HomeMy WebLinkAbout967 MAGELLAN ST - Building PermitsPERMIT TYPE
� . ;
CITY OF COSTA MESA
B!/ILDING D/VIS/ON
77 FAIR DRIVE, COSTA MESA, CA 92626 •�(714) 754-5273 • Fax (714) 754=4856 • www.ci.costa-mesa.ca.us �
FOR INSPECTIONS CALL: (114) 754-5626
PERMIT NUMBER. B07-00978
B_ROOF2
STATUS: ISSUED
DATE ISSUED: 10I1712007
ISSUED BY: BJK
JOB ADDRESS: 967 MAGELLAN ST CM Suite/Unit:
Vicinity: RESIDENCE AND ATTACHED GARAGE �� � .
Squares: 2800 � � Valuation: $7,800.00
SCOPE OF WORK: REROOF RESIDENCE WITH ATTACHED GARAGE: T/O 2 LAYERS, 1 GRAVEL & 1 COMP, REPAIR/REPLACE SHTG
AS NEEDED, 2 LAYERS 15# FELT, AND APPLY "30-YEAR GAF COMP SHINGLES." 2800 SQ Ff PITCH 4:12
OWNER: MAC GEORGE, WILLIAM E Address: 967 MAGELLAN ST � Unit:
PHONE: CitylState2ip: COSTA MESA, CA _ �
APPLICANT: NIELSEN, JACKI � ' Address: 29222 RANCHO VIEJO RD Unit :SUITE 127
PHONE: 949-542-7265 . -" Ciry/State/Zip: SAN JUAN CAPISTRANO, CA .
CONTRACTOR: CRANK BROTHERS CONSTRUCTION WC - . License No. 458773 ��
Address: 29222 R4NCH0 VIEJO RDUnit: � SUITE 127 __ . PHONE: 949-542-7265 , .
City/State/Zip: SAN JUAN CAPISTRANO, CA . '� ' 92675 CELL: '
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
TOTALFEES
License No.
License No.
�a'S:W
.� �� ,;. -
.,'
.� �� i� `�`,
',�¢
PHONE:
PHONE:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia sWtutes and relaled
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE/, INSPECTIONTYiE ORTE IN RL C UEi INSPECPONTYPE Dr1TE IN701AL5
1618 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final � 208 Final Plumbing
n� i
200 Final Re-Root r� 210 Final Electrical
201 Final Block/Re�aining Wall 212 Final Fire Preven�ion
202 Final Factory Fire Place 220 Final Pianning Approval
203 Final Sign � 222 Final Site
204 Pinal Demolition ' 250 Final BuildinglOccupancy
WORKERS' COMPENSATION DECLARATIOi
I hereby affirm under penaity of perjury one of the following declarations:
❑ I have and will maintain a certifcate of consen[ to self-Insure tor workers'
compensation, as provided (or by section 3700 of Ne Labor Code, for the
pedortnance of the work for which [his pertnit is issueC.
I have and will maintain workers' canpen5ation insurance, as required by
ection 3700 of ttre Labor Code, for ttre peAortnance of the work (a wfiich this
pertnit is issued. My workers' compensation Insurance cartier and policy
number are: �L �yN �
Carrier: 37 G �.
(This sacfion neeCnof bo mmdMM llhe pnrtK a vah�eda—t {orie� nur�M A�Iars (f f 001 a leu )
Policy Number �.3 � � ��� � ( 0
❑ I certily that in tha peAortnance of Ihe vrork for which this permit is
issued, I shall not employ any person in any manner so as to bewme subject
to Ihe woAcers' compensation lavrs of Califomia, antl agree that if I should
become subject ro tha workers' compensation provisions o( Section 3700 of
the Labor oda, I shall torthwi comply with these provisions.
% �
Apolit�anCs SipnaWre Oale
W NING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm Ihat I am licensetl under pmvisions of Chapter 9(commenGing
with Section 7000) o( Division 3 of the Business and Professions Cotle, antl
my license is in tuil (orce an2d eKect.
