HomeMy WebLinkAbout413 GLOUCESTER DR - Building PermitsAoolicant to fill in all soaces exceot those witnin heavY eoraer Iines and si9n a1l aDP�oPriate tleclarations.
PERMIT NO. ' TRACT NO. �- LOT NO. UNIT NO.
CITYOFCOSTA $'jp(� CO STRUCTIONPERMIT q n.r.�k'.. zone
Project Address ��" "10U�2$�i�� C�StB �Sa� Ca 92627 1 � 2 . ' , ' ,
TVPE OF CONSTRUCTION NEW ADD 'ALTERATION REPAI R S Main BUilding: A.CCessory Building:
Applicant's Mailing A dre s ' - E Front ' . IZ
-❑ CONVERSION.❑ OEMOLISH ❑ aTHER �T O
Owner's Name �e �Ynbros Phone 9 DESCRIPTION OF WORKIUSE OF BLDG. � B� Rear N
Address P• •�x Laguna Hi s, Ca 92654 - � n � � ��
Arch/Eng. - License No. TVPE OF PERMIT . GRA�ING ❑ FOurvDaTiOrv ' STRUCTURAL I K Right . G
Address � �❑ TENANT -❑ ELECTRICAL ❑ PLUMBING �❑ MECHANICAL . i g�, Lef[ '. R
� Contracror's Name ance SOC ing Inc phon — �� � -��OTHER - - � ' , p�ng. Ref. # Parking Req./Provided � � E
Address (mailing) .�,a, �( ��� Eg�� j"�,i PROJECT DESCRIPTION 5o. FT. oCCUPa.NCV Planning Notes: ' M
�'0 � E� ��� CONSTRVCTIONTVPE ' ' VALUATION$ 3703.00
CiLyLicen5eN0. ����� 2pNE � GRADINGCU.VOS. ACRES ' $,
LICENSED CONTRACTOR DECLARATION . ,
1 bereby affirm that I am licensetl untler provisions o! Charter 9(commencing qemarks: T2dY' Off �SI1dIC@S d�ld lace with Class B Flardi. Shakes - �
with section 7000) of Division 3 of the Business antl Professions Cotle, antl .
my license is in fuu tp`r' cet8ntl effect. . . ELECTRICAL FEES
LicenSe Class `�—yJ nse No. ���
oate �—A'�ue PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW �
WORKERS'COMPENSATiONDECLARATION . COnSt�uCti00P01¢SUb. � �50+KW
1 nereby atfi�m tM1at I have a certificdte ot con5ent to 5¢If-inSurE Or d C¢rtitiCdt¢ Bar Sink ShOwEfS
WorkerY Compensation Inmrance, or a certifietl copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
D, Lab. C.) '
�icy rvo. �6������pany Liberty Mutual Insuranc Backflow Irrigation Sewer Cap . Dishwasher Meter ❑over 100 amps �
8 Certifietl copy is hereby furnishetl. Dryers ❑Gas ❑Electric Sub Panel
Certifietl copy is fy�eq i the city uiltling Division. Bathtubs Sewer COnn¢c[ion
Date /-1��licanc 1�anra R Ac� Rrvtfim Tn� Fan Motors�0-1 HP07�-8
EXEMPTION FROM WORKERS' COMPENSATION OECLARATION Clarifiers $Oldf COIIQCt0�5
(Thiszection neetl not be completetl if the p¢rmit is tor one huntlretl ($300) or F.A.U. -
less). Dishwasher Solar Pipin9 Inc.Solar 9-15 HP �16-15+
I certify that in the performance of [ne work for which lhis perm�t is issued, I Fixtures •
shall not employ any pe�son in any manner so as to beCOme subjec[ to the Dflflking FOufltdlfl5 $Old� Td�k Microwave ,
Workers' Compensation Laws ot California.
