HomeMy WebLinkAbout2410 COLLEGE DR - Building Permitsvxa� nonEss: 2q10 COLLEGE DR
ow, xaMe: PARKER KENNETH L
� ess: 3074 C�YLON RD
:'t COSTA MESA, CA
714) 549-0433
AflCN/ENGINEEfl:
PDONESS:
UNIT:
92626
NEG.NO.:
UNIT:
PEflMITTEE: BRENT OWENS ROOFING ( 719 ) 978-2075
nooncss: 12901 HUUHBLING WELL ROAD
SANTA ANA CA 92705
UCENSE� ECIABATION: I here�y allirm IAaI I am litensea under provi5i0n5 0� Chap�er 9(CommenCing wil� Seclion
7000� of D' siness antl Pwlessons Cotle. antl my license is in lull force anU eitect.
L' /[; STATE LIC.: G O O�I O P ciass 3 9
�ale' �-( 6 y Signa�ure: �_t���--�—
flNEflS' (OMP SATIUN OECLANATION: I Aere�y aifirm Ihal I �ave a cetlilicate ot consenl lo sel4insure or a cehilicate of Workers'
Compensaiion Ipgyrapp� p[ �cp{Iified cppY �hereal (Seclion 3800. Lab, CJ.2 � O I� 9 S
aoucv no.: STATE FUND E%P. OPTE: U
COMPANY: ,s,
enifietl c py is ere0y lumishetl. L'7 Cenitie0 cooY is liletl w�ith tAe c.ity Buii ing �ivisian.
ai S Appiicam: ��Z
EMPTION POM OPREBS'COMPENSITIONDEClAPA710N: �Thi55eclionnee0not�emmpleleOillhepermili5�wmehunUreA�5lIXl�orles5�.
I cenily Ihat in I�e De��ormance of ��e vrork Por which I�is permii is i55ueQ I s�all noi emD�oy any person in any manner so as lo become
su0�eci lo t�e WOBerS' Compen5aiion Laws af Calitomia.
Daie', SignaWre:
NOTICE: II. atte� making I�is declaratian, yau ihoul0 GecOme su�lec� �o t�e Work¢rs' Campensation pwvisions ol t�e LaAo�
Cotle. you mu5t Iori�witn comply with such pmvisions ar Ihis permi� shall Ce OeemeA revoketl.
LONSTNUCTION LENOING AGENCY: I h¢r¢by atfirm I�ai Iher¢ is a ConSimCtiOn lentling agency �or Ihe pedarmante o� lhe wark lor
wnicA i�rs permn is asued �Seamn 3097. Civ. q.
LENDEH:
ADOPESS:
W/TILE
OWNFP BUILDEB OECLABATION: I �erehy allirm ihal I am exemp� imm ��e Coniranors' State License Law lor tAe fallowing reason
�Seclion 7091,5 Business an0 Pmfessional Cotle'. Any city of county which reQuires a permit Io consimct, altec impmve, EemolisA, or
repaii any simcture, Drior �o ils issuance, also requires I�e applicani lor such permit lo lile a signetl 5ta�emenl Ihai he/ihe is lic¢nsee
pur5uanl io Ne provisians ai I�e Contractars' $late License Law (Chapter 9(commencinp vnth Section 7IXp) oi Orvisfon 3 a� ihe Business
antl Pmfessions Cooe) or Ihal ne/sne is ecempt therelmm ana Ine �asis lor ine allegea exemption. Nny violation oi Seclion 7037.5 Gy
any applicanl lor a p¢rmi� SUEle��S lhe ap0licant ta a civil penatly oi no� more I�an live �untlr¢tl tlollars (5500�.
I. as owne� ol ��e D�oDeny o� my employees wilh waAes as t�eir sole campensa�ion, will ao t�e wark. an0 Ihe
�❑ s�mclure is noi intentle0 ar oilere0 1or sale (Seclion 70G4, Business anE Proleuional Co4e: The ConVactors' Slaie License Law
Gces nol aOPM1/ Io an owner ol a Droperty wtq Guilds or impmves �her¢On, aM who Oaes suc� xrork �imselMersel� or lhrouqh
hi5 or �¢r own empby¢es, pmd0ea I�a� Sut� improvemenls ar¢ not in�entl¢0 or oflered IDr Saie. II, howev¢r ��e Euilaing or
im0�ovemenl is 5010 vnt�in on¢ year oi tom0letion, �h¢ owner will �ave the burtlen o� pmNng �e/she tlitl noi builtl ar im0�ove
far Ihe ourv�e ol Shcel.
