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Home My WebLink About425 GLOUCESTER DR - Building PermitsJ` AVD�icant to fill in all spaces except lbose within heavY borOer lines antl sign all approo��ate aeaaratians. � � PERMIT NO TRACT NO LOT NO. UNIT NO ' I r Ci7Y oF COSTA MESA CONSTRUCTION PERMIT �PrbjectAddress 425 Gloucester, Costa f�sa, Ca 92627 _ Applicant's Mailing Address Owner's Name � �ros � Phone ��'�� Address P• 0. Box &l64 Laquna Hills, Ca 92654 ArchlEng. License No. Address 714-64b-321 Contractor'sName Vance & Assoc Roofinq Inc phone Address (mailin9) P•0. Box 10456 Costa f�sa, ca 92627 City License No. �9�3 �ICENSED CONTRACTOR DECLARATION 1 hereby a/firm Ihat I am litensetl untle� p�ovisions of Charter 9(commencing with section �OOOj of Division 3 of the Business antl Profeszlons Cotle, antl my license is in full force antl effect. p LIL205¢ CId55 � CIISC i`�O. U Date —� _�f�p�re WOFKERS' COMPENSATION OECIARATION 1 hereby affirm that I have a certiticate of consent to selt-insure o� a �tica Workers' Compensation Insurance, or a certifietl copy thereof 'on 0, Lab. C.) ' c4n�no[op , �iicy No. LX�i'Iy.u,.Jy�,�,�y�pany eCertifietl copy is hereby fumishetl. Certitietl copy is filetl with the city Bulltlin9 Divlsion. Date��7-1i.�iicant EXEMPTION FROM WORKERS' COMPENSATtON DECLARATIO (Thissection need not be completetl if the permit is for one huntlretl ($100) r less). I cer[ify that in the peiformance of the wo�k (o� which thls pe�mit is i55u , I shail not employ any person in any manner so as to become subject to e Workers' Compensatlon Laws of Califomia. Date Signature NOTIGE: If, after making this tleclaration, you shoultl become subject to th Workers' Compenwtion provisions of the Labor Cotle, you must forth ' comply with su[h provisions o� thi5 pe�mit shall be tleemetl re etl. CONSTPUCTION LENDING AGENCV . I nereby atfirm that [nere is a mnstruction lentling agency for the perfor nce ot tM1e work tor whiGh this permit is issued (Section 309] Civ. Lentler's Name LenOer's Atltlress � OWNERBUILDER DECLARATION I hereby aflirm lhat 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business antl Professional Cotle: Any city or county whith requi�es a permit to cOnst�uct, alt¢r, improve, tlemolisM1 o� repaly any struc[ure, prror to it5 is5uance, al5o reqWres the appliCant (Or such perrtifE lo file a sianetl statem¢nt that he/she is licensetl pur5uant to the provisions ot r •from antl the basis for the allegetl exemptlon. Any vioiauon m aeccio� 5 by any applicant for a permit subjects the applicant to a civi 4 [y of not rtiore than tive huntl�etl tlollars ($500). LJ I, as owner oi the property or my empioyees with wages as their sole compensation, will tlo the work, antl the strucfura is not intentletl or offeretl for sale (Section 7044, Business antl Pwfessional Cotle: The Contractor's License Law tloes not apply to an owner of a pvoperty who builtls or improve5 �ereon, antl who tloes such work hlmself/he�selt o� through his o� her own employees, p�ovitletl that such improvements are not int¢ntlEtl o� o(feretl tor sale. If, however, the builtling or improvement is soltl within one year ot com- oletion, Ihe'owner will have the burtlen of provin9 he/she tlitl not build or im- Prove for