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Home My WebLink About3252 COLORADO LN - Building Permitspia� �sa-sz�s • Fa: (�ia> �sa-aess Job Address: Suite No Vicinity: Parcel Nunmber. CITY OF COSTA MESA BUILDIN6 DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 3252 COLORADOLN 13906808 npplicant: PALME, CHRISTINE Address: CHR�STINE DE CARLO PALME C.M. 3252 COLORADO LN owner: GREGORY PALME Address CHRISTINE DE CARLO PALME C.M. 3252 COLORADO LN Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (i-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Senice over t000a Motors to 1 hp Motors to tOhp Motors to SOhp Motors to t00hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole UPGRADE TO 200AMP. 822.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 so.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $27.25 $O.oO $0.00 50.00 50.00 Quantity ELECTRICAL PERMIT Phone: 714-751-2787 Zip: 92628 Phone: 714-751-2787 Zip: 92628 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY Temp Dist System / Lighting Busway/700 k Standing Section Misc Electrical Equipment Transformers up to t kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit Misc. Conductor Circus ( gen or ride) CirCus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee ._ , ` PERMIT NUMBER i E99-00343 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 0412611999 Issued: 04/26/1999 ISSUED BY: Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E49.25 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicabla 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 it work is not commenced within 180 days, or if work is suspended or abandoned for a pe�od 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 requlred inepeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSATONDECLARAnON: . I hereby atllrtn under penelry of perjury one ot the I011owing tledaretions: ❑ I heve entl will meintain e certificate of consent ta self-Insure for workers' compensetlon, es Orovided for by sectian 3700 of Ihe Lebor CoAe, for the pertortnance o1 Ihe work far which this pertnit Is issuetl. ❑ I heve antl will melntain workers' mmpensatlon InSurence, as requlred by seclion 3700 ot the Lahor Code, for the peAortnance oi Ne woftc lor whkh ihis pertnit Ls iswed. My workers' compansetion Insurance carder and poliry numCer ere: Carrler: Pollcy Num6er: (This sectlon naed nof be completetl i/ the permtr fs veluetl ef one �undred dollars ($100) or /ess.) ❑ I cenity Ihat In the Oedormanca oi the work br whlch this pertnit is issued, I shell not employ eny person in any menner so es to becoma sub�ect to the workers' compensetlon laws of Califomia, antl egree thet It I shoulC become su6ject Io ihe workers' compensetion provisions of SecHon 3700 of the Lebor Catle, I shall forthwith comply wlih these provisions. ApplicaN Signature: Date: WARNINO: FAILURE TO SEWRE WORI(ERS' CDMPENSATION COVERAG'c IS UMAW R1L AN� $Mr1LL SUBJECf Ml EMPLOVER TO CNMINAL PENALTIES M!D CML FlNES UP TO IXJE HUNDRED THOUSAND OOLL4RE (5100,OW), IN ADDRION TO THE ODST OF GUAIPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3]OB OF THE LABOR COOE. IMERESf, AND ATfORNEYS FEES. LICENSED CON7RAC70FS DELLARATON: I hereby aHirtn Ihat I am Ilcensetl untler provisions ol Chepter 9(commenUng with Sectlon 7000) ol Dlvision 3 0l !he Business and Professions Code, entl my Iicense is in tull lorce end enect. Llc. a Class a Contreclo/s SlgnaNre: Date: CONS7RUC710N LENDING AGENCV: ❑ I hereby aHirtn thet there is e constructlon lending egency lor tha peAortnance of the work br which this permit Is Iuued. (Sec. 3097, Civll Cotla). Lentlefs Neme: Lentlels Atltlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eflirm Ihat untler penalry ot perjury thet I em EXEMPT FROM THE CONTF;ACTORS LICENSE LAW for the lollaxing reeson (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires a permit to wnsWcL elter, impmve, demolish, or repelr eny siructure, prior to ils issuance, also requires Ne applicant tor such pertnit to file a signetl statemem Ihal he or she is licensetl pursuent to I�e proNsions af the Comrectors License Lew (Chapter 9(commencting wilh Section 7000) of DiNsion 3 oi t�e Buslness anA Proteuions Cade) or Ihat he or she is exempt therelrom end tha besis for the allegetl exemption. Any Nalation oi Sectbn 7031.5 by eny