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Home My WebLink About366 BUCKNELL RD - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.cl.costa-mesa.ca.us BUILDING PERMIT Job AddresS: 366 BUCKNELL RD Suit@: Viciniry: RESIDENCE AND ATTACHED GARAGE Parcel Number; 14142210 Applicant: GALITSKI, GUY Address: 19792 POTOMAC HUNTINGTON BEACH, CA Owner: ALVAREZ, SERGIO Address 366 BUCKNELL RD COSTA MESA, CA Contractor. G G ROOFING CO INC Address: 19792 POTOMAC Arch : Address: HUNTINGTON BEACH, CA Zip: 92646 Phone: Zoning: Phone: (714)965-2387 Zip: 92646 Phone: 949-461-4004 Zip: 92626 Phone: (714) 9652387 License: 364151 Eng: Address: 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: O6/10/2004 Issued: 06/10/2004 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING SHAKE ROOF, INSTALL SHEATHING, FELT AND COVER WITH 30 YEAR COMP SHINGLES. INCLUDES RESIDENCE AND ATTACHED GARAGE. Plan Check: $0.00 Permit: $153.25 SMIP Res: $0.78 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $154.03 SETBACK$ MAIN STRUC7URE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : 0 Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $7,750.00 $7,7so.0o NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 tlays. ��. INSPECTIONS: Ir1 order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all � required inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2666d6 (6/00) WORKERS' COMPENSAnON DECLARATION: I hereby eflirm untler penalty of perjury one ot the following tleclaratlons: ❑ I have antl wlll malntain e certificete of consent to seli-Insure lor workers' compensetion, as provided for by saction 3700 of tho Labor Code, for the performance ot the wo tor which ihl5 permit is issuetl. ave and will maintain workers' compensation Insurance, es required by section 3700 of the Labor Code, Por the parfortnance of ihe work for which ihis permit is issuetl. My workers' compensatlon Insurance cerrier antl pollcy number are: c � Certier. ' � Policy Number: (This sectlon need nof be crompletea Athe permif Is valued et one hundred dollars (5100) or Iess.J ❑ 1 certify that in t�e perfortnance ot t�e work lor which this permit is iuued, I shall not employ eny person in eny manner so as ta become subject to t�e workere' comDensation laws ol Califomia, and egree that il I should become su�ject ro Ihe workers' compensation provisions of Section 3700 of t� �r Code, I shall forthwith camply wit� Ihese P�ovisions ��/ /� �� / Applicent Signature: �C:_!i/ f iy j� �� Date: � 0 WARNINO: FFILURE TO SECURE RI ' CO,NPEd TI �VEPAGE IS UNLAWFUT AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALilES AND dVIL NES UP TOONE MUNDRED hKK1SANOWLLARE(5100.000),INADDITIIXJTOTHE OFCOMPENSATION,DAMAGESNSPROVIDEDFOqINSECTION3/O60FT{ELABOPCODE,IMEREST,ANOATfORNEY'SFEES. LICENSED CONTRAC70RS DECLARATION: I hereby aHirm Ihet I am licens d under provisions of Chapter 9(commencing with Section 7000) of Divislon 3 oi ihe Business and Professip�s Cotle, and my license is in full torce ene enea. uc. a � G�-f 7 I C�ass a �—� 7 Contractofs Signemre: _ �Q,�, ' � Date: _ / n , � /� _ T1� [ CONSTRUCTION LENDING AGENCV: ❑ I hereby aMirtn iha� ihere is a wnstruclion lentling agency br the peAormance ol iha work for which this permit is issued. (Sec. 3097, Civil Coda). Lenders Name: Signature: _ OWNER-BUILDER OECLARATIONS: Lender's Atltlress: Date: I hereby eMirtn Ihat undB� Penalry ot perjury Ihat I em EXEMPT PROM T11E CONTFiACTORS LICENSE LAW for ihe following reason (SecJ031.5, Busineu end Pmfessions Code: Any city or county which requires e permit to construct alter, improve, demolish, or repelr any structure, prior to its issuance, elso requires the epplicant for such permit to Ille a sigoed stateme�t that he or she Is Ilcensed pursuant m the provtsions ot the Contrnctors Lkanse law (Chapter 9(commendng with Sectlon 7000) ot DWision 3 ot the Business and Prolessions Code) or that he or she is exempc therelrom