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Home My WebLink About408 BUCKNELL RD - Building PermitsCITY OF COSTA MESA • BI/ILDING DIVISION F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 7S1-4856 • www.ci.costa-mesa.ca.us/ O, .,.. � ` FOR INSPECTIONS CALL: (714) 754•5626 . / �� PERMIT NUMBER!� 08 00182 PERMIT TYPE B_ROOF2 APN: 14142204 JOB ADDRESS: 408 BUCKNELL RD CM ViCinity: REAR OF HOUSE ONLY Squares: 1200 STATUS; DATE ISSUED: ISSUED BY: Suite/Unit: Valuation: ISSUED O6/17I2008 YH $4,900.00 SCOPE OF WORK: REROOF REAR OF HOUSE ONLY: TEAR OFF EXISTING 2 LAYERS ROOFING. NEW OSB SHEATHING, NEW 15# FELT & 17 S�R'S OF 30 GAF COMP. SHINGLES ON 4:12 PITCH ROOF. OWNER: WOODRUFFFAMILYTRUST PHONE: APpLICANT: MASSARO, DOMINIC PHONE: 714 639•7'190 CONTRACTOR: CLAYTON ROOfING Address: 976 N LEMON STUnit: Ci[y/State2ip: ORANGE, CA 92867 ARCHITECT: ENGINEER: F�E SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: TqTALFEES $0.00 $111.25 $0.00 5111.25 Address: PO BOX 1065 City/State/Zip: SUN VALLEY, ID Address: Ciry/State/Zip: License No. License No. PHONE: License No. 607226 714-639-7190 CELL: PHONE: PHONE: Unit: UNh. : :�_". t5Y NOTICE: The work authonzed by this permit shall wmply with all apPlicable handicap access requiremenLS under Califomia stalutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: PERMIT E%PIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the vrork authorized under this permit to be considered legal, such work must comply with all appiicable codes, and all rbquired inspectfons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this Dermit. iSDE / �NSPECTIONTYPE Q�jf, � Al �QDF�� INSPEC7IONTYFE j1�jE IN7IlUL3 1816 Fixed System Final Fire Prevention 208 Final Mechaniwl �� 1268 Pool Spa Final 208 Final Plumbing ZW Final Re-Roof Z� � 210 Final Electncal 201 Final Blpck/Retaining Wall 212 Final Fire Prevemion ' �2 Final Factory Fire Plate 220 Final Planning Approval ZG3 Fina15ign 222 Final Site 2Q4 Final �@molition 250 Final BuildingiOccupanty WORKERS' COMPENSATION DECLARATIOh. � � I hereby aRrm under penalty of perjury one ol lhe following deGa2tions: � ❑ I have nd vrill maintain a cenificate o1 consent to self-Insure for workers' compe ion, as provideC for by section 3700 of the Labor Cotle, for the p aa&e of Ihe work for which thls permit is issued. I have antl will maintain workers' compensation insurance, as required by section 3700 0l the Labor Cotle, for the pedortnance of Ihe work for which Ihis permit is issued. My workers' wmpensalion Insurance wrrier and policy Ca eerare:�,�.�� I/,^ �I /V�� (Tlvs sedw neN nd Ee m�rqYerMlNe P�N u r�luetl al arc nundotl Oo1ars (SIOD! �'less I Policy Number: �� — �[�� ❑ I certify that in [he pedormance ol the vrork for which this permit is issued. I shall not employ any person in any manner so as to become su6ject to the vrorkers' compensation laws of Calitomia, and agree that it I shoultl bewme jec[ to the workers' compensation provisions of Section 3700 of the La � r ode. I shall foAhwiN comply with these provisio . � ooliwnl's SignaNre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensed under provisions of Chapter 9(commencing vnth Section 7000) 01 Division 3 0( Iha Business antl Professions Code, and my license is in (ull force an0 eflect. `r� Lic. # CIa55 # � �/� G/ Q Convactor's Sigriawre Da CONSTRUCTION LENDING AGENCY: ❑ I hereDy affum that there is a conslruction lending agency fa the peAamante of lhe �wr1c fa vfiich tNs pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby atfrm tha� untler penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7011.5, Business and Professions Cotle: Any city or county which requires a pertnil to construcl, alter, improve, demolish, or repair any slrucWre, prior to its issuance, also require5 the applicant (or 5uch permit to file a siqnetl statement that he or 5h8 i5 licensed pur5uant to lhe provisions o( the Contratlors License Law (Chapter 9(commencing with Seclion 7000) o( Division 