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Home My WebLink About447 GLOUCESTER DR - Building Permits' ADP�icant to fill in all soaces excev� lhose�within � CITYOF COS7A nnESA CONSTRUCTION PERMIT Project Address �7 Gloucester. Costa Mesa, Ca 92627 ApplicanYs Mailing Address � Owner's Name ��roS CO Phone 714-SR4-1qn Address P•0. Box 8064 Laguna Hills, Ca 92654 � Arch/Eng. � License No. Address Contracmr'sNameVance & Associates Roofina Ir,ro�e��Q�-�'�� ndd�esslmauinsl 'P•0. BOX 10456 CoSta f�5a. Cd 92627 Ciry License No. �9�3 LICENSED CONTRACTOR DEGLARATION I heteby aitirm tM1at I am lic¢nsetl untler p�ovi5ion5 of Charte� 9(commencing witM1 sec[ion 7000) of Division 3 of tM1e Business antl Pro(ezsions Cotle, antl my license is in tull torce antl etfect. o License Class - cense N p'3� Date--_�_��y�ture WORKERS'COMPENSATION DECLARHTION ' hereby atti�m that I bave a certificale of con5en[ to 5¢It-insure or a C¢rtificat¢ Workerz' Compensation Insurance, or a certifietl copy thereof (Sectlon )0, La�. CJ � voii�r No. Wf'�Fi1f,f13(1�530t8moanv I iharFv Mrhiial Tnc� BCmtifietl mpy is her¢by fumishetl. � Certifietl copy is filed with the city Builtling Division. Date 7-1'z�pplicant ��+�o p AffM Dmfirvi Tnn EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thisrection neetl not be com0letetl if the permit is fo� one huntlretl ($100) o� less). I certify that in the performance of the work for whiCh IhiS pe�mk i5 i55uetl, I shall not employ any petson in any manner So as to becom¢ SubjeGt to the Workers' Compensation Laws of Califomia. Date Signature NOTICE: If, after makin9 this tleclaration, you shoultl become subject to the Workers' Compensation provisions ot the Labor Cotle, you must forthwith comply with such provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV� I 1 bereby affirm that there is a mnstruction lentling agency for the performance of tM1e work for which this permit is issuetl (Section 3097 Civ. C.) Lentler's Name Lentler'S Atltlre55 OWNER BUILDER OECLARATION I hereby affirm that I am exempt from Ihe Contracror4 License Law for the followin9 reason (Section ]031.5 Business antl Professional Cotle: Any city or munty which requires a permit to conslruct, alte�, imp�ove, tlemolish o� repair any siructure, prior to its issuance, also reqWres the applicant for such permit to file a signetl Statement tM1at he/she is licensetl pursudnt to the Orovi5ion5 of tne Contrac[or's License Law (Chapter 9(commencinq witn Section 7000) of nivision 3 ot the Business antl Profesvons Code) or Ihat he/she is exempt retrom antl the basis tor the alle9etl exemption. Any violation oi Se<tion '1.5 by any applicant for a permit subjectz the applicant to a civil ialty of no[ more than five huntlretl tlollars (E500). L� I, a5 owne� ot the prOperty or my employee5 witM1 waqes as thei� sole compensation, will tlo the work, antl the structure IS not intentletl o��offe�etl (or sale (Section ]044, Business antl Professional Cotle: The Gontractor's License law tloes not apply to an owner ot a property who builtls or imp�oves thereon, antl who Goes such work� himself/herself or tM1rough bis or her own �employees, p�ovidetl that such Improvements are not intentletl or offereA f0� sale. It, M1owever, the builtling or improvement is soltl wlthin one year of com- pletion, the owner will have the burtlen of proving he/she tlitl not bulltl o� im- prove for the purpose af sale). ❑ I, as owner o( the property, am exclusively contracting with licensetl con- �actors to wnstruct the project (Section 7044, Business and Professions Cotle: he Contracror's License Law does not aoPly to an owner oi property who builtls or improves [hereon. antl who contracts for such oroi2cts with a con- tractor(s) bcense pursuan[ m me ConVactor•s License Law). I am aware that proof of tneir Worker's Compensation insurance shouttl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Dale Owner I hereby certify that I have reatl tnis'application antl state that the above information is wrrect. I a9ree to comply with all city antl county ortlinances dnC state laws relating to builtling mnst�uction, antl hereby au[horiie rep�e- sentatives oi this city� to e/f[gr upon jhe above-mentionetl property for Signature �X Drivars' License or 55 = bortler lines antl 5ign all appropriate tleclarations. LOT NO UNIT NO , �,,,.,. , ,..,. .q .... � �CI Z. 1 . , : A.P. # � . S Main Building: TYPE OF CONSTRUCTION NEW ADD AI.TERATION REPAI R E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � T Front DESCRIPTION OF WORK/USE OF BLDG. A Rear TYPE OF PERMIT GRADING FOUNDATION STRVGTURAL I C Right ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL , $ � Left � ❑ �OTHEP� p�n9. Ref. # PROJECT DESCRIPTION Sp. FT. OCCUPANCY� 3 Planning Notes: CONSTRUCTION.TVPE VAWATION $ �7(14 M - ' ZONE GRADINGCU.YDS. ACRES Remarks: r__'" _rr _�'�"__ __''___'""_ .._��_ n.