni5�e0. ❑ Ceni�ie0 coDY is �ileG with �he ciry Building Oivision.
�ale'. Applicani:
E%EMPTION FflOM WONMEBS' COMPENSATION OECIAPpT10N: Qhis SeClion nee0 n e tompl¢�etl i� I�e permi� is fof One hunUreA ($100) or Ie55).
I cerlily I�ai In In Dedormance ol ihe work for whlch this permii i i55ueU. I II ot employ any rson in any manner so as �o hecome
sublecl lo Ihe orkers' mpensalion Laws al Cali�omia.
�ate: Sipnamre:
NOTI : I�. al r making I�is Ueclaralion. you s�ould D c s- t Campenu�ion pmvision5 0l the Lahar
CoEe. yau musl �orlAwilh tompty wi�� Sut� Omvi5ion5 Or Nis p rmi shall he deeme0 revoke0.
CONSTBUCTION LENDING PGENCY: I here0y altirm �ha�ihere is a tonslruction lending aAency Porlhe pertormante ollhe work far
w�ich I�is permit is issued (Section 3097. Civ. C).
LENDEN:
ADOPESS:
OWNEP BUILOEP OECIAflFTION: I �ere0y atlirm ttul I am exempt imm th¢ ConVactors' Slate License Law lor �he lollowing r¢ason
(Section 7Q31.5 Business antl PmtesSional Coae: Any ciry o� rounry wAicA requires a permi� Io constmct, alrer, imD�ove. OemolisR or
reDart any s�mcWre, prior la ils issuanc¢. alsa repuires Ihe aOPlican� br such permit ro lile a 5ipne0 statemen� Ihal �e/ih¢ i51it¢nsea
pursuant m ��e pmvisions oi i�e Comracmrs' S�ale License Law �C�apter 9(commencing vnt� Section 7000) of Divisian 3 of lhe Business
and Piolessions Cotle) or Ihal �e/she i5 exempt t�erelmm and Ihe basis �ar the alleged evemplion. Any violation a� Seciion 7031.5 hy
any apPlicanl �or a Oermii SuUj¢tls the aD�licanl lo a tivil penalty 0� n0i more �han five huntlr¢0 tlollars (55110�.
I. as owner of t�e pmpeny or my emyloyees with wages as their sole compensaUon, vnll Eo tAe wark, an0 t�e
O slmcWre is nol imenCed or aflereG lor sale (Seclion 70a4, Bu9nes5 an0 Pmfessional CoOe: The ContractOrS' Sute License Law
Uoes n0� apply lo an Own¢r ot a O�oOariy wM Dui105 or imO�Ov¢5 �h¢Bon, and wtro EoeS Suth xroM1 himself/�er5eil Or I�mupA
�is ar Aer own employees. DmviAetl I�at suc� impmvemems are not intentleE or oBereE for sale. If, �owever I�e DuilOinp or
impmvemenl is sola within one year al completion, tlle owner vnll have the OurCen ol pravinq �e/she did nol huiltl ar impwve
for Ihe purpose of salel.
t, as owner ol ��e pmpeny, am exclusively conirading wilh IicenSeC contracror5 io canslmc� ��e pmject (Sec�ian 704E, Business
❑ anA Pm�e55ion5 CoAe: The COnVatlOrs' State License Law tloes wt appty m an owner of pmDetly who GuilEs or impmves ihereon
an0 who coniracls �or suc� D�olecis wilh a conVactor(s�license pursuant�o Ne Caniractors' S�aie Li[ense Law�.l am aware
�haf pro01 0� I�eir Worker'S COmpensa�ion insurante S�oNd Ue O�ovidetl to me.
� I am e:empl under Senion: 8. 8 P. C.
lor Inis reasonl
Dale'. Ownec
I tlo hereby cenily Ihat I am aware a� an0 un4erstan0 �he requiremenls oi Califomia Heal�h ana Sa�ery CoOe Sec�ions 25505, 25533, antl
25534 an4 i�at I or any lulure builtling occupanl will/will no� �circle one) neetl Io comply with sai� state cotles anE Ihe requir¢menis �or a
permit br constmclion or mo0ilicalion Irom Ihe Air Oualily Management �iSVic�. fleSiAenlial con5imc�ion applica�ions are e�empt �mm
ihese pmvisions.
