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Home My WebLink About429 GLOUCESTER DR - Building Permits1 � r ApPlicant to till in all spaces except those within heavY Dortler Iines ana si9n all apv�opriate Eeclarations. CITY OF COSTA MESA CONSTRUCTION PERMIT � Project Address 429 Glo�cester Costa N�sa Ca 92627 Applicant's Mailing Address _ � Owner's Name e ro$ � phone �� Address P-�• �x 8064 Laguna Hills, Ca 92654 Arch/Eng. License No. Address Contracror's Name Vance & Assoc' Roofirq Inc phone ��4—�' Address (mailing) P-0. Box 10456 Csosta M�sa. Ca 92627 � City License No. LICENSED CONTRA DECLARATION I hereby afti�m [M1a["I am licensed untler provisions of Charte� 9(commencing wi[h section ]000) of Divislon 3 of the Business antl Professions Cotle, antl my Iicense is in full force antl effect. ' License Class �-3 Li se No. �� Date _.-� _'��p�.ve WORKERS' COMFENSATION DECLARATION I hereby a(tirm tnat I have a certificate of consent to self-insure or a certificate ° Workers' Compensation Insurance, or a certifietl copy thereof (Section �0, Lab. C.) cnono[o��o I ' ,,.F .�-��'1 T.. oli<y No. ��%�11aWGJJYt�o�Pany—yy�{.yY_�.�yypy_.ya�$I 8 Cer[ifie� copy is hereby fumishetl. Certifietl copy is filetl with the city Builtling Division. Date ' 7��licant��„/�nro R Ac�i�_�� EXEMGTION FROM WORKERS' COMPENSATION DECLARATION (This seclion neetl not be completetl if the permit is tor one huntlretl ($300) or less). I tertify Ihat in the Performance of tM1e wo�k for wnich tM1is pe�m�t is is5uetl, I shall not employ any person in any manner so as to become subject to the Wo�ke�s' Compensation Laws ot Calitornia. Date Si9nature NOTI[E: If, after making this tleclara[ion, you should become subject to Ihe Workers' Compensation provisions of tne Labor Cotle, you must forthwith comply wi[h such p�ovisions o� thi5 permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm Ihat there is a consV uction lentling agency /or the pertorman<e of tne wark ior whicn this permit is issued (Section 309] Civ. C.) Lentler's Name Lender's Aderess � OWNER BUILDER DECLARATION ' I hereby affirm lhat I am exempt from the Con[ractor's License Law for the following reason (Section ]031.5 Business antl Professlonal Cotle: Any city or county whith requires a permit to const�uCt, alt2r, improve, tlemOlish o� �epair any shucture, prior to its issuance, also'requires che appli<ant tor such permit to file a siqnea Statement tM1at ne/she i5 licensetl pursudnt to the pwvi5ions of [he Con[ractor's License Law (Chapter 9(commencin9 witn Section ]000) of Division 3 ot the BuSinesS antl P�otesSiOns Gode) or [hat he/she is exempt `^reGom'antl the basis for the allegetl exemption. Any violation ot Section �LS by any applicant for a permii subjects tM1e ap0licant t0 a civll alty of not more than five huntlretl dollars (5500). .� Q as owner ot tne property or my employees with wages as their sole compensation, will tlo the work, antl ihe structure is not intentletl or-offeretl for sale (Sec[ion 7044, Business antl Professional Cotle: The Contractor's License Law tloes not apply to an owne� of a property who builtl5 or improves thereon, antl who tloes such work nimself/herself or throu9h his or her own empl&Y¢es, provitletl Nat suth imp�ovement5 are nOt intentletl or offe�etl fo� sale. If, nowever, the builtlin9 or improvement is soltl within one year of com- pleiion, the awner will nave the burtlen of proving he/she tlitl mt builtl or im- pro�e for the purpose of sale). ❑ I, as owner of the pro0erty, am exclusively tontracting wlth IicenS¢tl Con- tractorsto consVuct tne project (Section 7044, Business and Professions Code: The Contractor's License law doe5 not apply to an owner of property wM10 builtls or improves [hereon. antl who contracts (or Such oroieci5 with a r.on- tractor(s) license puRuan[ m tne ConVactor•5 License Law). I am aware that proot of their Worker's Compensation insurance snoWtl be provltleC to me. ❑ I am exempt untler Section B. & P. C. for [his reason �ate Owner I hereby certify that I have reatl this application antl state that the above intormation is correct. I agree to compiy with all city antl Wunty ortlinances antl State laws rela[in9 to builtling const�uction, antl hereby authorize repre- senta[ives of this city to ent upon the above-mentioned properry for in5pection purposes.� Si9nature l3I� �� Da[e . 