Lic. # ' � � � J qass tt � C�J �
� % � %
Gonvactor's Slgnature ate
NSTRUCTION LENDING AGENCY:
❑ I hereby affum that there is a constructbn lending agency for the
per(ortnance of the work far v.fiich INs pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender'S Addres5:
Dale
OWNER-BUILDER DECLARATIONS:
I hereby affrtn that under penalty of perjury that 1 am E%EMPT FROM TME
CONTRACTORS LICENSE LAW (or [he (ollowing reason (Sec. 7031.5.
Business and Professions Cotle: Any cily or counry which require5 a permit lo
construct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the appliwnt for suc� permit to file a signed statement
that he or she is licansed pursuant lo the provisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the
Business and Pmfessions Code) or that he or she is exempt therefmm anC
the basis tor the allege0 exemption. Any violation of SecGon 7031.5 by any
appliwnt Por a permit subjects lhe applicanl to a civil penalty of not more lhan
five hundred dollars ($500).): �
❑ I, as owner ot the propeny, or my employees vrith wages as their sole
compensation, WILL DO THE WORK, and the structure is not inlended or
oflered (or sale (Sec. 7044, Business antl Professions Code: The Contrectors
License Law tloes not apply to an ovmer of property who builds or improves
thereon, and who does such work himself or hersell or through his or her own
employees, provided Ihat such improvements are not intended or ofteieC for
sale. If, hovrever, the builCing or improvement is sold within one year of
completioq the ownervbuilder will have the burden of proving that he or she
ditl not build or improve for purpose of sale.).
❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRAC70RS to consWct the pmject (Sec. 7044. Business and'
Professions Code: The contractors License Law dces not apply to an owner of
property who builds or improves thereon, antl wfio contracts for such project with
a coniractw(s) license pursuaN to the Contractors License Laws.).
❑- I am ezempt untler sec.
Business and Professions Code for this reason:
Owner ID venfied by dn. . L. e. ❑ Yes ❑ No
Driver's License No. Expires:
Venfication of Ovmership by (type of document, i.e. - property tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certi(y that no excavation Me (5) a more feet in depth into vfiich a
person is required to descend, will be made in connection with woAc authorized
by this pertnit, antl that no building slrucWre, scaffdding, false�wrk, a tlemolition
or tlismantling thereof, will be more than thirty-sa (36) feet high. (Chap. 32, Gry
2. M 2, Sec. 341, Title 8, Calitomia AdminiSVative Code).
❑ As owner-builtler, I will not employ anyone lo tlo work which vroultl
require a permic from the Division of Industrial Safely, as noted above, unless
such person has a permit to do such work (rom the division.
Applicenl's Sipnalure
Division of Industnal Safely Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or preseN or tuWre builtling occupant neetl to fle and
certify a Business Plan for emergency response to release or threatenetl
release of a hazardous ma[erial? ❑ Yes ❑ No
(Section 25505 of the Calilornia Heal[h and Safery Code requires, wiN some
exceptions, Ihat a Business Plan be fled with the Costa Mesa Fire
Department Dy every business which has at any one time during a reportetl
year a quantily of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas
at standard temperaWre and pressure).
2. Does or will Ihe applicant or present or fuWre building cecupant need to file
a registration form for acutely hazartlous matenals? ❑ Yes ❑ No
(Section 25533 of the Califomia Heal[h and Safey Cotle, wiN some
eaceptions, requires regis[ration with the Cosla Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
�azardous matenals equal to or greater than a weight of 500 pountls, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future builtling occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutety
hazartlous materials)7 ❑ Yes ❑ No
(Section 25534 0( the California Health and Safety Code pmvides that the
Costa Mesa Fire Department may require the preparalion, certifcation and
fling with the Fire Department o( an RMPP by businesses which are required
[o register aculely hazardous materials with the Fire Departmenl.