tM1e purpose ot sale). �� I, as owner of the property, am eKclusively �contracting with licensetl com vactors to construct the project (Section 7044, eusiness antl Protessions Cotla: The Contractor's License Law tloes not apply to an owner of property who builtls or "Improves therean, antl who coM�ac[5 iov such oroiects with a mn- iractor(s) hcense pursuani w me Con[ractor•s License Law). I am aware that •proof of tM1eir Worker's Compensation insu�ance Shoultl be provltletl to me. ❑ I am exempt untler Section B. & P. C. far this reason Date pwner I hereby certity ihat I have read tnis application antl state that the above inPormation is correcL I agree to comply with all city antl county ortlinances dntl state laws relating to builtling constvUction, and hereby authorize rep�e- sentatives of titis city to ent upon the above-mentionetl property for InSpeCtion pu�poses ,�,., w 7_1'L� Signa[ure _� � 3 �T Z— l C� ' A.P. # . S Main Building: TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T F�Ont - DESCRIPTION OF WORK/USE OF BLDG. A Rear � F C Right TVPEOFPERMIT GRADING ❑ FOVNDATION STRUCTURAL 'K ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S� Left ❑ �OTHER Ping. Ref. # PROJECT DESCRIPTION Sq. FT. OCCUVAn�Cv Planning Notes: CONSTRUGTION TVPE VALUATION $ 3703.00 20NE GRa�INGCU.VDS. ACRES """a'"�: Tear off shaN Bar $ink � Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher � Drinking Fountains Floor Dreins Floor Sinks Gas Service Outlets s Kitchen Sink L atories P- ap Ro f Drains Pee � $15 Boiler Duct-UnderGround Duct-Structural � Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. iCBO �k Heating System & Ducting ❑0-100,000 BTU O 100,000 BT Reinspection Fee I $15' 0865-46, rev. 5/88 , White - Builtlin9: Canary - Applicant; Pink � Accounting; GoltlenrOtl - As5es5o� ShoWers . Service Sink Sewer Cap Sewer Connection Solar Collec[ors Solar Piping ' Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundrv Tra'vs Issue Fee Hood oi Typel ❑ Canopy Typell ❑ Refrigeration System ❑0-100,000 BTU ❑100,000 BTU System Repair/Alteration Fire Dampers � Registers Issu9 Fee � FEES Zone Accessory Building: O N i N G R E Q M T S. ELECTRICAL , Automatic Washer Transtormer ❑ 15-50 KW ConstructionPoleSub. ❑ 50+KW Cooking Unit Meter ❑up to 100 amps Dishwasher � Merer ❑over100amps Dryers ❑Gas ❑Electric Sub Panel . Fan Motors�0-iHP01�-S � F.A.U. Inc.Solar 09-75 HP �i6-75+ Fixtures Microwave Device Boxes Pole Li9ht Outlets Range SwiMhes Sign „�,,,�,., Garbage Dispoul Standing Sections Generator DO-5 KW 05-15 KW Tresh Compactor � � Fee �$15 � � luue Fee $ 3 ; DEVELOPMENTSERVICESREQUIREMENTS: 2oning Approved By FEES Building Approved By � Application Issued By $ 3 FEES <) ^ ' - ' $ 3 SUMMARV �FEES _ � BUILDING PERMIT $ ��1'L �SMIP ` , $ � PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE ; $ PLAN CHECK 25% $ %+��ENERGV P.C. $ ELECTRICAL $ GRADWG $ 4 P�AN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ �� PLAN CHECK ZS% $ �` �Q��' ar �ea,��al-00037732 a ��- C�AT�: 07l1aI89 iIi1E� I4:?1 �w.5a I. . . . . . . . - ,. . _ . . . � '. _ t' Q \ ` r . • \ CONSTRUCTION AND PLANNING . POOL �- SPA . � :. APPROVALS Permit# Date Inspector p�ppROVALS Pr.. ..t# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgmd. 54. Forms � �' • �. 