Oa�e: Fpplitan�:
I �er¢�y ceriify I�a� I �ave read IhiS appliCaiiOn ana Siate I�ai �he above information i5 torreCi. I aA�ee �o tOmply wilh alitiry antl Counry
ortlinances and slate laws relating to builtling consimclion and �erehy aul�orrze fffr presenia' l�s ol ihis city �o enier upon ihe above�menlionetl
prooetly for in, ction pur es. •� �/ /�
A
Date: Sipnature: � �� ,
orNer's mense or 5 iai Security
16<t�a6 Whpe—Bmlaing; Green—Cade Enbrcement: Canary—AOplicanl: Pink—Revenue; GOICenroC—Asseswr
CITY OF COSTA MESA — BUILDING PERhIIT PERM NO; E 068940
PEAMIT NO: E 068940 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTZON TYPE: V—N PERMIT TYPE: ELE PURPOSE; OTH
JOB DESCRIPTION ; INSTALL NEW A/C UNIT, RE:ttM68939 SQ FT:
CLAIM C�ALUE; CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THZS PERMIT, ELECT WORK INCIDENTAL
*+���-i�***�t+c��*�r*****+r*�r*��r*�**+�r**�rx+t+�*�****+r+�*�-*��*x�+��r�r*+��*****+rx��*�r�r*x*******+rr
Z O N Z N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN AGHT: FT IN LEFT: FT IN RGHT: FT ZN
PARKZNG REQ; PROV: PARCEL: 13906810 2NE: REF NO:
PLANNING NOTES>
>
iE iElf 1f iE if iElE 1f !E �E iE jE %if !E iE 1E if !f !E!t if iF iE if 1F iF if iE 1E 1E 1E 1E iE iElElE 1! iF 1E 1ElE 1! fE 1E iE iElF iF i! if iE if it jE a! iE ik 1F 1f iF 1! if 1E �f iE iF 1E 1E 1! 9E iF iE ik ih iE iE fE
D E V E L O P M E N T S E R V I C E S R E Q❑ I R E M E N T S
ZONING APPROVED BY .
BUILDING APPROVED BY ;
DATE:
DATE:
APPLICATION ISSUED HY: DATE: �1 � Q
1EiEikfElElEftlfiEiE4lEiFiElfiFiEihifff-0h1E ik �1tfEftiEi(�!!i(�1E9Eif ri e E iF3E
it iF it iE iE iE iF iE jE iF if iF iF 3E iF iE 1F �1t if i! jE iE ik 1t iE if iE iF fF 3E �7! iE iF iF �)E iE iE if iE iE?F iF it if if iE iE?E iE iE i! 1F iE iF iF iE it if it M iE iF iF 9E i! iF iE iF iF i! iE it iE iF jt iF if it iF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 7.50
SOR SMIP/NON—RES
PI�AN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 7,50 15.00 0,00 22,50 22,50 .00
. r /
RE6ENUE DI�ISION TOTALS--> COLLECTED: 22,50 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN—CHECK'
22.5�
iE if iE i! if iF 1F iE i! if it iflF jE iElf iE iE iF fF iE 1E iElf iE 1E it if 1E fE if iE !E ik if ft it iE 1!!f iF iE 1! iE iE i6lE jE iE iE iF fF i! it it ik iE iE iF iF iF iF 1F iF iE iF ft if 1F fFlf it iE i! * iF if i! if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T 2 O N UNIT COST TOTAL COST