4. If an RMPP is presently requireG, has Section 25534 ot the Califomia
Health and Safety Cotle been fully complied with? ❑ Yes ❑ No
5. Does or will Ihe applicant or present or luture builtling occupan� require for
the work which is Ihe subjeCt of thi5 applica�i0n a p8frtlit for Such tonstruction
Of modificalion (rom the South Coast Air Quality Management Distric� Or from
any other air polNtion conUol district or agency4 ❑ Yes O No
(Section 65850.2 of the Califomia Govemment Code requires that �he requested
in(ormation be fumisheG on applications !or noo-re5idential building pertnits�.
6. Will any part o( the faciliry lo be conslructed under this permit be wilhin
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If yes", the facility must meet the requirement of Sections 25534 and 42303
of the Califomia Health and Salety Code).
7. If a permit from the South Coast Air �uality Management DisMct or other
air polWtion control dislrict or agency is required !or the work which is the
subject of ihis application, have all of the disclosures prescribed by Calitomia
Health and Safety Code Seclion 42303 been made? ❑ Yes ❑ No
8. Qf'yes", attach certificate of compliance from the appropriate air pollution
control offcer).
CERTIFICATE OF COMPLIANCE: I certi(y thal under penalty of perjury the
information given above is correcL I agree to comply with all state laws�and
Gity Ordinances regarding Hazardou5 Materials antl Emi55ions. �
Signawre , Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certi/y under penalry of perjury that I have read this appliwtion and sWte that
the information given is cortecL I agree to comply with all state laws and city
ordinances relaling to building conslruction, and aulhonze representatives of
the Ciry o/ Costa Mesa ro emer upon the above-describetl pmperty for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorizetl by this permit until final inspection.
ignatureoflegai r(s) Date
SignaWre . Date . � — � �, Q 7
305]-46 (3/01) An01or Au1�Otl¢ed AOW���� �e
G` � OF COSTA MESA'
, C�STRUCTION PERMIT , '
Applicent't Mailing Address � �p/��� =r✓/NL- Li0
Project Address F � t - �p � -
Owner'sName Q x' hone5`/6-.,r7.3�
ndc.�, '96� •.hifGc"�,4,y � ' cosr.rrJEs.f
ArchlEng. Lice�se No. �
Address
Contrector i Nem� RO��T �cC'�v%-�'�p ohone$S7 �gQ
Addrea (mailing) � ' 0 ?
License No. �� �G/��
LICENSED CONTRACTOR DECLARATION
I hareCy�aHirm t�at 1 am IlcenseG untler Drovlslons of C�artar 9(commencinq
wlth section 7000) of Dlvlslon 3 of [ha Buziness a�d Rofetsions Cotle, antl
my Iicense Is In tW torce antl et/ect.
LJcense Class ' �ItertPse N—o.i�'
Date /�iihf' ; �519 [ `�ul.� .
`RKERS'COM ENSATION DECLARATION � •
neDy at71�m t�at 1 have a certNfrata.ot.conient to sa�<iniure or.a certiflwte
or Workers' ComOonsallon Insuranca, or a certifletl�copy Mereof (Sectlon �
3800, L2b. C.) . i , i • ,
Pollcy No. Company -
8 CertlfleC copy is �ere0y furnished. ! . ! � .
Certifietl copY is flletl wli� [he city Builtling DIvIS�on.
Date ' AOP���ant ' � '
EXEMPTION FROM WORKERS'bOMPENSATION DECLARATION '
(Thh section neatl not ba complatetl I( the parmit Is tor one huntlretl (f100� or
less). �
. 1 cortify that In t�e par/orm+nta of tha work for�wl���h tM1lz perm�t is issuatl I
shall not employ any person In any manner so'as to be[ome wbjecl t5�[he �
Workers'..CpmperWtlon Laws o! Call�l ��LL � �J �//
Date� /`II�Y S 519naWro�y /f'isA
NOTICE: If, aflar makinq this tlatlaralion, you ShoUltl beco e zubject to [he
Workers' CompanSaUon proNslons of lhe Labor Gotla, you must torthwitn
comply wil� sucn provi5ions or this Darmlt �SPall ba �tleeme0 revoke0.
