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Home My WebLink About3245 COLORADO LN - Building Permits� CITY OF COSTA MESA o�` MFs' BUILDING DIVISION '4�� 77 fAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wvnv.ci.costa-mesa.ca.us � FOR INSPECTIONS CALL: (7�4) 754-5626 4�'"°"°"°� PERMIT NUMBER; BC10-00124 PERMIT TYPE: B COMBO Sub Type: RES_AL7 �os ao�ReSS: 3245 COLORADO LN CM APN: 13906734 Zoning: , , Vicinity: ConstType: V-B SQ. FT: 0 STATUS: ISSUED DATE ISSUED: 03/22/2010 ISSUED BY: BE Suite/Unit: Primary Occ: Valuation: $10,000.00 SCOPE OF WORK: RE-ROOF EXISTING ROOF WITH COMP SHINGLES WITH MIN 2 LAYERS OF 15 FELT. COO{iROOF NOT REQUIRED. ADD ONE CIRCUIT FOR ATTIC FAN, AND REPLACE HOSE BIBB. OWNER: CARLIN, CHRISTY J Phone: APPLICANT: JOSH GINGRISH Phone: 714-742-2427 Address: 3245 COLORADO LN City/State/Zip: COSTA MESA, CA Address: City/State/zZip: CON7RACTOR: GONTERMAN CONSTRUCTION INC License No. 858073 Phone: 949E97-0746 Address: 6326 SILENT HARBOR DRUnit: Cell: City/State: HUNTINGTON BEACH, CA ARCHITECT: ENGINEER: COMBINATION PERMIT FEE SUMMARY Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: Plumbing Fees: SMIP Residential: SMIP Commercial: Bldg Std Admin Fund TOTAL FEES: License No. License No. $0.00 $181.25 $29.35 $0.00 $33.30 $1.00 $0.00 $1.00 $245.90 Unit: Unit: : ZipCode PHONE: PHONE: HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2070 - PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 8:0a pm. Prohibited all hours • Sundays and the following Federal holidays: New YearS Day, Memorial Dav. Indeoendence Dav. Labor Dav. Thanksaivina Dav and Christmas Oav NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order (or the work authorized under this permit to be considered legal, such work must comply vrith all applicable codes, and all required inspections and final approval must be obtained. FaiWre to obtain inspections and fnal approval will result in the expiration of this permit. CODE/. INSPEC710N7YPE OATE IN1111RL CODEI INSPEL➢ONTYPE DRTE INPiULS 1616 Fiaetl System Final Fire Prevention 206 Final Mechanical t266 Pool Spa Final - 1•'J,.,� 208 Final Plumbing 200 Final Re�Roof �_ �,LQ Sql�' 210 Final Electncal 201 Final Blak/Relaining Wall 212 Final Fire Prevention 202 Final Fattory Fire Place 220 Final Planning Approval 203 Final Sign 222 FinalSite �� 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSA710N DECLARA710N: I hereby affiim untler penalty of perjury one of the following declarations: � � I have antl vrill maintain a certifcate of consent to sel(-Insure for workers' �compensation, as provided for by section 3700 of Ihe labor Code, for �he pertormance of the work for which ihis permil is i55ue0. 1,• dY�� 1 have and vnll maintain workers' compensation insurance, as required by '� Isection 3700 of the Labor Code, for lhe pertormance of the wurk for which this pertnit is issued. My vrorkers' campensation Insurance carrier and policy numher are: � � �� Carrier: 5-i-a}�_�,oMpo..lt/+�in.� �.vN�q�Ce�un�rf (Tbis seC(bn need not �eWmpletPtl A(he permrt is valuetl af one huntlietl d011ais (3100) oi less ) PolicyNumber: 17-7�n S3� �] I certify lhat in Ihe peAormance of ihe work for which this permit is issued, I shall not employ any person in any manner so as to hecome subject to Ihe workers' compensation laws of Califomia, and agree lha� i( I should 6eco subject to lhe workers' compensation provisions o( Seclion 3700 of Ihe a or Code shall forthwith comply wilh these provisions. ,�l .� 3-aa-�o Appliran sSgnaWre Oale WM2NING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100.000), 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 aKrtn that I am licensed under provisions of Chapter 9(commencing vnth Section 7000) of Division 3 0l the Business and Professions Cotle, antl my license is in full force and eflecl. � Lic. S Class # B k 3 �2—l0 on ctor's Sgnawre �ate G�fJSTRUCTION LENDING AGENCY: ❑ I hereby aKrm lhal there is a constructbn lentling agency fa the peRormance of the work for which this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: _ Lentler's AOtlress: Date OW NER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury that I am EXEMPT FROM THE CONTRAC70R5 LICENSE LAW /or the following reason (Sec. 7031.5, Business and Protessions Code: Any city or counly which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to lhe provisions of Ihe Contracrors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle) or that he or she is exempl therefrom antl Ihe basis for the alleged exemption. Any violation of Seciion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fve hundred dollars ($500�.): ❑ I, as owner of the property, or my employees with vrdges as their sole compensation, WILL DO THE WORK, and the stmcture is nol intentletl or oRered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of pmperty who builds or improves thereon, an0 who does such work himselt or herself or through his or her ovm employees, provided that such improvements are nol intended or offered for sale. If, however, the builtling or improvement is sold vrithin one year of completion, lhe ovmeo-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct the pmject (Sec. 7044, Business antl Protessbns Cotle: 7he contractors License Law dces not apply to an ovmer of property who builds or improves thereon, antl who contracts tor