( Date Si9nature Floor Drains - Swimming Pool w/Spa Device Boxes Pole Light �
\NOTICE: 1f, atter making this tlecla�ation, y0u ThOUItl beGOme Subjec[ to [h¢
Workers' Compensation ptovisions of IhC Ldbor COtle, y0u must fo�thwi[M1 FI00� Sinks U�i�dl �Utl¢t5 RdngE
comply with such provi5ion5 or this pE/mit shall b¢ tl¢emetl �evoketl. $witchCS �
� CONSTRUCTION LENDING AGENCV GasService Outlets W3t¢fCIOSEt Sigrl
�I he�eby aHi�m that Inere is a construction I¢ntling d9ency tor the p¢rformanG¢ � � -
of tM1e work for which this permit is is5uetl (Section 3097 Civ. C.) In[erc2ptof5 Water Heater Garbage DispoSal Standing Section5
Lender's Nam¢
Lentler's Atldress Kitchen Sink Water Service Generator �0-5 KW 05-15 KW Tresh Compacror
OWNER BUILDEft OECLARATION
I he�eby affi�m lba[ I am exempt from the Con(ractol's Ucense Law f0/ the L2vdtOfiCS � AutO-W25h '
, followinq reason (Section ]031.5 Buziness antl Professional Cotle: Any tlry or
couniy wnich requires a permit to construct, alfer, Improve, tlemolish or repair P—Trap — L3undry Trays -
any structure, prlor to its issuance, also requi�es the applicant fo� such pe�mit .
. to file a signetl statement Ihat he/She I5 licensetl pursuant to [Ite provisions of ROOS D�ainS �
ihe Con[rattor'S License Law (ChaO�er 9(commencing with Section 7000) of
Division 3 of the Business antl Protessions Cotle) or that he/she is exempt - , Reinspection Fee $15 luue Fee $ 3
from antl tne basis for the allegetl exemp[ion. Any violation of Section - - �
5 by any applicant tor a permit subjects the apPlicant to a civil '
ry oi not more than five nuntlretl tlouars (g500). - DEVELOPMENT SERVICES REQUIREMENTS: ,
L i, as owner o( the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 Zoning Approved By Date
wmpensation, will tlo the wo�k, antl the st�uctu�e is not intentletl o��of(eretl
tor sale (Section �044, Business antl Professional Cotle: The Contractor's MECHANICAL FEES Building Approved By DataT___
License Law tloes not apply to an owner ot a property who builtls or improves
I thereon, antl who tloe5 Su<h wolk IlimSelf/herself o! through hi5 or h¢! own AppliCdt100 ISSUBd By— DBt���.� _ 8�
employees, provitled thdt suth Improvemen[5 ale not intentled Ot o(feretl for BOi12I HOOd OI Type I ❑
.s� le. Ii, however, the bulltling or improvement is soltl within one year ot com- � Canopy Type I I ❑ SUMMi,Ry�O� FEES '"�J
Cetion, the owner will have the burtlen of proving he/sbe tlitl not builtl or im- Duct - Under Ground . /_ T�
prove tor the purpose of sale). , BUILDING PERMIT $ 1Q SMIP � $ V"'
� I as owner ot the property, am exclusivery contractin9 with licensetl con- Duct-Structural Refngeration System PLAN CHECK $ PERMIT
trac{ors to construct the project (Sec[ion 7044, Business antl Professions Cotle:
Tqe Contracmr's'License Law does not apply to an owner ot property who Duct- Ventilating _ ❑0-700,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $
bwltls o� imOroves thereon. antl who contract5 �o� such o�oi¢cts witn a mn-
tractor(s1 license pursuanc to cne ConVactors License Law). i am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration � P�N CHECK 25% $ ENERGV P.C. $
proof of their Worker's Compensation insurance shoultl be provitletl to me. ELECTRICAL $ GRADING $
❑ I am exempt untler Section B. & P. C. for this reason Firepl/Fact. BIt �CBO # Fire Dampers MICROFI LM $
, PLAN CHECK 50% $ /
Date owner ' � Heating System & Ducting Registers MECHANICAL $ TOTAL FEE $ 103,
I-hereby'certi�y that I have reatl this application antl state that the above ❑0-100,0006TU �100,OOOBT - �
information is correcL I agree to'compty with all city antl county ortlinances PLAN CHECK 25% $
antl state laws relating [o builtling ConStruCtion, and he�¢by authoriie repre- �
sentatives of this cit [o ter upo the above-mentionetl property for
InSpectian pu�po
Signature oate 7-19-A9 , Reinspection Pee $15 Issue Fee g a . a1 UD4377F9-00�37760 �U� .,j,:iQ
Drivari'Licenseor55� _ UATE� �lf����4 Tj�i�� 1���r
0865-46, rev. 5/80 White - Canary � Applicant; Pink - Accounting; Goltlenrotl - Assessar
, . � . __ _ . . �� � -\�. �' • � . �.�� � . . . .
CONSTRUCTION AND PLANNING POOL ' �PA �. .