CONSTRUCTION LENDING AGENCV '
I hereby alfirm thal them is a constru<tlon lantling agericy for the pertormanca
o/ tho work lor wt�ich tnls pormit Is Issuetl (�<tlon 3097' Clv. C.)
LenCer's Name -
L.anCar's Atltlrexs �
OWNER BUILDER UECLARATION � - ' ' .
I heraby affirm tnat 1 am exemOt Irom tne�Contraclor's License Law tor the
followln9 reason (Sattlon 7031.5 Business ana ProfRsslonal Cotle: Any city or
muntv wnicn roaulres a oermit to conslNct. alter. Improva, tlemolisn or repair
as
lam
of t�e property or my amployaes witn wages az their sole •
All tlo tha wOik, dn0 th0'S[�uctu/e IS not IntenGeU o[ ofte�etl '
n 7044, Business antl � Protesslonal Cotle:. Tha Con[ractor's �
u nol aDO�Y �o an owner o/ a property who builtls or impmvas
�o Ooes� sucn work hlmself/hersel! O� through his or her own
itlatl thal such Improvements are n0� Intentletl ar offeratl lor
, tne Culltling or improvement Ii soltl wlthin one year of com-
iar wlll have t�e �urden of proving ne/she Aitl no[ �ui1C or im-
rpose oi salo). '
�1 tha properry, am ezcluslvely contractlng�wlth�licensad mn-
'utt lha prOfB<t ($eCt1011 7004, Bu51Pe55 antl RO(GSSIonS Cotle:.
s Llcense law tloei nol appty lo a� owner of pmperry w�o
✓es theroon, antl w�o contracts for such pro�etts with a con-
purivant lo l�e Contractor's U<en5e L.aw). �
untlar Snctlon 8, d P. C. tor this reason
Date Owner
•I•nereDy certlty tnat I hare roai
Drivers' IJcenx or'SS #
CMF 0865-46 rev. 12/02
0
Canary - APP ��ant;
n[ to fill in all spacaf aacapl t�ow w11�in �eavy DorGer Iines ana �ign all aDYrooriate Eeclarations.
TVPE OF CONSTRUCTION. � LJ NEW L.J ADD LI ALTERATION J�'Q REPAIR '
❑ CONVERSION . � DEMOLISN ❑ OTHER �
' DESCRIPTION OF WORK �BOO GLNI �
TVPEOFPERMIT . GRADING FOUNDATION STRUCTURAI '
❑ TENANTp ❑ ELECTRICAL ❑ PLUMBING ❑ MEGHANICAL
.�,�OTNEH�11\E,RI.U'F//V�O . 1 : � •
PRQIECT DESCRIPTiON SQ. FT. OCCUPANCV
CONSTRUCTIONTVPF - VALUATIONS�
ZON� GRADINGCV.VDS. ACR
Ramarks: �yn �
Sink
Sewer Cap .
� � Sewer Connection� --
' Solet CollectOrS� �
Solar Piping -.
' Sotar Tenk , �
� Swimmin9 Pool w/Spa
rinking Founteins � Urinel � � �
loor Dreins � Water Clout �
loor Sinks — Water Heeter
asService Outlets WaterServica � �
KitchedSink .
Lavatories
Roof Drains
cti..u,e.� .
Service Sink
Duct- UnderGround .
Duct-Structural - .
Duct-Ventilating .