I, as ownei o� Ihe pmperiy, am eeclusively conlrac�inA wiih licensed conlraclor5 io conslmcl Ne pmle�� �Seclion 704d, Business
❑ an0 Pmlessiws CoEe: The ConUacbrs' S�ate License Law Oces noI aOVly IO an Owner ai pmpe�y wha builGs or imD��es Nereon
an0 w�o conVacts lor suc� pmlecis wi�� a conVactoqs�li[ense DurSuani b ��e Conlraciors' $late liC¢nse Law�.l am aware
Ihat pmol ol I�eir Worker's Compensalmn insurance shaWd �e Omvide0 to mc.
� I am exemD� untler $ec�ion' B. 8 P. C.
lar I�is reason:
Da�e: Ownec
I tlo �ere�y cenily Ihal I am aware ol antl untlerslantl Ne reQuiremenls ot Calibmia Health ana Safery Cotle Seciions 255Q5, 25533, anU
25534 an� I�a� I ar any fulure Uwlding occuDam wilVwili not (circle one) neeG to Com01y vnih 5ai0 state co0e5 antl �he repuirements lar a
permit lor consimction or motlificalion Imm I�e Air Ouality Managemen� Oisiric�. flesiUeniial consVuc�ian apDlica�ions are exempi imm
Inese pmvisions.
Dale: AO�licant:
I heteey rertiiy iM1al I have teae Ihis apD���alion an0 slate that Ihe aEOve infarmaliM is mrrecl. I agree lo compry vritn all ciry ana [aunty
or ncesantlstalelaw5relating�obuilaingcons�mclionana�ere�yauNorizerepr enlativesa i cilyio¢nteruponlheabove�menlioneA
o�e y lo� insp clion u�0oses. C,
0 SignaWre: —/���/�-
Orivcr's Lice sc ar ocia� Security
164La6 Whne—Bwltling; Green—Coae EnbrcemenC Canary—ApplicanC Pink—Reven�e; Golpenroa—Assessar
.. . I
;
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B�0672Y9 I
PERMIT NO: B 067219 PLAN CHECK NO: N GOl'T: N SUPP: N`
�.�,
CONSTRUCTION TYPE: V—N PERMZT TYPE: STR PURPOSE: ALT ��I
JOB DESCRIPTION ; T/OFF RESHT. REROOF W/COMP SQ FT: 5,500 I
CLAIM VALUE: 5,500.00 CALC—VALUE: 5,500.00 GROUP OCC; R-3 /M-1
COMMENTS: SMOKE DETECTORS ARE REQUIRED IN HEDROOMS 6 HALLWAYS " 1991 UBC "
**��*��r****�c**x*�**�r�****�r**�****�+�*+�*+�*+r*x��****+�***�*******�r*�r**�r****�r*******
Z O N I N G R E Q U I R E M E N T S
S E T$ A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG ---------
FRNT: FT ZN REAR: FT IN FRNT: FT IN AEAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PAAKING REQ: PROV: PARCEL: 14148435 ZNE: REF NO:
PLANNING NOTES> �.
