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Home My WebLink About3268 COLORADO LN - Building Permits(714) 754-5273 • Fax (714) 7543$56 CITY OF COSTA MESA BUILDIN6 DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Job Address: 3268 COLORADO LN Suite: Vicinity: RESIDENCE & ATTACHED GARAGE. ParcelNunmber: 13906804 Applicant: FARMER, FRED Address: 915 W COLIINS ORANGE CA Owner: HOULE, PAUL Address 3268 COLORADO LN ZOning: Phone: 714-997-4541 Zip: 92667 Phone: � COSTA MESA, CA Zip: 92626 Contractor: CHRISTOPHER ROOFING CO. . Atldress: 915 W COLLINS ORANGE CA Zip: 92667 Arch : Address: Phone: 714-997-4541 License: 624118 � Eng: Address: NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: O6/14/1999 Issued: O6114/1999 � Phone: Phone: � � � ' Zip License: Zip: License: � SCOPE OF PERMIT � , REROOF: T/O, APPLY 2 LAYERS OF 15# ASTM FELT, REROOF W/ 25 YR CLASS A COMP SHINGLES. 26 SQUARES. FEESUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Other: I nspection: Total $0.00 $8725 $0.50 $0.00 $0.00 $0.00 $87.75 SETBACKS MAIN STRUCTURE Front 0- 0 .ACCESSORY Front 0-0 PARKING Existinq: o NOTES: 0 Rear 0-0 Rear 0- 0 Required: 0 PLANNING 8 ZONING Lefl 0- 0 left 0- 0 Proposed: 0 Calc Valuation: 3s,a2s.00 Claim Valuation: 53.azs.00 Right 0- 0 Right 0-0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 12-27-92) EXPIRATION: This permit shall automatirally expire and become void if vrork is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 deys. INSPECTIONS: In order tor the Work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlona end final approval must be obtained. Failure to obtain inspections and final approval will result in iha expiration of this permit. FOR INSPECTIONS CALL: (714) 7545628 � WORKERS'COMPENSAnON DECLAAATON: I �ereDy ettirm under penalry ol perjury one oi I�e lollowing tleclaretions: ' - ❑ I heve entl will melntaln e ceniticate ol consent to self-Insure tor workers' compensation, as proWtled for by secNon 3700 of ihe Lebor Gode, for ihe pertortnence of ihe work for whiCh this permit is issueG. �I have and will maintain wwkers' Wmpensation insurence, as requiretl by section 3700 of Ne Lebor Cotle, for Na peAortnence ol Ihe work for whiU thls permit Is issued My workers' mmpensatlon In enc-e 1carrier and policy number ere: 9 � Cerrier: ��1%N D Policy Number. G�S �� 9 6 Z� (Tiiis secfion nesd no�e comp/ete011 the permit !s veluetl ef one hundred tlollars ($700) or /essJ ❑ I certity �hat In the per(ormenca 01 the work for which this permit is issueQ I shall not employ eny person in any menner so es to become subject to Ihe workers' campensation lews of Calitomia, and egree thet if I should become subject to ihe workers' compensetion provisions of Section 3700 ot Ihe LaDor Code, I shall forthwith camply with ihese pr ns. /+ ApplicenlSiqneNre: �� -�-i+e�_ Dete: G'�I 5i 7%� WARNING: FAIWRE TO SEC RE WORKERS' �MPENSATION COVERAGE IS UNLAWfUL ANO SMALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND dVIL FINES UP TOONE MUNDRED SHOUSAND OOLLARE (S1 W,OOO�, IN PDOITION TO THE CAST OF CAMPENSATION, DAMACES AS PROVIDED FOR lN SECTION 3TC60F THE LA90R CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRAC70RS DECLARATION: I hereby aHirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot ihe Business entl Professions Code, and my license is In full torce entl ettecc Lic. tt Class q Contractors5ignature: �je/��.s.,,,� Dete: �/��9 CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirm ihat Ihare Is e construction lenalnq agency tor Ihe performance oi the work tor which Ihis parmit is Issued. (Sec. 3097, Civll Cotle). Lenders Name: Lentlefs Address: Signature: Date: OWNER-BUILOER DECLARATIONS: I hereby ettirm that under penalty of per�ury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Profeuions Code: Any ciry or counry which requires a pertnit to construct, alter, impwve, demolish, or repair any strucWre, prior to Its issuence, also requires the epplicent for such permit to tile e signetl sialement ihal he or she is licensed pursuant to ihe provisions oi the Contradors Llcense Lew (Chap�er 9(commencing wit� Secdon 7000) ot Division 3 ot the Business antl Professions Code) or thet he or she is ezempt therelrom anA t�e basis for �he alleged exemptian. Any violation at Sectlon 7031.5 by any applicant tor a pertnit subjects �he applicant to a civil penalry of noI more than tive hundred tlollars (5500)J: ❑ I, es owner of the property, or my employees with wages es Iheir sole compensation, WILL DO TME WORK, and Ihe structure is not intentletl or ottered for sale (Sec. 7044, Busineu antl Professions Goda: The Contractors License Lew does not apply �o an owner of property who builds or improves the�eon, flnd who tloes such work himsell or hersalt or t�rouqh his or her own employees, pmvitled