end the besis for the elleged e:emption. Any violation oi Section 7031.5 by eny epplicant for a permit subjects ihe epplicant to e civil penalry of not more than Ilve hundretl dollers ($500).): ❑ I, es owner of the propeny, or my employees wlth wages es t�eir sole compensation, WILI DO 7HE WORK, antl the sirucwre Is not imended or oHerad for sale (Sec. 7044, Busineu end Professions Code: The Coniractors License Law does not apply Io an owner ol property who builds or improves ihereon, end who tloes such work �imself or herself Or ihmugh his or her own employees, providetl that such improvements ere not iNentled or ofleretl for sele. If, however, t�e building or improvement is sold within one yeb� ol completion, tha owner-builtler will have the burden ol proving that he or she di0 not build or improve for purpose ol sale,). � I, as owner ol lha property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to conslruct the projecl (Sac. 7044, Business and Professions Catle: The contrac�ors License Law does not appy to an owner of pmperry who builds or Improves Ihereon, and who comracts lor such pmject with a conirecto�(s) license pursuant to �he Contractors License Lews.�. ❑ I am axempt unAe! sec. Business and Proleuions Cotle tor this reason: Signature: Date: Owner ID verifietl by dnVef5licen5e. ❑ Ves ❑ No OrivefS LiCenSe No. Venficetion of Ownership by (rype ol document, i.e. � property lex bill or tleed): Expires: DIVISION OF INDUSTRIAL SAPETV PERMIT CERTIFICATION: ❑ I hereby certity iha� no ezcavation five (5) or more feet in depih into which a person Is requlred to descenQ will be matle in connection with work authonzetl by this permit, enC ihat ntl building simcture, sceHolding, tal5ework, or demolition or tlismantling thereoi, will be more ihan ihirty-sia (38) feet hiqR (Chap. 32, Grp 2, Ad 2, Sec. 341, 7tle 8, Califomia Administretive Gode). � As owner-builder, I will not employ enyone to do work which would require e permit from the Division of Indusirial Safery, as notetl ebove, unless such parson hes e permil to do such Wa�k hom Ihe division. Signature: Date: Division ot Intlustrial SaSery Permit Number: CERTIFlCATE OF COMPUN�ICE AND AUTHORIZATION OF ENTAY: I certi(y under penalry ol perjury ihat I have read this apD�iWtion antl state ihat ihe infortnation given is corred. I agree to comply with all state lews end ciry ortlinances relating to buil0ing construction, end euthonze reprasentatives ol t�e Ciry ot Costa Mesa to enter upon the ebove�descnEed property for inspection purposes. I egree not to acupy or allow occupancy of eny building authorized by this permii until linel inspection. COOE I. INSPECTIONflPE 1616 Fixed Sysiem F�nal Fire Prevantion 1266 200 201 202 203 Pool Spe Final Final Re-Roof FIne181ocWRetaining Wall Final Factory Fire Place Final Sign 20d Final Demolition 1� INTRIALS � 1(1 — (� �a �� CODE� INSPECTIONTYPE 206 Finel Mechanical 20B Finel Plumbing 210 Finel Elecirical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Flnal BuildinglOccupanq � � � AVP�icant to fill in all soaces exceot those within heavy borGer Iines ana sign all approoriate aeclarations. CI7Y'oF coSTa ME/SA CONSTRUCTION PERMIT ProjectAddress 36F� .�iu.C-KN�I/ ��c� Applicant's Malling Addre/s�s Owner'sName �' ��2�5�%� Phon E�� Address �`LF�� Arch/Eng. License No. Address � Contracior'sName `� � � � Phone6/�3�a`-Sy5 Addresslm�'�'��yO�''I/ 1:.� (..IY/ A-�.IMA'�Q.)C �F� �J�/.�/'j�ICIYh. Ciry License No. �% y� o ��7 LICENSED CONTRACTOR DECLARATION 1 hereby a�firm that I am licensetl untler provislons of Charter 9(commencin9 with section �000) ot Division 3 of the Business antl Protessions Cotle, antl my license is in full force antl effect. '/p ' (,� License Class C� license No.�l,�.