4. Electrical Conduit-Undrgrnd. , ,� 55. Electrical Bonding �l� 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ,-1 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �� 7. Footings :�j 58. Electrical Conduit-Undrgrnd. .Cr S. Foundation � 59. Gas Pipe, O Undrgrnd., Test �^ f.,� 9. Water Pipe-Undrgrnd. � � 60. Backwash Lines, P-Trap, � Undrgrnd. L� 10. Structurel Floor System � �� 61. APPROVAL TO DECK 11. Property Sewer Line & House Conn','tion 62. Backwash & Receptor-Final 12. Sewer Cap •rj,,`. 63. Heater & Vent-Final � 13. Roof Drains �. `> � � 64. Plumbing System - Final � 74. Rough Plumbing �"` " � � �� '� �, 65. ,Electrical-Final 15. Rough Electrical-Conduit \ �66'•Solar System-Final �' . � 1�6. Rough Electric Wiring 67. .Fencing & Access Approval , 17. Rough Wiring Sign 68�•APPRO,VED'FOR PLASTERING 18. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL ., 18. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT I 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underg�ound Hydro 22. Ducts, Ventilating 71, Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storege Tank O Gas ❑ 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. FINA� 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 n 43. Backflow Irrigation `✓ 44. .Landscape Irrigation System r1 -� ' 45. Sound Attenuation - � 46. Handicap Regulations ns tions 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � 49. Electric Release to Edison , � �" 50. Gas Release to Southern California Gas Co " � �� •� 51. CERTIFICATE OF OCCUPANCY � . i �� No. Date .._ . 2 i r�s� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 91] COHTA MBHA� CALIFORNIA For Applicanf to Fill In Completely " TYPE OR PRINT � DDRE'SS ��S �LUUCES/.E� ?%�{ �V� ' COSTA MESA, CALIFORNIA ADORess 'SO4 NO. NC'.wpOYt B1Vd.� -nooaess �,.r., Newport Beach, Calif. No�€i46-9341 zo E' 'ARCHITECT grent S. Tobe TE�HY46985 BYPROVEC OR ENGINEER Y � NO. AooREsB 1320 Carmelita, ' Laguna Beach ZO CONTRACTOR Cape �Series Inc.� � � �a.� aoorsess 5�4•'No. Ne oY'T BlVd. �Es°"""Oe �,TY Newport Beach, Calif. �. P. No: ` FEE RECEIVED - �OY 2 T 1963 ` � FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDINCi For Office Use Only ' HECEIPT NO. I � �[I�I � j� ZONING rvo. oc '1 � uee or rye, � : Lot 14 STATE ` p NOTE:. NO EAVE OVERI �� No. 221233 NO V 46-9J�i1 90' TO SIDE 8 REAR P EAVE9 �� OFLOT 48• 83x44.33X49. 83I.�owoNwr� A��OWED . - YARDSAPPROVED USE OF MAIN BUILOINO EXISTING BLD6. ]� ❑e ' 2 ��, (FROM TREE eETBACK LINE F0.0M ' ��] FftON � CENTER OF BTHEET'C '�T� C R.aREAR YAR� 'PL � ., I I' S-� y _�T� .� r^ EFT � � I R16NT � I•1 �- DESCRIPTION OF WORK NEW " = ALTERATION _ REPAIR MOVINO 5=E'�'"q269 sq, ft. R$OMe 4 COVERINGWAL`SCUCCOI COOVERIN( 1 1 XEREBY ACKNOWL8D68 TXAT 1 XAV6 RBAD TH19 APPLIGTION •NG BT�TE TXAT TXH ABOVB IB CORFECT AND AGREe TO COM- eLY WIiH ALL CITY ORDINANC88 AND BTAiB LAWB q80ULATiNO 6UILOINO CONSTRUCTION. . � � AUTHORIZED AGENT��J BET. VAR. # SHALL BE LE53 THAN YAR�SAPPROVED ACCESSORY BUIL�IIJ6 1 F BET. MAIIJ Q ACCE55. BL[ DATE 1269 s4. �. � TXe AMOUNT 9XOWN IINOFR V�LUATION 19 POR TH8 S . PURPO56 Op EBTABLI9HIN� /. PEPMIT FEE ONLY. 0 VALUAiION � p � y11, 738. 25 PERMITFEE $ 3p. 21 � m Y� _PLANCHECK $ ' OO � ¢ R1 LL � Tf1T�l CFF Wi � V � �+ :