ap0��nt for a permit sub�acts the epplicant to e ciNl penelry ai not more then Ilve �untlretl tlollars ($500).): ❑ I, es owner ot t�e property, or my employees with weges es thelr sWe compensetlon, WILL DO 7HE WORK, entl the sWcture Is not Intentled or ottered tor sale (Sec. 7044, Business end Professions Code: The Contrectors License law does not epply to en owner oi property who builds or improves ihereon, and who tloes such work himselt or herself or ihrough his or her or.n employees, provitled that such impmvements ere not intendetl or oNered for sele. If, however, the building or improvement is �sold wlthln one year ot completion, the owner-bullder will heva the burden of proving that he or she did not build or Improve for purpase ol sele.). I, es owner oi the properry, am EXCWSIVELV CONTRACTING WITH LICENSED CONTHAC70RS to construct t�e proJect (Sec. 7044, eusiness and Professions Catle: The comrecrors License Lew does not eOPty to en owner of property who builds or improves thereon, and who contracts tor such project with a contractor(s) license pursuant to the Contradors License Laws.). ❑ I em ezempt under s Business antl Professlons Cotle for this reeson: Signewre: �Q.'1 %i �/Y�-F J Date: 4-,110� qLI OwnerlDverifiedbydriv s kense. �Yes ❑No OriversLicenseNo. x ires: 3-0.3 Veriticatlon ot Ownership Cy (rype ot daument, i.e. - Droperty tau bill or deetl): DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTFICATON: ❑ I �ereDy certly that no excavetion flva (5) or more feet In tlepth Into whlch a parson Is required to descena, wlll ba mede Im m�nectlon wlih work authorizetl by tNs permit, end t�et no DuilCing structure, scattdding, lelsework, or demolition or dismentling thereol, wlil be more than thirry-six (36) teel �igh. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celltomia Administretiva Code). ❑ As owner�bullder, I will not employ enyone to Co wark whlch would requlre e permlt from tha Dlvislon of Industrial Sefery, es notetl ebova, unless suc� person has e pertnil to do such work trom t�e divislon. SigneWre: Date: DlWslon of Industrial Sefery Permil Number: CERTIFlCATE OF COMPLIANCE ANU AVTHOR¢ATON OF ENTAY: I certify untler penelry oi per�ury that 1 hava reatl this applicetion entl state that the intormation qiven is correct. I agree to campty vrith ell state laws and dry ordinan s relating to builtling consiructlon, antl authorize representetives oi ihe Ciry ol CosW Mese to enter upon Ihe ebovadescrlbetl D�aPerty forJ'�' cy on purpo s. I e not occupy ar ellow occupenty of eny bullding eu�horized by ihis pertnit untll Ilnal InspeMion. � / �,/� �/-�Co - qf% re OI Legfll Owner(s) Dete And/Or Autharized Applicant Date CODE I. INSPECTIONTYPE 1678 Flsetl System Flnel Fire Preventian 1268 Pool Spa Finel 200 Finel Ra�Rool 201 Flnal BIaWReteining Wall 202 Flnel FeCtory Fire Plate 203 Finel Sign 204 Finel Demolitian zaaaae vag �e�s iODEI ixsveenoNrvve 206 Finel Mechenicel 20B Finel Plumbing 2�0 Finel Electrical 212 Finfll Fire PrevBnllon 220 Finel Planning Approval 222 Finel Slte 250 Finel BuiltlingiOccupancy eeg u�e�a s�-s�a2 Z3(3�_5 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O• BO% 917 C08TA MEBA. GLIFORNIA For Applicanf io Fill In Complefely TYPE OR PRINT �'�— COSTA MESA CALIFORNIA ■ ARCHITECT TEL. ■ SIZE �� { ^ .�i�;.,��etoos. (Y �EE RECEIVED a� ,�_bQ-s� FINANCE DEPT. �PLICAT�Q[�1L�C�B:�P.ERM IT BUILDING For Office Use Only nece�!' V I o/�R'c�I�'�Qbl 1e� 1Q�' BUILDING ADDRE66 COSTA MESA. CALIFORNIA . i FIRE - ZONE TYPE GROUR�. APPROVEO BV DATE ZONING 20N[ l NO. OP 1168 OF N6W R�1 I�uN9 2 I BUILDINO W/ att �� • LEOAL . ... _ . _ _ _ _ BQTOAGK LINI� FRON ICHNTew LINH eTJ ClMCR OP 9TABHT SO t REAR YARD ZO t FRONT SIDE YARD I LEFT 6* 9" I RIGHT 6� 9�� q, SIDE pESCRIPTION, OF WORK� - _ BUILDING / `� NO. OF �/' 81ZE ROOMS G STORIES EXTERIORWALL IROOF Wood Shingl COVERING WVERING USE OP BUILOING AND WORK TO BE PERFORMED F Y E D NCE and Attached Garage 1 H8R8BY ACNNOWLBDO! TMAT 1 NAVB RGD THiB APPLIGTION THg �MOUM BHOWN UNOBH VALUATION IB POR TMZ ANO 8TAT6 TNAT TMC ABOV6 18 CORAHCT AND A6iiB8 TO CON• pUfiP088 OP 88TABLIBXING A PBHMIT P86 ONLY. PLV WITH �LL CIiY OROINANCEB BTATH LA B Ii86UUTINO BUItnINo CQNeinu oN. � VALUATION SIGNATURE OP /� ��/ PERMIT FEE S.�% �— PERMI7TH �� $ J(/i/ �� /� p�pN CHEGK S /A' / AUTHORIZEP AGEN7 _ ��y._