7__r �L_�r Drivers' Li�a� �� 5� � �� TVPE OFCONSTRUCTION NEW� ADD' ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH, ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. ' TVPE OF PERMIT LI GRADING LJ FOVNDATION LJ STRUCTURAL � ❑ TENANT ❑ ELECTRICAL ,� PLUMBING ❑ MECHANICAI I'� ❑ �OTHER � PROJECT DESCRIPTION SCZ. FT. oCCUPANCY CONSTRUCTION TVPE VALUATION 3 3703 00 ZONE GRADING CU. VDS. ACRES Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers rinking Fountain5 loor Draini loor Sinks asServiee Outlets Kitchen Sink Lava[oiies P—Trep Roof Drains Rainspaction Fee • � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventila[ing Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. �CBO # Heating System & Ducting ❑0-100,000 BTU 0100,OOOBT' Reinspection Fee � $75 0865-46, rev. 5/88 White - Builtling; Canary - Applicant; Pink - Accountin9: Goltlenrotl - Assassor Showers Service Sink . Sewer Cap Sewer Connection Solar Colleccors Solar Pipin9 Solar Tank � $wimming Pool w/Spa Urinal Water Closet ' Water Heater Water Service Auto-WaSh Issue Fee Hood or Typel ❑ Canopy Type II ❑ Fiefrigeration Sys[em ❑0-100,OOOBTU ❑100,000 System RepaiNAlteration Fire Dampers Registers Issue Fee FEES A.P. # S Main Building: E T Front B Rear A C Right S Left Ping. Ref. # Planninq Notes: Accessory Parking Req./Provided ELECTRICAL ' � Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. � � 50+ KW Cooking Unit Dishwasher � Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outl¢ts Switches Garbage Disposal Generator �0.5 KW �5-15 KW Meter LJup to 100 amps Meter ❑over100amps Sub Panel Motors DO-1 HP O1 %- 8 Inc.Solar �9-15 HP �16-15+ Microwave , Pole Light Range Si9n Standing Sections � . TraSh Compacmr Fee �$15 � � luue Fee DEVELOPMENT SERVICES REQUIREMENTS: $ 3 Zoning Approved By FEES Building Approved By' _E �r' Application lauad Bv $ 3 SUMMARV OF FEES BUILDING PERMIT $ �o ��'n-- SMIP PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE PLAN CHECK 25% $ ENERGV P.C. EI.ECTRICAL $ GRADING PI.AN CHECK 50% $ MICROFILM MECHANICAL $ TOTAL FEE PLAN CHECK 25% $ N I N G R E Q M T S. FEES $ 3 $ —S� 0:0�03i735-OD03773b Tt�T 63.Si1 DrtTE= 07/13/°9 TItfE: 1C}:':2 . . . . M � �' � � CONSTRUCTION AND PLANNING POOL 'A ' APPROVALS Permit # Date Inspector p�ppROVALS Permit�k�, Date Inspector 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgmd. 54. Forms �1 4. Electrical Conduit-Undrgrnd. � . 55. Electrical Bonding �_� 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ._� 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE - f.� 7. Footings rf 58. Electrical Conduit-Undrgrnd. `, � �. 8. �Foundation � 59. Gas Pipe, O Undrgrnd., Test i/ 9. WaterPipe-Undrgrnd. ��} 60. Backwash Lines, P-Trap, � Undrgmd. � �� 10. Structural Floor System � 61. APPROVAL TO DECK i t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap y� � 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 1�6� 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 Hydro 22. Ducts, Ventilating -; 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Freming 73. Undergrnd. Storage 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. 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 ' ' r) 43. Backflow Irrigation '� el ' 44. .Landscape Irrigation System � �� % � 45. Sound Attenuation y'„ - 46. Handicap Regulations 47. FINAI STRUCTURE & BUILDING 7�, 48. Special Requirements Completed 49. Electric Release to Edison �-- 50. Gas Release to Southem Califomia Gas Co �.�; - � r: 51. CERTIFICATE OF OCCUPANCY ' " � No. Date �} .. � 2_ I �J7C COSTA MESA BUILDING.SAFETY DEPARTMENT � P.O.BOX0f7 COHTqMESA.CALIFORNIA �� For Applican► ro Fiil In Completely TYPE OR PRINT UILDIN6 yz9 ��o��;E� ��,�-� ODRESS COSTA MESA, CALIFORNIA WNER Cane Series �Tnc_ ARCHITECT grent S. .O� -'GINEER . ,.,. 1320 Carr 504 No FEE RECEIVED ROV 2 7 1863 FINANCE DEPT. &ITY OF COSTA MESA PPLICATION.FOR PERMR BUILDIN6 For Offiee Use Only R6C[IIf NO. � � ql Calif. No 646-9341 ZONH APPROV6 bey No •HY46985 BY ta, Laguna Beach ZON ',S IRC. LHO�L oorx'Blvd. pee°w'^*" 221233 No 646-9341 46.83x44.33 � "°.�"a`°° How on wi G BLD6. n�ne LINE PROry � iF BTREil.Of3T�3 REAR YARD < RDI LEFT n � I R16HT O DESCRIPTION OF WORK I X II a�TFwnr�r�v I I enn�r�nr.� s�z'E °1N61269sq, ft E�E p;oR w.,�ucco s 4 sToei 'F cedar eRma BHPHRFORMED- sidence ev : ��-�3 ZONING ).OF') ' uBHOPNH AN9 v euuo� ue Lot 16 Tract 5212 F .�-- z o, YARDSAPPROVED MAIN BUILDIN6 1 I VAR.# .; SHALL BE LES9 THAN f" LI �: (U.B.Q HE�UIREMENT) � VARDSAPPROVED � ACGESSORY BUILDIN6 �y .1 � � S �• � �� J V7 . ....., � I. r� � L BET. MAIN @ �� ACGE55. BLDOS. O; OATE � � -� 1269 So. F.. � I HEREBY ACKNOWLEDOB THAT 1 NAVE R¢AD iH18 APPLIC�TION TXE �MOUNT BHOWN UN�ER VALUATION Ie FOR THE F AND 6TFTE THAT TH8 ABOVB 19 CORRECT ANO A6RE8 TO COM� PUPPO6E Or EBTRBLI8HIN6 A PERMIT FEE ONLY. p PLT WITH�ALL CITY OR�INANC86 AND GTATB LAWB RHOULAT�NO �IpLUATION o , q BuaDlrvacoHSTeucrloN. ' pERMITFEE S 30. ZI � SIGNATUREOF � � � /��' �11, 738. 25 m PERMI7TE ( , c , $ � � PLAN CHECK $ OO o . AUTHORIZEDA6ENT , � �p• r�� ` TOTAL FEE $ . � G