�� te ��`7— 1 SignaYure 1RKER5' COMPENSATION DECLARATION aereby aifirm inat I have a certificate of mnsent to self-insure or a certificate of Workers' Compensa[ion Insurance, o� a certitietl copy thereot (Section 3800, Lab. CJ �7� I,� �,, Policy Nc��J�� 7�/ 5`+C�mpany �/ N h' ❑ Certified copy is hereby fu�nlshetl. ��'Lerjifie�QJ m[Ey�y filetl with the clty B i Dlvlsion. Date �-2b � Y� K Applicant �'r —� EXEMGTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl no[ be completetl if the permi[ is fo� one huntl�etl ($300) or less). I certify that in the performante of the work fo� which this Oerm�t is issuetl, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this tleclaration, you shoultl become subject to [he Workers' Compensation provisions o( the Labo� Cotle, you must forthwith comply witM1 sucn provisions or this permit Shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCY 1 herety affirm that there i5 a mn5truction lentlinq aqency for the pertormance o( the work for wM1ich this permit is issuetl (Section 3097 Civ. C.) Lentler's Name Lentler's AtlOress OWNER BUILDER �ECLARATION I hereby aHirm that I am eaempt from the Contractor's License law for the following reason (Section 7031.5 Business antl Professional Cotle: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structu�e, prior to its issuance, also require5 the applicant for suth permit 'o file a signetl statement that he/she is Iicense0 pu�suant to the provision5 of � ConVac[or's LicenSe l.aw (Cnapter 9(commencin9 w��h $ection ]000) of vision 3 of the Business antl Professions Cotle) or that ne/she is exempt .ie�efrom antl tM1e ba5is for the allegetl exemption. Any violation of Sec[ion 7031.5 by any applicant for a permit subjects Ihe applicant to a civil �enalty of not more than five huntlretl tlollars ($500). LJ I, as owner ot the property or my employees with wages az their sole mmpensation, will tlo Ihe work, antl Ihe structure is not intentletl or offeretl tor sale (Section 7044, Business antl Professional Cotle: 7ne Contractor's License Law tices not appry to an owner of a property who builds or improves thmcon, antl who tloes such work himselt/herself o� th�ough his or he� own employees, provitletl that such improvements are not intentletl or offered br sale. If, however, the builtling or imp�ovement is Soltl within one year of mm- pletion, the owner will have the burtlen of proving he/she tlitl not builtl or im- p�ove for tne purpose of sale). ❑ I, as ownev of Ihe property, am ex[lu5ively contracting wilh licensetl con- tractors to Consiruct the O�oject (Section 7044, Business antl Professions Cotle: The Coniractor4 License Law does not apply [o an owner of property who builtls or improve5 thereon, antl who conVacts tor such pwjects with a com tractor(5I I¢ense pursuanl to the Contracto�'s License Law). I am aware that proof of [heir Worker's Compensalion insurance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. (or this reason Date owner I hereby certify that I have reatl lM1is application and state tnat the above information is mrrect. I agree to comoly with a1l city antl county ortlinances and state laws relating to builtlinq construction, antl bereby authorixe repre- sentatives of this city to enter upon the above-mentionPtl property for inspection pur s. ��_.7� Signature Oaie O Drivers' License or 55 � _ � PER 1 Np.� �� TRACT NO. LOT NO. UNIT NU. v TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER p� p# DESCRIPTION OF WORK/USE OF BLDG. 5 Main Buildi TYPEOFPERMIT ❑GRADING FOUNDATION ❑STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL 8 Rear ❑ OTHER A PROJECT DESCRIPTION 5q. FT. oCCUaANCv C R�9ht K Left CONSTRUCTIONTYPE VALUATION$ $ ZONE GRAOING CU. VDS. ACRES Ping. Ref. # Remarks: Planning Notes: Sink Prevenrer Irrigation Drinking Fountains Floor Drains Floor Sinks GasService Outlets Interceptors Kitchen Sink I.d�atories P-Trap Roof Drains Reinspection Fee � $15 Boiler Duct-UnderGround �uct - Sttucwral z Duct - Ventilating Exhaust System ❑ Multiple ❑ FirepVFact. BIL ICBO # eating System & Ducting 0-100,0008TU 0100,OOOBT Reinspection Fee � $75 