Exhaust System ❑ Multiple
Firepl/Fact. Blt. IC80 5fE
5
Heating,System & Ducting
❑ 0�100.000 BTU�� 100.000
Hood oi Typa I ❑
!- � ���� ' I Registen � � -
- Accounting; Goltlenrotl - Assessor
Reinspection Fee
laue Fee
❑aioo,000sTu ❑ioo,000sru
System Repair/Alteration
u
� Reinspection Fee�
, , Issue Fee �
A.P.qp
PLNG. REF. qW , -
70 BUILDING �
PROPERTV LINE
'LEFTSIDE VARD �
PKG.SPACE REQ. .
STREET WIDTH �
SPECIAL CONDITIONS:
Cooking Unit � '
Dishwasher '
Dryers ❑Gas ��Electric
Fan
F.A.U.
Fixtures '
�evice Boxes
Out10[5 '
SWitChes � �
FJ�93. 6/OaJ33
REAR VARD (TO P/L)
RIGHTSIDE VARD ,
PROVADED
PARK FEE'$ -
Sub Panel
'Sub Pole � ,
Morors 170-1 HP 01X$ �
Inc.Solar �9-15MP 016-15+
Microwave � . .
Pole Light • ,
Range �
Sign
StandingSenions �
Trash Comoactor
Generator C70-5 KW 05-75 KW �
Transformer �15-50KW - �
❑5U+KW . ReinspettionFee §�g�'
$15
Meter ❑up to 100 amps � laue Fee $ 3
$ 3 Zonin9 APVtoved BY Dnta
' Applifation Approved By • ate �j
APPliotion laued BY � �ate - � .S—O `�
� SUMMARV OF FEES � SU
BUILDINGPERMIT $ a�� SMIP � � $ �
PLAN CHECK $ ' PERMIT � j
� � - ISSUANCE � , $ �
PLUMBING $ .
, PLAN CHECK- • $ � GflADING � $ �
$ � �
ELECTRICAL $ '
PLAN CHECK $ MICROFILM • $ �
'MECHANICAL $ TOTALFEE , $ ,
�515 pLAN CHECK $ qDVANCED PC $ �
� � � aa. so
S 3 i . • � • FINALFEE, � $
�� ;'CONSTRU_C-TION AND PL'ANNING " " � �;t, .' .� ` - _ ' y �" �C SPA _- - � r . , -_
-�%Date ^Inspecto� '� -- . � ' Date^ Inspector �
y��APPROVALS ,� Permit#- _ ^ _ APPROVAIS. Permir# .
:.i�- �` i - . .
^ �t. Temporary Electrical Service or.Pole � . �- - • " ' u ` 52. Pool & Equipment Location : - � - _ -
,
� .2i Soil Pipe-Undrgmd. � s : �- j'. � , - " ,'^` _.' 53 Steel Reinfo�cement� � �
-s. i .
�� 3: Electrical Conduit UtilitwUndrgrnd. � • '54. Forms' � _ " ' � -�
C
�� 4'. Electrical Conduit-Undrgmd� -`_ � - � �� L : ? f '55: Electrical-Bonding : � � ��
i n. �`.
5. S[eel iReinforcemenf - � ' ; o _ ^ ; _ - ;}-. - _ '56. Rough Plumbing & Pressure Test . � - '
i
6. ,Electrical UFER Grnd.' 4 � = � � ' �'- f _ ' �57: APPROVAL TO COVER-GUNITE ' � ��' ,