3 of ihe Business and Prolessions CoOe) or that he or she is exempt therefrom and the basis for lhe alleged exemption. Any violalion of Section 7037.5 by any applicant for a permit subjects the applicant to a civil penalty ot not more than five hundred dollars (5500).): ❑ I, as ovmer of the property, or my employees with wages as their sole wmpensation, WILL DO THE WORK, and 1he structure is not inrended or offered lor sale (Sec. 7044, Business and Prolessions Code: The Cont2ciors License Law does not apply to an ovmer of propeny who builds or improves thereon, and who dces such work himself or herself or Ihrouqh his or her ovm employees, provided that such improvemems are nol intentletl or offeretl for sale. If, however, Ihe building or improvement is soltl within one year of completion, the ownerbuilder vrill have Ihe burtlen of proving lhat he or she did not build or improve for purpose of sale.). ❑ I, as ovmer ol the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo wnshuct Ihe project (Sec. 7644, Business arM Profess'ions Code: The contractas License Law tices not appty co an wmer of property wfio builds or improves thereon, and vfio contracts !w such project vrith a cmtractor�s) license pursuant to the Cont2ctors Ucense Lav.s.). ❑ I am exempt un0er sec. Business and Professions Code tor this reason: SignaWre Dale JOSR46 (3/0]) Owner ID verified by dri., ncense. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ovmership by (type of document, i.e. - propert t�ax bill q deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � -� ❑ I hereby cetlAy Ihat no excavation frve (5) w mae feet in depth into which a person is required to descend, will be matle in connection with v.�rk authorizetl by this pertnit, and Ihat no building structure, sca(fdding, false�wrk, «demolitbn or dismanlling thereof, will be more than lhirty-sa (36) (eel high. (Chap. 3.2, Grp 2, M 2, Sec. 341, Title 8, Califomia Atlminisl2tive CoOe�. ❑ As owner-builder, I will nol employ anyone to tlo work which would require a permit Irom the Division of Industrial Safely, as noted above. unless such person has a permit to do such work from lhe division. ApDlicanfs SgnaWre Division ot Industnal Safety Pertnit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre building occupant neetl lo fle antl certi(y a Business Plan for emergency response to release or threatened release of a hazardous matenal7 ❑ Yes ❑ No (Section 25505 of the California Health antl Salety Cotle requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Departmenl by every business which has at any one lime tluring a reported year a quantiry ot hazartlous malenals equal lo or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cu6ic feet of compressed gas at slantlartl temperature antl pressure). 2. Does or will the applicant or preseN or fWure building occupant need ro file a regislration (orm for acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 of the Cali(omia Health and Safety Code, with some exceptions, requires registration vrith �he Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazarGous matenals equal to or greater than a weigM of 500 pounds, or a volume o( 55 gallons, or 200 cubic teet of compressed gas al standard temperature and pressure). 3. Does or will the appliwnt or present or future builtling occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazarCous matenals)? ❑ Yes ❑ No (Seclion 25534 0! tha Califomia Health and Satety Cotle provitles that the Cosla Mesa Fi�e Department may require the preparation, cenifcation and filing with the Fire DepaAment of an RMPP by businesses which are required to register aculely hazartlous materials vnth the Fire Department. 