> •
if iE iklE iE it if if iE jE if �E iE iE if if if 1E iF iE 1E �E iF if 9E 1E if iE iE iF iE k it iE iE 1E �E 1F M it af iE aE if �f iF if if it iE �f iE 9E iE iE iE if if if if iF if iF iF 1E it 1f if jf"jE iE �E iE iE 1f iE if iE if
D E V E L O P M E N T S E R C� I C E S R E Q U Z R E M E N;�T S
ZONING APPROVED BY DATE: •�
`
HUILDING APPROVED BY ; DATE: :�
APPLICATION ISSUED BY: � �'C DATE: �
iFiFiFifiFiEiFiFiEiFiFiFiFiEiEiFfFiEiEiflFiE�3F�F�f�R�EiF�f��f��E�f� �Zj��F;fif�ifiF3��iF�iF�F�F�E3F�Fif7FifiFifiF?E1FiFiEifif , iFif
iR3FiFiE�IciE3EafiFiEdEi:if�{FiFiEiEiEiE#iF9fjFiFifiFfEiFiciE#E�)E�IF{hi4�lEiFifiFlfiE�7FifiFiFiFifiFiFi�iEiFiEiFiR�lfifif-�iFia3fiF�lfiEiRiEiEi�F,9F�7f iF�IFiFiFa(-�FiF
LEGALZZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GAADING
PERMIT 81,00 55
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—C[iECK TOTAL PAID DUE
TOTALS----> 81.55 0.00 0.00 81.55 81.55 .00
REC'ENUE DIC'ISION TOTALS--> COLLECTED: 81.55 OC'ER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
81.00 .55
1E iE 1E iE K jf iF jE iF aF iE iF iF iE if 9E �E i: if-aE iE iF iF iE iF if if iE if if jE if j: aE iE iF iE * ic If aF fE ff iE iE iE ff �E iF M iF iE iE if ±E 1E jE �E jE iE if #: % 1E If iF iF iF iF if if if 9f iE �lE jf �1F if 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 I O N UNIT COST TOTAL COST
SFR 5500 REAOOF BY VALUE RESIDENTIAL NOZONE 1.00 5,500.00
END OF FEES
SMOk� �ET��;70R
REG1���016��40� 4r41
0
81.55
� `.�)�STRUCTION AND PLANMING
,�P� 70VALS ?ermit �
:mporary Ele[tncal Scrv�ceor�Poie
' ' Z SOi! Pirte U�drQrr.d. . .
�3 E' c'r ��' G���du + '
' LThrv�U��,drgrr.d.
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' 12. S^v:er CaP .
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r1� R�unF', �si'.•.g L A�r COru�L�ning
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ri5 F�-�;"a:�a;.t��.�.rtg ___--..
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�27. f-.•rr, �n;; I�Iash�n� � ----�
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' 70. I�,cu,cLan
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� 36. I�ood o� C��roPY
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• 37. F�rc, F;�ti�rq Fi��pia�t
L_ ____' '_ -_-'__
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�__-__.-_ -___
' 33. ':.: �'r• e•reiro-Fi:�.al
�' _ -__ -_ _ ___� ___
4�. Ge: S:n�tt��inG!
i__ -_ '_
41, Suldr Dnmer.:ie��inal
��2. Backflor Preventer
3. Oatl:flo�v Irngation
�---- ------ -------
I �.4. L�noscape I�nqation Syslum _
�4�. S.,w-.d <.tt_^uauor.
--- ---�-----
� t�. F,ar.tl���.o R�ya�.!�or, _
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a.'. Fi':A'. STRUC?UPE & o�I_D!�:G
�° 'I�CP.L?�ANRIR'G
4�. El�ctn;: Fucase to ctlis0�
1 50. Gas Releasr to Southern Califorma Gas
r+::r --
� i�.: CE9T1'ICATE OF OCCUPANCY
� Datc
' �-
�
� �oo� a sPa -- - i
Date Inspector Date
APPROVALS Permrt .-
52. Fo�l S. Ey�ipm,�ri Lucat�on
53. St��cl R�mf�rc�m«�i
! ns{�tctor
� � 5b. F o-m• i '
--f--- - --- -- --i
I � 5�. C����ctr.rzl Ennd.n� �
� 60. f-1ccq��i Plumb�ng & PreSsure TeSt I' !
-_- f _J�_- �
,�s�. �oPAe�u��. To cov,:R cur��re I I
�.- - �-- - - - -
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� �__-'._T. '
i CJ. �,c�: :sn '. -�c•. P�'�-P, UcC-�.�: �
-_ _ .T- �__-I
� 61. F?PRO!'ALTODECK � ' � .