___ .. ��. ..� ,-� � Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers ' Dishvuasher - Drinking Fountains Floor Drains Floor Sinks Gas Service OuUets Kitchen Sink Lavatories - P-Trap Roof Drains Reinspection Fee � $15 Boiler Duct- Under Ground �uct�SVuctural � Duct - Ventilating _ Exhaust System ❑ MWtiple ❑ FirepUFact. BIL IC80 dk Heating System & Ducting ❑ ai oo,000 eTu o i oo,000 sri Reinspection Fee I $15 0865-4fi, rev. 5/88 White - Builtling: Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service A uto-W ash Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Isue Fee FEES Automatic Washer. Construction Pole Su6. Cooking Unit Dishwasher Dryers �Gas ❑Elec fan F.A.U. " Fixtures Device Boxes Outlet5 Switches Garbage Disposal Generotor O0.5 KW C Fee 2one Accessory Building: Z � N i N G R Parking Req./Provided � E Q M T S. ELECTRICAI � Transformer ❑ 15-50KW ❑ 50+KW Meter LJup to 100 amps Meter ❑over 100am'ps Sub Panel Motors OO-1 HP O1�'f, - 8 Inc. Solar �9-15 HP 016-15+ Microwave � Pole Light r Sign Standing Sections 5-15 KW Trash Compactor $15 Issue Fee FEES $ 3 $ 3 DEVELOPMENTSERVICESREQUIREMENTS: � Zoning Approved By Date FEES Buildine APProved By - Date'�'��— �' Application Issued By � Dat ��_� $ 3 SUM ARV QF FEES BUILDING PERMIT $ �� SMIP � PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE PLAN CHECK 25°/, $ ENERG� P.C. ELECTRICAL $ GRADING PLAN CHECK . 50°, $ MICROFILM MECHANICAL $ TOTAL FEE PLAN CHECK 25% $ /� 'l7 $ �J '� D1, G003772G-G�]037?3D TO�' 63.3i DATF: 07/13!$9 TIiiE: ?0:20 �l� \ \ CONSTRUCTION AND PLANNING POOI 'P.A � �• _ 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. �? , � 57. APPROVAL TO COVER�GUNITE ` Z Footings � 58. Electrical Conduit-Undrgmd. G"?, 8. Foundation� ��.� 59. Gas Pipe, � Undrgmd., Test � 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. ' 10. Structural Floor System '� � 61. APPROVAL TO DECK 4. 11. Property Sewer Line & HouseConnection 62. Backwash & Receptor-Final 12. Sewer Cap �'� 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 1�7. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18�. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL r 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. 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. Orywall 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 . '1 44. Landscape Irrigation System 45. Sound Attenuation ��.� 46. Handicap Regulations �: �47. FINALSTRUCTURE&BUILDING p�� 5�� p�_o��_ 48. Special Requirements Completed 49. Electric Release to Edison -` 50. Gas Release to Southern California Gas Co r� U �� 51. CERTIFICATE OF OCCUPANCY , � �� No. Date - - ' J � a � o�� COSTA MESA BUILDING-SAFETY DEPARTMENT, P.O. BOX 9f] C08TA MESA. CALIPORNIA For Applicant to Fill'In Comple►ely TYPE OR PRINT FEE RECEIVED � koV•271963 FINANCE DEPT. CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDING For Oifice Use Only rtece�rt Ho. I � I 'J ! COSTA MESA, CALIFORNIA� . � n�<e vcn er OWNER Ca e Series Inc. �� - . ' BUILDING AD Rsaa 504 No. Ne OTT BIVd. ADDR653 ��.�. NewporT BeaCh, Calif. No b469341 ZONE APPROVHD AORCHI �NE6RBrent S; Tobey NE'-.HY46985 BY � �81320 Carmelita, Laguna Beach zo ' ,.,...�...,.�,.., �ana SrriAc Tnr . � esa 504 No. Newport Blvd. Newport Beach, Calif. 221233 TE�.646-9341 O. NO. ,.18.83 x 50.��21.83I Howon�or�� F n�ne nvs w� or._ . . . � SETBACKLIN6 EFT Q I RIGHT � DESCRIPTION OF WORK i{ II a� rreeT�n..� I. . II enn�r�nw � s �E`°'"° 1235 sq. ft tJ USE OF 4 ,��A�q4 2 G'� ZONING _ , Lot 25 Tract 5212 _OWED YARO3APPROVED MAIN BUILDIN6 VAR. SC SHALL BE LESS THAN �� YAROSAPPROVED ACGESSORYBUILDINO DATE APPROVEO .,.r� ��' �6 � I HEREBY ACKNOWLEUOi THAT 1 HAVE REAO THIS APPLIGTION THE AMOUNT 9HOWN UN�ER VALUATION 18 POR THE ANO BTATE THAT TH6 ABOV� I6 CORRECT ANU AGRE6 TO LOM. PURPOSE �OF 88TABL18HIN0 A PERMIT FEE ONLY. PLY WITH ALL CITY ORO�NAryCGB ANU eTAi@ L�W9 qGOULAT�NO 'YjAjLUATION �] 6UILOfNGCON$TRUCTION. �yy, 423.75 � �'ERMITFEE $ J7. 27 P RMIITE E OFG � �- �+. �� rG o0 i. . � $ PF.AN CFiECS_$ � AUTHORIZHD A6ENT 37.27 S 0 4 � z w � ui C � a W � ..7 a U d � a 0 w 0 a 0 s