4. I( an RMPP is presently required, has Section 25534 of the Califomia Health an0 Safery Code been lully complied with? ❑ Yes ❑ No 5. Does or vAll the applicant or present or fuNre building occupaN require for the vrork which is the subject of this aDPliwtion a permit lor such wnstruction or modi(calion from t�e South Coast Air Oualily Managemenl Dislrict or frOm any other air pollution control di5iritl or agenty? ❑ Yes ❑ No (Section 658502 of �he Califomia Govemment Cotle requires that the requested intortnalion be (umishetl on applicalions for rqrnresidential building permits). 6. Will any part of the facility to be construUed under lhis permit be within 1000 teet from the outer boundaries of a school? ❑ Yes ❑ No (If yes", Ihe faciliry must meet Ihe requirement of Sections 25534 and 42303 of Ihe California Health and Safely Code�. 7. If a permit from the South Coast Air Quality Management District or other air pollution control diStriGt or agency is requiretl tor the work which is the subject of this application, have all of Ihe disclosures prescnbe0 by Califomia Health and Sa(ety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", atlach certificate of compliance from the appropnale air pollhtion conhol oKcer�. � � � - CERTIFICA7E OF COMPLIANCE: I certify lhal under'penalty of perjury the in(ormalion given above is wrtect I agree lo comply with all sWte laws and city ordinances regarding Hazardous Materials and Emissions. S1gnalure Gate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty ol perjury thal I have reatl thi5 applitation and state that Ihe infortnation given is cortecL I agree to wmply with all state laws and city ordinances relating to building construction, and authorize representatives of the Ciry o( Costa Mesa lo enter upon the above-descnbed property for inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by Ihis permit until final inspectian. . . alure ol Legal Owner�s Dale Andlor Aul�onzM AppL W nl f- w W K H N COSTA MESA -BUILD NI G D P RT�AAENT P. O. BOX 317 COSTA MESA CALIFORNIA . C.L.OF STREET ' _��PROP. LINE r— — — — — T — — I 10 FT. FOR 60 FT. STREET � � � � i LLEY QR i _�iPROP. LINE i C.�. OF STREE DO m P, L I Q w � � u.� � ry w d�� :ao U _ � Uzm eF o �' � Fr-°'i m �� CITY � �. ��.. F I w � w � � w F' z N JI � � � O �— OI V J � � tU � -1 il _ U L � � V � '�a � P N m I 60 ; r'— — -�-------� S T. GIAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES !�-��-r t� � � � 9 6: I � '7��i I FOR APPL/ICANT TO FILL IN � BUILDING ADDRESS `� c J3 � �� „ I� Owner ,�� %�, rit'�.�� /ii�_� _ Mail Address �� T •' �.`11y _ C' ;,.1-e_ �� _"= _ � 'PI1. NO. �r �t�J�'�/� Contractor n!� �� Lq-� l�/e� E�,Ph. No. �•� �'P�U"-� '� Address S' a" �,� v--�-� �'b • � City Lic._No. Sta[e Lic. No.�.— Size.of Lo � � P No.�1 �'— 3 7'�"� � I / Seibacks: C/L Street �� 7' Rear �� Side Yard - Right '—� Left �� Type of Fence�l-� • � �� /d !a/� � / —� ( " ��J I hereby,acknowledge that I have read is application and state that the above is correct cmd agree to comply with all City Ord- inances and State Laws regulating building construction. oi � FOR OFFICE USE ONLY Date Received Date Issued 1/� /y`S� ��/ 9',1 � VALUATION I _7 d-O Permit Fee $�-- G`V � Plan Check $' � � TOTAL FEE $ � USE REVERSE SIDE FOR DETAILS JOB ADDRE55 GENERAL C0� AP No. 141-� INSPECTIONS SOIL GAS WATER AOUGH PLUMBING HOUGH MEATING �N� �IR CpNDIT10NING TEMPORARY SERVICE OP POLE UN�EAGROUNO � POW�R � NOUGM WIRING FLOOR SYSTEM ' BONO BEAM STE SHERTHING �'RRME ANO FLRSHING LRTHING - IN ( PLASTER, BROWN CO�T NO A.0 TEST ( BUILOING.FIN4L SPECIRL REpUIREM J-LV-VV BUILDING PERMIT N0. 49886 SUBCONTRACTOR , .- � ^ i a� _... , . � ' COSTA MESA BUILDINGSAFETY DEPARTMENT APPLI ATION FOR STRUCTURAL PERMIT P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626 RECE V PERMIT � For Applicant to Fill in Completely — Use Ink Only AD'DRESS Q� A.P.NO. �� —y��—O �_' L L .�j OWNEROR BUILDING f LO Q /`�C TENANT N ADDRE55 T Q �� MAILING UNIT OR HDDRE55 1/(� � ,'3u C /y/z L L� SPACE NO. TR. 7.�v LOT , / BIK. TEL. GTV �(� j/� �s NO.,f`/ -�04 NEW ADD LTER REPAIR MOVING DEMOLISH CAN57FUCTION LENDER V BflANCH OWNER ADDRE55 / � n _' jALUEE� /TD ARCHITECT TEL. USE G�(� OR ENGINEER �� AODRESS ,� e/.1 /. J ZONE � I TVPE GROUP CONTRACTOR � e� ByPROVED DATE �/ L(O O ADDRESS .,,3V _J ! C / TEI. CITV t�� I N0.