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Home My WebLink About415 GLOUCESTER DR - Building PermitsAVP��ant to fill in all spaces except thoze within heavy eortler lines antl sign all aDo�aPriate tleclarations. PERMIT NO. • ' TRACT�NO. LOT NO. UNIT NO. CITY OF coSTA MESA CONSTRUCTION PERMIT /�.P. # zone 415 Gloucester, Costa M�ca !'d q��a� � 3�'' � 3' S Main Buildin Accessor Buildin Project Address . g: y 9: ' ' Applicant's Mailing Add�ess TYPE OF CONSTRUCTION � NEW � ADD ALTERATION REPAIR; E Z ❑ COIVVERSION � DEMOLISH ❑ OTHER ' T Front . p Owner's Name � �%�%$ � Phone.]��_9Q9 � ' � � B - N P.O BOX 8064�7L rnma Hillc DESCFIPTIONOFWORK/USEOFBLDG. A Rear . . � Address Ca 9265�1 - � � . ArCh/Eng. LicenSeNo. TVPEOFPERMIT . GRADING ❑FOUNDATION STRVCTURAL �K Right� N G Addre55 � ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL - g� Left _ ' R Vance & Associates Roofing �q� 714- -3211 ❑ oTHER Ping. Ref. # Parking Req./Provided E Contractor's Name ne � _ - - Address (mailing) P•0. Box 10456 Costa N�sa, Ca 9Z6Z% , PROJECT DESCRIPTION Sq. FT. oCCVPaNCY Planning Notes: � � � M 005913 GONSTRUCTIONTVPE VALUATION$ 3703.IX1 T City LicenS¢ NO. 2pNE GRADING CU. VDS. ACRE$ g, LICENSED CONTRACTOR OECLARATION � I hereby afiirm tnat i am iicensea untler provisions of Charter 9(mmmencing nema.k:: � tear off shakes and re lace with Class B Hardi Shakes � with section 7000) of Division 3 of the Business antl Professions Cotle, antl - my license is in fwl fo.c ntl etiect. ' � , ELECTflICAL FEES Licenie Glass - License ��9� Date � _��re PLUMBING � FEES /lutomatic Washer Transtormer ❑ 15-50 KW WORKERS' COMPENSATION DECLARATION � COnSt�UCtlOn P012 Sub. ❑ 5O+ KW `areby atfirm that I have a certifitdte of mn5ent to self-insure o� a certiticate Bar Sink . Showers - lorkers' Compensation Insurance, or a certifietl copy thereoi (Section Backflow-Preventer Service Sink Cooking Unit Meter ❑up to 100 amps J, Lab. CJ �161030253Q�$, . Poiicy No. � pany Libertv MJtual Insurance gackflow Irrigation Sewer Cap Dishwasher , Meter ❑over 100 amps 8 CertifieC copy is hereby tumishetl. DryElS ❑Gas ❑EI¢Ct�iC Sub Pan¢I ' ._ Certitietl copy is fL ey,y+ i�ry,Ihe city 8�yiltlinq grvyslon. Bathtu65 Sewe� Conn2ction . � Date /-IL-AQq�licantJl��ICP N HSS�C. �f1I1�1 Tllf Fan Motors�0-THP �i'G-8 . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clalifief5 $olaf Collectori ' i ssissection neetl not be completetl if the permit is for one huntlretl ($300) or Dishwdshet � � Sola� Piping F�P'�U� � Ina Solar 09-15 HP �16-15+ ' I tertify ihat in tne perfo�mance of the work for whlch this pe�m�t is iszuetl, I FizLu�25 ' shall not employ any person in any manner so, as to become subject to the Drinking Fountains Solar Tank ' Microwave Workers' Compensation Laws of Califomia. Device Boxes '+ Date Si9nature Floor Drains Swimming Pool w/Spa Pole Light � . NOTICE: If, after making this tleclaration, you shoultl become subject to the ' Outlets Worke�s' Compensation provision5 Of th¢ Labot Cotle, you must torthwith FIOOf SI�kS Urinal Ran9e • � comply wilh such provi5ion5 Or this pe�mit shall be deemetl rewketl. $witch25 CONSTRUCTION LENDING AGENCV � G35$¢NIC¢ QUtI¢t5 WaterCloset $ig� I I hereby af(i�m that there i5 a construction lentling agency fo� the pe�to�mance of tite work for which