that such improvemenis are not Intendetl or oHeretl for sale. II, however, the huilding or improvement is sold within one year of completion, Ihe owner-builder will have the burden of proving that he or she did not build or improve for puryose o� sale.). ❑ I, es owner of lhe properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the pmject (Sec. 704d. Business and Professlons Cotle: Tlie contrecmrs License Law does not epply to en ownar of property who builtls or impmves thereon, antl who contrects for such prqect with a coniractor(s) license pursuant to the Conireclor4 �icense Lews.). ❑ I em axempl untler sec. Business end Profeuions Cotla tor ihi5 rea5on: Siqnature: Date: Owner ID verified by drivefs license. ❑ �es ❑ No Dnvers License No. Venfication of Ownership by (type of document, i.e. - propeny tax blll or daed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: Ezpires: ❑ I hereby certify ihat no ezcaveUon five (5) or more feet in depth into which a person is requiretl to descend, wlll be made in connectlon with work euthodzed by t�is parmit, entl ihat no builtling siructure, scaHolding, talsework, or tlemolftion or dismamling Mereof, will be more then IhMy-six {38) teai high. (Chep. 32, Gry 2, Ar12, Sec. 341, Title B, Califarnie Administre�i�e Cotle). ❑ As owner-builder, I will not employ enyone to do work which woultl require a permit trom the Division oi Indusirial Sefety, es noted above, unless such person has a parmitto tlo such work from the divisian. Signature: Date: Division of Intlustnal Safery Permit Number: GOUE I. INSiECTIONTVPE 1616 Fixed System Finel Fire Prevenlion 1266 Pool Spe Final 200 Finel Re-Roof 201 Final BIocWReteining Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolition 24a6-68 �. 1 111' ' ��` ! CO�E I INSPECTION TYPE 206 Finel MeCheniwl 208 Final Plumbing 210 Final ElecMcal 212 Finel Fire Prevention 220 Finel Plenning Approval 222 Flnal Site 250 Final Builtlingi0aupancy 0 � Lot 91 Tr 3722 13��-� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. 60X 817 COB'�A MEBA. CALIPORNIA For Applieani fo Fill In Complefely TYPE OR PRINT aoo e'sa 3268 Colorado Lane COSTA MESA. CALIFORNIA 1555 PLACENTIA /1VE - TEL. FEE RECE111E� a �� 3-6�-� fINAiVCE DEPT. APFLICATIONTF�OREPERM IT BUILDING For Office Use Only HEC8IPT NO. P[pNIT NO. �Y COSTA MESA. ADDRESS FIRE � ZONE TYPE GROUP CONTRAGTOR APPROVED BY DATE AODRESS ZO N I N G ZONE NO. OF I U6E OF NEW CiTr EW O R-1 I vuNa 2 BUILDINO W 8tt BTATE TEL. �eow� LIG. NO. NO. - oBSCR�vitON oF �or 6 3. SOx100 I"�' o` eLO°a p Now on �or p, p, NO. L1ORC U6E OF YARD6 EVES EXISTING BL G APPROVEO ALLOWED 88TBACK LINE /RON ICCNT6P LINC BYJ cee+T6R OP BiNE� SO � REAR VARD ZO � FRONT FT. II HIDE YARD I 4EF7 H� 6^ I RIGHT 5� � /' R. SIDE FT. II DESCRIPTION OF WORK - , _,__ � __ �., APPROVED eZ��Nc 15�S�SF RooMs 6 sroF EXTERIOR WALSTUCCO IROOF ROCZi COVERING COVERINf. U8E OF BUILD�NG AND WORK TO BE PERFORMED and Attached Garage 1 H6R8BY I�CKNOWLHOOB THAT 1 HAV6 ltHAD TH�9 APPYGTION TMC AMOUNT BHOWN UNDER VALIIATION IB FOR TN¢ ANO 8TAT6 TNAT THH ABOVE 19 CORNECT AND AGREC TO COM- PLY WITH �LL CITY OPDINANG88 • HTATH lAWB HEGULATIHG PUPPO88 OF H9TABL19HING • PERMiT FEE ONLY. BgIGNANRH Oe�o� .� �� YALUATION � PERMIT FEE 5�� `i PERMITTE - S/'/ �/�/ F CHECK S�a � AGENT ' rTOTAL FEE 5�� ID a � i CITY DF COSTA MESA CALIFORNIA 92826 P.O. BOX 1200 FROM TME OFFICE OF THE DIRECTOR OF BUIIDINfi SAFETV Project Address �� C U��`';�"C> /�V� Project Name �� %Yj�vl l � O�mers Name �� Owmers Address R�mers Telephon /��.�,� ��,� e C� �o� -� ��t�� F�zmit # �(o� �� City Use Only I��,�7� �/oh..�� as-9a�er, Contractor, Ac�err� (strike out all except one) do hereby attest that employment of any person, or persons, is not anticipated at the ti.me of seeking the above-referenced permit. In the event that any person, or persons, are e�loyed under the prwisions of this permit, I shall inmiediately cause a valid Certificate of Worlanens Cong�ensation to be filed with the Costa Mesa Building Division. I agree to defend at my cx�m mst, ard to indemnify and hold harmless, the City, its officers, agents and/or e�loyees, frcm and against, any and all liability, damage, costs, losses, claims and expenses, haascever caused, resulting directly or indirectly fran, or connected with the improvement under this permit. I further state that I have read and fully imderstard the implications and re- sponsibilities of the above stateirents, and will ccmply with all provisions of the Contractors State License Iaw found under the Business and Professions Code, Division 3, Chapter 9, of the State of California. //� �/�iE / r / Oit/F� Print Name f � � Sig�' CMF 0777-46 /a �� b I�t •�� OFFICIFL SEAL JDY LYNN LYTIE � ,y PUBLit—CALIfORNIA s ;INCIPA� OFFICE IN � OR9NGE COU31Y1982 Expiras A�B• •��o�e��♦