ELE 1 MOTOR/POWR APPARATUS 1.1 — 10.0 HP 7,50 7.50
END OF FEES
. /
al Q0167987—00�57987 Y C�T 22.5Q
DATfi+ 00/1Cf94 TSNfi• 14�18
��
CONSTRUCTION AND PL,QNNiNG P��L & SPA
.�
qPpROVALS Permit#�- Date Inspector AppROVALS Permic� Date Insnector
1. Temporary Electrical Service or Poie 52. Pool & Equipmeni Location
2. $pil Pipe�Undrgrnd. - 53. Steel Reinfo�cement
3. E{�ttrical Conduit Utility-Undrgrnd. 54. Forms
4. EI¢ctrical Conduit-Undrgrnd. 55. Electricai Bonding
5. Steel Reinforcemen2 56. Rough Plumbing & Pressure Test
6. Electsica4 UFER Girtd. 57. APPROVAlTO GOVER�GUNITE
7. Footings 58. Electrical Conduit�Undrymd.
8. Poundation 59. Gas Pipe, O Undrgmd., Test
9. Warer Pipe-Undrgmd. " 60. 8ackwash Linet, P�Trap, V Uodrgr�d.
10. Structural Floor System - 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection - , 62. Backwash & Recep[or-F�nal
12. Sewer Cap 63. Heater & Vent�Finat
73. Roof Drains • 64. Plumbing System - Finai
14. flough Plumbing 65. Electrical�Final
75. Rough Electrical-Condu�t 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Appraval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTC-PAS FINAL
19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Duc2s, Ventilatin4 71. Product Piping OGas �Od
23. Gas Pipe�Rough & Tesc 72. Underground Fiush
24. Roof Framing 73. Undergmd. Stora9e Tank �7 Gas ❑ Oil
25. Roof Sheathing 74. Overhead I-lydro
26. T�Bar Ceiling (Structuraq & Monocoat 75. Dry Chem�cal
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 76. FIRE PREV. FINA�
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coai 79. FINAL INS�'ECTION
32. Electrical Power MeterFinal � _ 80. FOOD CERTIFICATE ISSUED
33. Final Electric ,f ( I Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Tes2
36. Hood or CanopY
37. Final Factory Fireplace
38. Final Plumbin9
39. Water Service-Final �
40. Gas Service-Final - �
41. Solar pomesticPinai .
42. BaCkflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Re9ulations
47. fINAL STiiUCTURE & BUILDING
48. FINAL PLANNING I
49. Electric Release co Edison '
50. Ga5 Reiease to Southem Califomia Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date
CITY OF COSTA MESA
CALIFORNIA 9262842(10 P.O. BOX 1200
DEVE�OPMENT SERVICES DEPARTMEM
BUILDING DIVISION
NOTICE OF P}3RMIT EXPIR.ATION
To: Georcr C Iverson Date: November 16, 1995
1466 Galaxy Drive Permit: # E 68940
NewpoYt Beach, CA 92660
Project Address: 3244 Colorado Ln
Costa Mesa, CA 92626
Our records show that the listed premit was obtained for property
improvement or alteration at the above address and the project was
not properly completed.
The permiti was obtained by: (X) Contractor () Owner
Name: Coast Tech Services� Phone: (714) 569-6592 License Number: 355425
To construct or install: Install New A/C Unit
The permit is valid for 180 days from issuance or your last
inspection, per Section 303(d) of the 1991 Uniform Building Code.
Should we not hear from you within 10 days, your permit will expire
and additional fees will be required to finalize the permit. Your
permit will expire on Decembe:r 6, 1995.
P].ease be on notice tfiaC: without a valid permit and required
inspections completed, you wi11 have encumbered your property with
an illegal structure. .
If you need assistance, please contact Karen Collins, Permit
Processing Specialist, at (714) 754-5273, between 8:00 a.m. and
4:30 p.m.
77 FAIR DRIVE
Building Divi�cn (774) 7E4 �273 • Code Enforcement {714) 754-5623 • Planning Division (714;'S4-5245
FAX (714) 754-4856 • TDD (774) 754-5244
Y�
.
owr7Ex �OHY� Neil C.
JOB ADDRESS �1}l+ ColC
GENERAL CONTRACTOR 0
AP No.139-0�-10 LOT
7NSPECTIONS
coat
O
TRACT RIRG ZONE
DAT� I GROUP
nnTr 8-22-62
BUILDING PERMIT NO.
DPSCRIPTION OF �VORK
TYPL III ZONS
SUI3CON1'RAC'1'OR
✓
nci
t ,
� ' 76
CQSTA MESA BUlLDING-SAFETY DEPARTMENT
P. O• BOX S77 C08TA IdEHA. CALIFORNIA
For Applicanf io Fill In Complefely
TYPE OR PRINT
eui�oiNc 7. iJ11. l_� _✓.'n.�� /�. ..