-f -- - -1--- -- -- ---1
� G7.. t7,e..��sh C! �ec��'u �F��el �'__
� G3. He�it::r & VenfFinzl �- � , �
'--i- �-
64. Pluminng SYstem � Final i � i
�_ -_ _ -__-_-_ . __ _'
G5. Electrital f-inal f
___�. .-_. �_ -_ '_ - -_ _ - _ �J-- � _- _
66. $ol3r SVst�m I'inol
II 67. f-cncing & Acc:�_Ai�P�o��.�! +
t___ ---f. _�__
� ! 6D. APFROVED FO!� P�AS'. ERIGG
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G�J. POOI �SFq SYSTE`.'S F'�P!A� , �
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1� � 75. Iir� Li`�-•+'�.. -.�_- I �
-- - 76. Ury 5!a� JP.ce- --�- -�--�-- �- � - - -- -� -- - --
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77. FIXEDSYSTEA,FiNA�
-- ----------------i----�
78. FIRE PRcV. Fl�;,�l I �
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I-!LA!_TH DEPT. REOUIRE?:�E�'T '
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OW NER Costa M25d ES�3t@S � DATE �-12-56
JOBADDRESS 21t10 Colle�e DI'1V@ BUILDINGPERMITNO. ZG91
GENERALCONTRACTOR 12oven-Spie�el Co VALUE $],Z��OO�OO
�oT 91 BLOCK TRACT277O Single Res x/att gar
GROUP I& J TYPE � ZONE � FIRE DISTRICT ZT13
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE I NUMBER
Foundation Forms and G
Rough Framing
Plumbtng, Rough to Slab
Plumbing, Rough Compli
Temporary Pole
Wiring, Raugh
Heating, Rough
Heating, Fina�
i,�ewer.House i�
Lathing, In Out jC-==-t:/f/t �
Plastering d�ii, YG ��7
Plumbing, Final, Fixtures Comptete M f} S -t�
Plumbing, Fin,al Gas Test/s =___�y ff S -/0 ^_
Wiring,Final QPR 1 1957
Occupancy ABR 1 5� 95�
FOHM 310 3M lO�i9
*s:o� I ���7� .i /I � !L �9 �
i —
�osta Mesa Building Department
" 111 EAST 20th STREET
� ' COSTA MESA. CALIFORNIA
�� .
� FOR APPLICANT TO FILL IN
� Addresa ��( i �n .-��el��/ �1�?�QJ
,
Costa Me9a, California
NearesS
Cross St. ���
OwnerCoSifJ� fFrl�" ��li�r�;
Mail ��5� �� � �{ G.�•�
�Address � � ./'/
r���.. .GG"�c ' .L�Gf�LE� ��-..�o nTi��U/��D'i:
Address � E+ �l �'
Legal I Lot
Description No.
size of Lot �iC k��
Use of
Existing Bldg.
Setback Line from r-J
r�X
I Block � � Tract
) �
Q�No. of Bidga
� Now on Lot
No.of No.
Familles Roo
�Rear Vard „�
Side Vard � �
oN oF wox,g
�tion I I Addition
g I I Demolish
No. of �
I hereby acknowledge that I have read this Application
and state that the abwe Is rnrrect and agree to comply
with all City Ordinances and State Laws regulating
building rnnshvction.
Signatureof � �����'�,--f��K
Permittee �G��i�
/ �
Authorized Agt. � �/
Valuation ae�mit Fee $ ��--^
$ // ���� Plan Check $ / � �
Total � �
Fee
PM 9M S-RP �M ft.55
APPLICATION FOR PERNIIT
,�,� BUILDiNG '
FOR Od�'FICE USE ONLY
Receipt No. I Permit No.
a � 9�
Received by Date Rec'd.�/ Date Issued
.�s'iM'� I CL— . � �( /_ GL—i J_ 1%.
Address
Costa Mesa, California
CORRECTIONS
�
APPROVALS
iundation Location Inspeeto
Forms, Materials,
Under-Pinning
•ame: Fire Stops,
Plaster, Int
Plaster, Ext
Masonry Reinforced
Bond Beam
Date
O
a
�
2
D
r
PLOT PLAN
6how Iocatlon and distances from
property Iina and between buildings
��i�3« COSTA�7 K r.•,,:;�i f�
-PDiiESA zLL 2, n