such project with a contractor(s) license pursuant to the CoNractors License Laws.). ❑ I am exempl under sec. Business and Professions Cotle tor this reason: SignaWre JOS]<6 (3I0]) Owner ID verifed by driver s license. ❑ Yes ❑ No % ,IGDriver'sLicenseNo. Expires: ot�S-Oh-/O Verification o( Ovmership by (type o( document, i.e. - pmperty tax 6ill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no ezcavation frve (5) or more feet in depth inro wfiich a person is required to descend, will be made in connectbn vrith work aulhonzed by Ihis pertnit, and ihat no huilding structure, scaffdding, (alsewurk, or demolition or dismantling thereo(, will be more than Ihirty-six (36) lee� high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit (rom ihe Division o/ Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Appliwnfs Signalure Daie Division o( Intlustnal Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will [he applicant or present or (uWre building occupant nee0 to fle and certify a Business Plan for emergency response lo release or threatened release ot a hazardous material? ❑ Ves ❑ No (Section 25505 ot the Califomia Health and Safery Code requires, with some exceptions, that a Business Plan be filed with Ihe Costa Mesa Fire Department by every business which has at any one time during a reponed year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas a1 standard temperature and pressure�. 2. Does or will the applicanl or present or fuWre building occupant need lo fle a registration form for acutely hazardous matedals? ❑ Yes ❑ No (Section 25533 of the Califomia Healt� and Safety Code. wiih some exceptions, requires regislration with the Costa Mesa Fire Department by each husiness which at any one lime has on hantl a quantity o( acutely hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas al stantlard remperature and pressure�. 3. Does or vrill the applicant or present or future builtling occupant need to prepare an RMPP (Risk Management and Prevention Program (or acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the Cali(omia Health and Safery Code provitles that the Costa Mesa Fire Department may require Ihe preparation, certifcation antl fling with the Fire Departmen[ of an RMPP by businesses which are require0 to register acutely hazardous matenals with the Fire Depariment. 4. If an RMPP is presently required, has Section 25534 of the Calilornia Health and Safety Code been fully complied vnth7 ❑ Yes ❑ No 5. Does or will the applicanl or present or futura building occupant require !or the work which is the subjecl of ihis application a peimit for such constmction or modifcation (rom lhe South Coas� Air Quality ManBgemenl DistfiCl Of ffOm any o[her air polNtion control district or agency? ❑ Ves ❑ No (Section 658502 of Ihe Califomia Govemment Code requires that the requested in(ormaiion be fumi5hed on applications (a non-residential building permits). 6. Wiil any part of the facility ro be constructetl under this permit be within 7000 feet from Ihe outer boundaries of a school't ❑ Yes ❑ No p('yes", lhe facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safey Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution Gontr0l di5trit[ or agency is required for the work whiCh i5 the subject of this appliwtion, have all of t�e disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (It'yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIPICATE OF COMPLIANCE: I certify that under penalty of perjury the in(ormation given above is cortect I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signawre Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certi(y under penalty of perjury that I �ave read Ihis application antl state that the information given is correcL I agree to comply with all state laws and city ordinances relating to builtling consWction, and authorize representatives of the Ciry of Costa Mesa lo enter upon the above-descnbed property (or inspection purposes. I agree not to occupy or allow occupancy o( any building authorized by this pertnit until fnal inspection. SignaW ILegalOwne/qs) Dale iiC 4 ��i,.,,. ,'N ��- 3 �.Z - /O j dlor utho M APOLtanl Dale Lot 82 Tr 3722 ' ,�3�� COSTA MESA BUILDING-SAFETY DEPARTMENT p, p. BO% 917 COBTA MEBA. CALIPORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT BUILDING 3245 Colorado Lane ADDRH6S COSTA MESA CALIFORNIA ,,,.,u�o K & E Develooment Co..InC, eMAIL - �� ... . ___._.. ..._ � TEL. SIZE l NO: OP e�ae. � __ __ ^IAvIl1l� ..��nn _..__ FEE RECEIlIED O e�4'' i`�- to a� FINANCE DEPT. APPLI�ATIOIV FORT�PERMIT eua�iN� For Office Use Only R[CEIPT NO. PBHMIT NO. er BUILDING ADDRESS COSTA MESA. CALIFORNIA FIRE ZONIN6 zoNe I no. ov I uea ov r R�l PLANB 2 BUILOINO 1 LBWL � , n� ... LeNTEp OP B'TRHBTY 6 t REAR YARD T ��A ��¢ ot.� FRONT SIDE YARD LEFf IS � I RIGHT S* R. SIDE pESCRIPTION OF WORK - � ILDING EXTERIOR WAL'L�STUCCO IROOF COVERING COVERin USE OP BUILDING AND WORK TO BE and Attached Garage EVES I HERCBY ALKNOWL8D08 THAT 1 XAVE READ THI9 �PPLIGTION h{! AMOUM BHOWN UNOEN VALUATION IB FON TNE AND 9T�T8 TNAT THE ABOVE I6 CORRCCT ANO AOR66 TO COM- pUI806! OP EBTA9LIBHINO � P6qMIT iEE ONLY. PLY WITX ALL UTY ONDINANCEB AND BTAiG LAWB R60ULATNO BUILD�No CONBTRu ON. VALUATION �� SIGNATURE OF J � .PERMIT FEE $ PERMITfE � � A // /L �/ �j $ (�j Ca% �� P�nnra cNecK 5 �d�� AUTHORIZEO ACeNT � TOTAL FEE