Ihis pe�mit is issued (Section 309] Civ. CJ �nt¢�C¢pt0Y5 Wdt¢! H¢et2� Gd�bdyE DISpOSdI Standing Sections Lentler's Name �' �entler4 Atltlress Kitchen Sink . Water Service Generetor �0-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION . ^ I hereby atfirm Lhat 1 am exempt trollt the Contractor'S Llcense Law tor the L3vdtOfi¢5 � AutO-W25h � �� following reason (Section �031.5 Business and Protessional COCe:-Any city or county which requires a permit to constluct, alter, ITplove, tlemoli5h or repall P-Tl2p - L3u0dry T�2'y5 any strutture, ptro� to il5 is5uancE, also �equires the applicant for Such pe�mit (O fll¢ a si9netl S�diCRICIII [hdL hE/SbC IS IIC¢l152tl pOISUdOI IO ihE provisions o� Roof Drains the Contractor'S LitenS¢ law (Chapter 9(tommencin9 with Section 7000) of ^'vision 3 of tM1e Business antl Profes5ion5 Cotle) or that he/she is exempt Rainspection Fee $15 Issue Fce $ 3 ' 'etrom an0 the basis for the allegetl exemption. Any violation of Section LS by any appliGant �or a permit subjects the apPlitant to a civil . .alty of not more than tive huntlretl tlouars (g500). � - $ 3 DEVELOPMENT SEHVICES REQUIREMENTS: U I, as owner o� lhe property or my employees with wages as their sole Reinspection Pee $15 � Issue Fee Zo�i�B APPfOVed BY wmp¢nsation, will tlo [he wo�k, antl the sl�ucture is not intentletl o� o�terftl � Ddte for sale (Section 7044, Business antl Protessional Cotle: The Contractor's MECHANICAL FEES Building Approvad By Date License Law tloes not apply to an owner of a properry who builtls or improves thereon, and who tloes such work himself/herself or tnrouqh his or her own goile� HOOd or TYPe I ❑ APP��tion Issued By— Dat � employees, provitletl that such imp�ovements are not intentletl o� offeretl tor ule. If, however, the builtlin9 or improvement is sola within one year oi com- Canopy Type II ❑ SUMMARY OF FEES � pletion, the owner will have the bur0en of provinq he/she tliG not builtl or iT-. DuCt - Uf1dE� Ground � nrove for tne purpose oi saie). BUI LDING PERMIT $ �-'� --SMIP $ D� �'0 I,�as owner of the property, am ezclusively wntracting with licensetl con- Duct-Structural Refrigeration System PLAN CHECK $ PEfiMIT tractors ro construct the project (Seciion 7044, Bu5ine55 and Prote55ion5 Cotle: The Contractor's License Law tloes not apply to an owner of property who Duct - Ventilating _ �0-100,000 BTU ❑100,000 BTU P�UMBING $ ISSUANCE $ � builtls or imProves therean. antl who conVactS tor such oroiects with a con- etactor(sl license pursuanc ro me ConVactors License Law). I am aware that PLAN CHECK y5°/ $ ENERGV P.C: $ U�oot of thev Worker's Compensation insurance shoultl be pravitletl to me. Exhaust System ❑ Multiple � Sys[em Repair/Alteration EIECTRICAL $ GRADING $ ❑ 1 am exempt untler Sectibn e. & P. C. for this reason Firepl/Fact Blt. ICBO #� Fire Dampers MICROFILM $ PLAN CHECK 50% $ ----,�-- Date Owner ' Heating System & Ducting Registers MECHANICAL $ TOTAL FEE $�EJ��,_ I nereby certify mat I have reatl this application antl ztate that the above ❑0-100,0006TU �100,OOOBT PLAN CHECK 25% . information is correct. I a9ree to comply with all City antl county ortlinant¢5 - $ antl State laws relating to builtling Cons[ruction, antl he�eby autho�iie �ep�e- Sentatives ot thi5 City to e � upon the above-mentionetl p�ope�ty fo� � ' ' inspection purpas $iqnature Date 7-1i-SK1 Reinspection Fee $15 laue Fee $ 3 �� R?