7. Footings � � � . ,• I p m � a ' ' 7� _ ' ..58. Electrical��pnduiNUndror�d.•� - � �
8. Foundation _ , ; > � �. ' ° ' � � �59. Gas�Pipe;.O Undrgmd., Test� � � '.
9. Water Pipe-Undrgrnd. ' ` { � � _ . ;6p. Backwash Lines, P.-Trap, O'Undrgmd. '
i -
10. Stiuctural Floor SYstem � ' � �, ' �' - ' .61. APPROVAL TO DECK . - - I
11. ,Property Sewei Line & House Connection; . ,. : - 62. Backwash &� Receptor-Final �
i:
12. 8ewer CaP , � , - � ' . . . .� . '
� . _ _ '63. Heater & Vent-Final �
13. �Roof�-0rain's ' � , ' - � �' . •
� � . � . -64. Plumbing.System - Final
14.1RoughPlumbing� � s- ' -� 65. Electrical-Final � - � � � � -
.� �
,` i 15t'Rough'Electrica�-Conduit';"-,-- "-- '�"�j ''-'�-'i '- � 66. Solar Sysfem-Finaf,- � - �
i- i I
„ � �1 &-�fiough Elec`tric Wiring. � � ,: -� w"' .'�. �' =-t - � , _ -
�� } .r , �,-, , ^ �, � ' , _ � _ ' - _ 67. Fencing & Access Approval
' �`77. Rough�INir`�iig�Sign ' � , �� ��°': � � - =. � •- - �: � - , �gg! APPROVED FOR PLASTERING . - -
- r.
-� 6 18. Rough'Electiical=T;Bar� Ceiling � ' � � • ; � ' � 69. POOUSPA SYSTEMS FINAL " � � -
� i i-.
: G 79;�Rough Heating &�Air 6onditioning . ': I � i FIRE DEPT.,REQUIREMENT. ' _ i
~ ' 20.��Rough;Factory Fireplace f,' � 7 ��, � . i , . . APpROVALS Peimit,#
:
���21. Ducts�in Structure• � ! i� � t � � � j70. Underground Hydro ' �
i ,
< �0.22.Ibucts„Ve,niilaiing . - � i �; {� � i ' ' � i 7�) Product Piping OGas OOiI ' ' '
.' �(23. 'Gas'.P pe-Rough & Test i. ; � qr '� , - � ,� .72! Underground Flush ' , � �
„ ��� 24. Roof�F�aming � � • , � �� � .. • , � . � - 73. Undergrnd. Storage Tank O Gas ❑ Oil �
� � 25. FRoof Sheathing �, • l r ' �� � , ; i ,. _ � 7q, Overfiead Hydro � - �
: �^ 6. ,T-6er Ceiling (Structural�. & Monocoat 1 ` � . � - � ', 75. Dry Chemical . • � -
'�27. �Prame,and Flashing � � '� , � � 76. Dry Standpipe � . - �. . �
' i 28.;''Lath�ing&lSiding ^ �, t ;, ° ` I � � 77. FIXEDSYSTEM.F�INAL � . i 1 ,
;'� 29.�Insulation `� � „' � ? I � „ �� I � I � � j78� FIRE PREV. FINAL . �
o".s30.'Drywall Nailing , . + � � � �� � ' � � � � :Notes•� I ' �
� � 31. ;Plaster �Brown Coet � • � � , i � - -�-- ' - i - -j - - � --' � - . � - - . - , � - �
� Ij 32.;EIec;rical�Power Meter-Final � �' ��' � � ; 1 � ' ! . . � • � � �
; � 33. �.Final Electric • � �� �� � � � � � � � ' '
i ,� ,
- 34. Final Heating &�Air Conditioning �+ � i � � ' , � �
- � i
35. Final Gas Pipe-Test :� � - � �, � ' • - � � -
r � ..
36. Hood or CanoPY} ' - � � � � � � ;
r• r - .
37. Final Faaory Fireplace? � _ � ci '� � - i : � � � � ' ' - � - � ,
, � � � I � 1
38. Final Plumbing � � � � � .�� n � , i'� � , � . ' � ' , � " - �
c
39. Water Se,rvice-Final� ; , ' � �� ; � � � , ' �
� 1 i I�.:� I '.