APPROVALS Permit# Date Inspector AppROVALS PE....t# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement i�
3. Electrical Conduit Utility-Undrgrnd. 54. Forms � ' ��
4. Electrical Conduit-Undrgmd. . 55. 'Electrical Bonding �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �;'
6. Electrical UFER Grnd. .� _ 57. APPROVAL TO COVER-GUNITE ��
7. Footings ��) 5S. Electrical Conduit-Undrgrnd. ����
�.
8. Foundation . 59. Gas Pipe, � Undrgrnd., Test � C.�
9. Water Pipe-Undrgrnd. �`� ', 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System ? � 61. APPROVAL TO DECK
11 . Property Sewer Line & House Con�ection 62. Backwash & Receptor-Final �
r
12. Sewer Cap ,(Jt 63. Heater & Vent-Final - . '
13. Roof Drains , .� � 64. Plumbing System - Final '
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final �
16' Rough Electric Wiring 67. Fencing & Access Approval
17� Rough Wiring Sign . 68. APPROVED FOR PLASTERING
18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19,. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydra
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro .
26. T-Bar Ceiling �Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing . 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' � 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test -
36. Hood or Canopy
37. Final Factory Flreplace
38. Final Plumbing �
39. Water Service-Final
40. Gas Service-Final .
41. Solar pomestic-Final
42. Backflow Preventer .
, n
43. Backflow Irrigation _ _;,
44. Landscape Irrigation System ��'`�� � '�
45. Sound Attenuation `�
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING p�� �•�roKE U o
48. Special Requirements Completed �
49. Electric Release to Edison , "�
t7
50. Gas Release to Southern Califomia Gas Co , ��� - ,�
51. CERTIFICATE OF OCCUPANCY ; ��'1
No. Date ''..
: � ����2
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO% 817 COSTA MlBA, CALIFORNIA
For Applicant to Fill In Completely
TYPE�OR PRINT
BUIL�IN6 tf/3 �LoacEs .rE� DRiv�
wooRess
COSTA MESA, CALIFORNIA .
88 �504 No. Newport Blvd.
Newport Beach, Calif. No�469341
;EN ER Brent S. Tobey No �-IY4698
;g 1320 Carmelita, Laguna Beach
,,,�TOR Cape Series Iiic.
aR 504 No. Newport Bivd.
ua"TrEio. 221233 rTio' 646-9341
oF�oT 18.83 x51.08x30.83I �owa�`°r°'
USE OF
EXISTING BLDO. 11OIIe
9ETBACK LIN6 FROM �]c}��
CENTER OP eTqeei G. -��� 'LL � REAR YARD�
I �j� /4�
61DEYARD LEFT 7,.h RI FiT
DESCRIPTION OF WORK
SZIEDIN6�r��C S, .ft.�00M
L J
EXTERIOR WA�UCCO � I ROC
COVERING CO\
USb OF BUILDIIi6 AND WORK TO
4 sroeies 2
,,,acedar shake
FEE RECEIVED
FiOV z 7 1963 ,
FINANCE DEPT.
CITY Of COSTA ME�
APPLICATION POR PE
BUILDINCi
For Oifice Use Only
er
FIRE
�t•]:11:[d
LlOAL LOI O Tr�t 5212
oeoca�mon�
A. P. NO. ^'CJ
NOTE: NO EAVE OVERHAN6 BHALL BE LE93 THAN
EAVES
ALLOWED
YARDBAPPROVED
MAIN BUILDIN6
( FROM C/L STREET)
VAR. aF
YAROSAPPROVEO
ACCESSORY BUIL�ING
BET. MAIN 8
ACCESB. BL[
DATE
Slll 1C lcllllll Z�CS1UCIll:e - �/ `
1235 S,. �.
1 NEREBY ACKNOWLE�OH THAT I XAVB qEAO THI6'/1PPL�CATION THE AMOUNT 6HOWN YNDEH VALUAT�ON IB POR THE
AND BTATE TNAT TNH ABOV6 IB COqRECT ANO AOHEE TO COM. Pl1HP098 OP 88TABLI8HIN0 A PERM�T PEE, Ory�Y.
PLY WITH ALL CITY OpDINANCGB ANG BTATB lAWB RGODUiiNO �rp�,UAT10N �]^I ^�
eu��oiwaeorveTaucTloN. Q pERMITFEE $J/.2/
SIGNATUREOF ���j0�. S�`�(�g �j�iC/ yll, 423.75 "
PERMITTE ' OO
� $ LA C EC
AUTHORIZEDA6ENT � �J�. ^�
TOTAL FEE J L
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