��9'j//I STATE `� - r�� CITV P.P7ROVEDSETBACKS �IC. NO. �� LIC. NO. SI2E NO.OF BLDGS. (FROM C/l STREET) OF lOT NOW ON LOT RONT FT. USE OF � EXISTING BLDG. Separate permits are required for L. SIDE � electric, plumbing and heating work. /� �� REAR C�FT. \SJ USE OF BUILDING AND WOFK TO BE PERFORMED PLANNING ACTION / DATE ( 1 APFROVED APPROVED /�. I�I� �O� O L(.V I hareby acknowledpe that I heve reatl this application and state that tha above informallon is correct antl agrae to comply with oll laws reguleting builtling construction, and 1 shell not employ eny pe�gon In violetion of the workman's compensation laws of Ma Steta ot California. / I hareby certify that 1 am properly Itcensetl as a contractor untler � SQ. FT. Ma Stnte of Calitornia Businass and Profes5ions Cotle, Division 3, THE AMOVNTSMOWN VNDER VA�VATION IS FOR Chepter 9, antl that such licanses era In full force antl effect, or 1 THE PURPO6E OF ESTABIISHING A PERMIT FEE ONLV: am exampt irom the provisions of the Stete of Cellfornla Business VALVATION PERMIT FEE § O Q� and Professionz Cotle, Division 3, Chapter 9. 6��D PLAN CHECK E Z O� Q Signature of '� / �� / Permittee � ;-� u-��l'KO�'•"—' $ TAX S O.S Authorizatl Agant /Date ?� � C` � � , TOTA� PAID E � Sv OWNER Costa ME58 ESt8tE5 DATE 4-�2-56 —.��.r��'T�— JOBADDRESS 408 Bucknell Noad BUILDINGPERMITN0.26�'�1. GENERALCONTRACTOR Konen-Spiegel Co VAWE S11lZOO.QO �or 11 s4ocK TRACT �750 Single Res w/att gar � I & J ' - �-- � ---- � - -- -- 2633 GROUP INSPECTIONS Footing Trench Foundation Forms and Grade to Rough Framing_S, , Plumbing, Rough to Slab Q-B Plumbing, Rough Complete//,�[ Temporary Pole Wiring, Rough Heating, Rough. Heating, Final Sewer,House L Sewer,: Septic Tank or Cesspool Lathing, In Out Plastering Plumbing, Final, Fixtures Comp Plumbing, Final GasTest /e�' Wiring, Final Occupancy iORM 310 3M 10�'}y DATE SUBCONTRACTOR PERMITS ISSUED I NUMBEH • Costa Mesa Bnilding Department .. r=. 111 EAST 20th STREET , ' r COSTA MESA� CALIFORNIA FOR APPLICANT TO IN Bullding '/ o Address `7Uo Cos Mes�, Califoinia Nearest �� A ,, ' Crou St �vc�c,r Arohitector Engineer Address s 1.6}I ..� �.... Contractor Ca'C-7✓ riE6iL� -�^ No. /1� ' Address �-�f�J C� LU , �l � � � �• /�-� �l%(.. Legal Lot I Description No. �� Block I Tract°17�J (Attach Metesand Boundal �J-"� No. of Bldgs. Nowon Lot No.of No.M Familfes Room. Setback Line from ,�^ / Rear Vard � 2 CenteroT 6treet �J n 7L Side Yard S 7=- DESCRIPTION OF WORH New I� I plteration � I Addition I Repair I I-Moving I I Demolish I Building No.of Size S�� ii O Rooms G Stories � Exterior Wall sT�-CCc, Roof C Covering � Covering <if//i1'6ZCy B APPLICATION FOR PERMIT "' BUILDING � FOR OF'FICE USE ONLY Receipt No. Permit No. �2-G �/ Recefved by Date Redd. Date Issued ;�,��,� i�- �< �J 6 f�-/�7- � [� p ,>v \ddress J �Q ,�- � Costa Mesa, California Plans 9 APPROVALS �n Lxation Inspecto Materials, >inning Ire Stops, . Bolts I hereby aclmowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int with all City Ordinances and State Laws regulating building construction. Lath. Ext Signatureof /f� J.T�, /1.�� r�'��-� Permittee �`� �� C�� Plaster, Int. Authorized Agt ��?lQ/ji7 /�Li6�-CGi Plaster. Exk. Valuation PEmit Fee $ 01`- d�� Masonry Re � Plan Check $ ! Bond Beam $ �� --� Total Fee $ _ _� FINAL RM 'N16 C_RP 4M R_5. —'i PLOT Pi.AN Show Iocation and distanees from property Iina and between buildings _� °Z � 3-��j �cosr� 47� . ... � !!2.nr I:ES . OwNEx FITZPATRICY„ L. E. DA'rE 11-19-58 JOB ADDRESS (i0f� Evaknal l Rnar1 BUILDING PERMIT NO. #%99( 11�GE ERJ�T,CONTRACTOR Nlort Znt Alk CQ. VALUE $ 187.00 —t�4 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Block Ylall GROUP TYPE ZONE PLAN NO. �qq'7 � INSPECTIONS DATE gUBCONTRACTOR PERMITSISSUED DATE NUMBER 1'renches orms Steel'� // Floor Syste Steel Rcinfovee d / Bond Beam Frame aud Flashing Lathing, In Out Plaster, brown coat Final Gas Test 7996