40. Gas Service-Final � • � ' - i � � - ,
i
41. Solar pomesticPinal � . i � � - -t- , i - - ' -- _ _ _ - ''.`
42. Backflow Preventer _ � ' ' ' � � ' ' � � � , ` , �
"r '
43. Backflow' triigation, �' � T • � � ��_, � ' I " � ' � •
44. Landscape Irrigation,System � ' - - � � i - . , � � , � �
,� _
45. Sound �Attenuaiion' 1? �' i I � � � _ � '
� � �
46. Handicap Regulations � � ^ � , j, i� � ' ` � : � i • ' i ' � � :
i
47. FINAI STRUCTURE & BUILDING;, � .' '
� , � ,��r%s�
48. Special Requirements Comp�eted , � ' � , � � , � . ,
�� ' - - i
49. Electric Release•to Edison.' � � , �.. �_'.._ � � • _ __ _ _ - ' �
�, � -- - -- -� - .
�
50. Gas Release to Southern Califomia Gas Co ' � � � � ' � „ . � ', ,
51. CERTIFICATE OF OCCUPANCY 1. � ? �__'__ I. , _ _ _ _ _ ' �_ ; � � ' ' . .
No. �� Date ' '
,� ;
n. - . .._,. 1 1 i
JOB ADDR�5S 966 Ma�el
GEN�RAL CONTRACTOR
AP No. LOT
INSPECTIONS
z
}
eet BUILDING PERMIT NO.
Corn. VALUE $ 18�467.00
TRACTiF260 FIR� ZONE DESCRIPTION OF WORKTeS
Signature DAT� GROUP �J TYP� p 7.ONP
,�. � , ,_.,_ SUBCONTRACTOR T,,,.;,�R�
g�'
— 7�61 i LLLi
OWN�R
GENERAL CONTRACTOR
AP No. LOT
IN�PPCTIONS
<
GaY
OCCUPANCY
DAT�
iAC'U}Q(O I'IRG ZONE DLSCRIPTION
Signaturc � DA'1'E GROUP I&J TYPP V
SUI3CON'PRACTOR
-12-62
PERMIT
WORK re5
'/.ONE R
• , I 6645 � MARR E'C� � v� V_,�act l�260
�
COSTA MESA BUILDING-SAFETY DEPARTMENT FiN�1l�CE DCPT. �'�'n 301-D
P. o. aox sn COSTA MEBA. CALIPORNIA CITY OF COSTN MESA
For Applicanf fo Fill In Comple+ely APPLICATION FOR PERMIT
NPE OR PRINT
BUILDING
ADDRES6 967 Magellan StrPet
COSTA MESA. CALIFORNIA For Office Use Only
. aece�vt rvo. �v�Nqnr�{
� MAIL
� SIZE
O7s ten ��
S
oR 3-I.
I NO. OP
Ci3111 � , pppROVED
mieerm bO� REAR YARD
ILEFT ZO� I RIGXT ]_2 �
DESCRIPTION OF WORK
NO. OF
�� X SO� ROOMS
WALL StUCCO� ROOF
�.1Tnry� COVEP
'�ILDING AND WORK TO B
� V �i
;tached garage
BY
COSTA MESA. CALIFORNIA
ZONING
20NE� _/ I PUN9 Z I BUIIDIN6 �y(q�-��
�E�'"� Lo�"' y% TR �%2 Ga
oescxirnoN
YARDS
APPROVED
� e�aemw une sr.> /
+ FRONT O D
R. SIOE � �
LSIDE /D
— REAR /D �
i HEREBV ACKNOWLEDGB TNAT i HAVE RCAD TH�e APPLIGTION
ANO BTATE THAT THE A90VE I6 GORREGT AND AGREE TO COM-
PLY WITX ALL CIiY ORO�NANCEB AND 9TAT8 LAWB REGYLATINC
eu1LDIN0 CONBTiIUf.TiON• �
P RMAI7TEE OF r,+ ..a De� �Iar Develooment Co
AUTHORIZE� =/�!��
IN.
` IN.
IN.
,re 2/Ll�lL
Garage �� 443 S.F.
Covered Porch 36 S.F.
THE AMOUNT 6HOWN UNDER VALUATION IB FOR THE
PURP08E OF EBTqBL�BHING p PEPMIT FEE ONLY.
$ 17,328 �OO I PLAN CHECK $
0
4