COSTA MESA. CALIFORNIA
UW/Y c �( ' C
TEL.
NO.
i ��
no. o^NB�oe. ,
NOW
FEE�RE��EIVED
FINANCE OEPT. ;
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING /
�
For Office Use Only
RECHIPT NO. .PHRMII
BUILDING /j ��/ � � / I
ADDRH56 � f/�
COSTA MESA.
APPROVED
" ZONING
NO. OP q / 48E OF N
� I PUN6 �Y BUILDINO
98TBACK LIN6 FPOM ,Q � // 'J Q/ (ClNTert LiNe eT4
ceNTEN OP e'frtEei' �V � Q REAR YARD / FRONT
' 46'
SIDE YARO LEFT I RIGHT p,51DE
pESCRIPTION OF WORK
L.SIDE
NCW �IIAITFRATI(fNl IIYOOITI[1N I __._
NO. OF
�
EXTERIOR W�1LL IROOF
COVERING COVERING
USE OF HUII-DING AND WORK TO BE PSRFORMED
Goo E Tl�/E PRoTEaT ��' x � ���p
C'EMf /YT $� �CK �EN�E ff � � � �
%/E/cF/f'7� o? � - � � � N
1 H8R8BY ALKNOWLCDG[ TN�T 1 MAVB pBAD TXI6 APPLIGTION n{g AMOUM BHOWN IINOER VALUATION IB POR T!
AND 8TAT8 THAT TX8 ABOVH 19 CORMCT AND AOPHB TO COM• pUflP086 OP eBTABLIBHINa /. P¢RMIT PE8 ONLY.
VLY WITH 1111 GIlY OROINANCC6 ANO BTATH LAWB RHOULATINO
BUItDINa CON oN. VALUATION � �
•
BIGNATURE � PERMIT FEE
PERMITTE /y �/ � n
S /�1 �1 PIAN CHECK $
ii(Y/7.�K� � j z
AUTHORRED A6ENT (/ �� �Cy� o
TOTAL FEE y
3�_3�;�2 ����v
C-aSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 80X 31] COSTA MESA. CALIFORNIA
FOR APPL/CANT TO F/LL /N COMPCETELY
TYPE OR PRINT
AODRESS 3244 ¢`olor ado Lane
COSTA MESA, CALIFORNIA
'�Gh\1�
LIC.
NO.
�ADDRE55
LEGqL
SIZE NO.OF BLDGS.
oF �or R 1_ 2t1x7(1 i rre� �ow oH �or
se-rawcK uxe vaom 6O t REAR YARD �.S �
CENTER OF STFEET
SIDE YARD I LEFT S t I RIGHT 15 �
I DESCRIPTION OF WORK � _
•�.ra.��:�ir_v
BUILOING � O.OF
SIZE OOMS STORIES
E%TERIOR WALL IROOF �1ood Shakes
COVERING STUCCO COVERIN
USE OF BUILOING AND WORK TO BE PERFORMED
SINGLE FAMLIY RESDIENCE
and Attached Garage
Plan 1-AR
I HEREBY ACKNOWLEDGE THAT 1 H/�VE NERD THIS APPLICATION
AND 9TATE THqT THE ABOVE IS LORRECT RNO AGREE TO COM�
PLY WITN r�LL CITY ORDINANCES r�ND STATE LAWS NEGULATING
BUILDINGCONSTRUCTION.� � ��
� AUTHORIZED AGENT
� EE � �31V6 D �
U
FINANCE DEPTF�A
AP�PPLIGAT104VAFOR PERMIT
BUILDING
fOR Off/CE USE OMLY
RECEIPTNO. I _Pf
135UED
COSTA MESA, CALIFORNIA
IA9J:b11��:
ZONING
ZONE I NO. OF I IISE OF NEW
PLqNS BUILDING
APPROVED
BY i ATE
YARDS EVES
REOUIRED ALLOWED
(CENTER LINE STd .� /
THE AMDUNT SHOWN UNDEF VALlIqT10N IS FON THE
PIIRpO3E OF ESTABLISH�NG A PERMIT FEE ONLY.
VALUATION
PERMIT FEE $ � GJ ^'
$ /�j `� '��C/ PLAN CHECK $ //�i
TOTAL FEE $ ..� y