=%�,�Z'uG4�J%76� �s�� ;;: , j{� o�ioers� ��ceo:e o� ss � _ pAtE: 07/13/�9 ?IFIE: 1G:•iu OB65-4fi, rev. 5/BB White - Builtling; Canary - Applicant; Pink - Accounting: Goltlenrotl - Assessor �:; \ C. CONSTRUCTION AND PLANNING � ` POO' ;PA . _ � APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ,%� 4. Electrical Conduit-Undrgrnd. � � 55. Electrical Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test (_�� 6. Electrical UFER Grnd. �1 57. APPROVAL TO COVER-GUNITE . � /� � 7. �Footings /i� 58. Electrical Conduit-Undrgrnd. �' 8. Foundation ;�" 59. Gas Pipe, O Undrgrnd., Test L"� _ � 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��ction , 62. Backwash & Receptor-Final 12.'Sewer Cap � 63. Heater & Vent-Final 13. Foof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final . 15. Rough Electrical-Conduit 66. Solar System-Final i�6. Rough Electric Wiring 67. Fencing & Access Approval .� 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electriral-T Bar Ceiling • 69. POOUSPA SYSTEMS FINAL -19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _, 20: Rough Factory Fireplace ' APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 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 Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final � 41. Solar pomestic-Final 42. Backflow Preventer - 43. Backflow Irrigation . �r .� 44. Landscape Irrigation System � � 45. Sound Attenuation , � •J. 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING ��/�� 48. Special Requirements Completed 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co '• t� � � � 51. CERTIFICATEOFOCCUPANCY - , -J _�''� No. Date � ,- � .. - �ics� . COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BO% 917 COBTA M69A� CALIPORNIA For Applicant to Fill In Complefely TYPE OR PRINT IILDIN6 -L��s GLouc�sTE,P yn /YE �DRESS COSTA MESA, CALIFORNIA . ��ER Cape Series Inc. oaEss 504 No. Newport Blvd. A ARCHITECT Newnort Reach, Calif. 221233 ' No•646-9341 45.83x46.33x56.83� NOWONLATeO G BLD6. n�ne ' ' ' LINH FROM p aiwssi � � REAR YARO� � RDI LEFf .�J S'S^ I RIQHT �tf" �/`� DESCRIPTION OF WORK � s�ie °1N6 1276 sq. f EXTERIOR WALL�.TLLCCO . COVERING . FEE RECEIVED F�OV 2 7 1963 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDINCi Fo� Office Use Only ' F6CE�PT NO. I �i IP� R6C61V¢D �Y <<� DATEIs6UEO ia- a -G-� � ZONING � zox� _ r pune � I euaPin� (�� eOA:,..,,,,, Lot 9 Tract 5212 'E: NO EAVE OVERHAN6 SHALL BE LE35 THAN TO 51 OE Q REAR P. L. . ES .OWED (U. B. C. RE4UIREMENT' YARDBAPPROVED � �YARDSAPPROVED �MAIN BUILDIN6 ACCESSORY BUILDINa !OM C/L STREET) � ` ' iNT �FI'. FT. IIIE � t�F'f. FI�. .. . .. — VAR. �$ 5 &T R16 1 C. U. P. ;�o cedar shake BYPRO 1 HEFEBY RCKNOWLE�OE TH�T 1 XAV6 READ TH�B APPLICATION AND STATE THAT THE ABOV6 IB COqqECT ANO AORE6 TO COM� PLY WITH ALL CITY OflDINANC88 AND 8TAT8 LAWB RHODUT�NO BUILDINOCONSTqOR10N. ' � SIGNATUREOF G��' SE{�,(�s. �NG PERMITTEF AUTHORIZED A6lNT , '� BET. MAIN Q ACCE95. BLI DATE /�-�-��- � � �, G � ui r.. � � C ..7 ll C1 t' � � LL n � � 12 / 6 ' SQ. FT. � TH8 AMOUNT BHOWN UNDER VALUATION IB FOp THE F PIIRPOSE OF EBTABLI9HIN0 A PERMIT FE6 ONLY. � VAWATION ' m �il� 8�'3. �� PERMIT FEE s38. 41 � m s C ECK 00 O r„_., «< Q38.41 "