CMF 0865-46, rev. 10/84 White - Builtling: Canary - Applicanh Pink - Accounting; Goltlenrotl - A55essor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal lN2[Bf CIOSC[ Water Heater Water Service Auto-Wash Laundrv Travs Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,000 BTU ❑100,000 BTU i System Repair/Alteretion Fire Dampers Registers Issue Fee 1480 12/�4/87 1 7000 rL Zone Accessory Building: ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50 + KW Cooking Unit D ishwasher Dryers ❑Gas ❑Electric Fan F.A.U. F iztures Device Boxes Outlets Switche5 Garbage Disposal Generaror �0-5 KW �5-15 KW FEES Meter LJup to 100 amps Meter ❑over100amps Suh Panel Motors �0-1 HP �i %� 8 Inc.Solar �9-15 HP �i6-15+ Microwave Pole Cight Range Si9n Standing Sections Trash Compacmr . $ 3 I �— Reinspection Fee $15 Issue Fee FEES �DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By Building Approved By Appliwtion luued By $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE PLAN CHECK 25% $ ENERGV P.C. ELECTRICAL $ GRADING PLAN CHECK 50% $ MICROFILM MECHANICAL $ �7�� TOTALPEE PLAN CHECK 25% $ $ 3 $ 2 O N I N G fl E Q M T S CONSTRUf.TION AND'PLANNING POOL & SPA APPROVALS Permi41'�# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement �� zr 3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ~ r 5. SteeV Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNI�TE 7. Footings 58. Electrical Conduit-Undrgmd. � - 8. Foundation 59. Gas Pipe, � Undrgrnd., Test �� 9. Water Pipe�Undrgrnd. ; 60. Backwash Lines, P-Trap, O Undrgmd. 10. Structural Floor SYstem 61. APPROVAL TO DECK -�� 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 74. Rough Plumbing 65. Electrical-Final 15. Rough ElecVical-Conduit 66. Solar System-Final 16. 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. ProductPipingOGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Unde�grnd. 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 ��6 � L� �- 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 44. Landscape Irrigation Sysiem 45. Sound Attenuation 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • �� . , . _ APD��ant to filt in all spaces exce0� ��ese within heavy OorCer Iines anE signpil appro0riate tlecla�ations. `, CITY OF COSTA MESA CONSTRUCT.ION PERMIT Project Address Applicant's Mailin Addreis . - n✓'b'1NR� %��y��/�� Owner's Nam� hon�.. Atldiess Arch/Eng. - - License No. Address� - � � / COntracto' N u—, [%' oi.....6�7 �—,� �� Address (m� i"��.i�_� � � r��"' ^�� R'�'� 0�nc�fo�AllK.'f. Ciry License No. � '�• _ �(�� LIGENSED CONTRACTOR DECLARATION I�hereby affirm that I am licensetl untl¢r provislons of Charter 9(commencing with section 7000) of Division 3 of Ihe Business anU Protessions Cotle, antl my Iicense is in full foJee�t. � Llcense Class �•� � i ^^ns Noja/� Date�—��+ 5'g [ WORKERS• COMPENSATION DECLARATION 1 hereEy affirm that 1 nave a certiflcate of mnsent to seli-insure or a certi�iwte of Workers' Compensation Insumnce, or a ceriitietl copy tryereof (Section 3800, Lab.,p,��^D7^ �. ✓ Policy No�� 1 df�� Company�/G.� / Ce;rjtifieptl�popy,is.�leCbwlthrthehcity�Il�fj119 �� Date�l�/(Z�— APPlitantl�'L'KO-��— �Gls�- EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (ThiS section naed not be comple[etl if the Darmit is far one huntlretl ($100) or less) I Cerllfy that In [he pertormance of th0 work (Or whlch th15 pe�m�t is issuetl I shail not employ any person In any manner so as to oecome subject to t�e Workers' ComPensation Laws of Califomia. Date S�9nature NOTICE: If,�atter making th(s tleclamtion, you shoultl �ecome subject to t�e Workers' Compensation provislons of Ihe Labor Code, you must forthwith comply with such prOvi5ion5 0� this permit Shall be tleemetl revoketl. CONSTRUCTION LENOING AGENCV I her¢by atfirm that there is a construtflon IenCing agency 1or the p¢rto�mance of thB work tor which t s ermlt is i55uetl (Section 3097 Clv. CJ LEntler's Name _ LEntler'S AGtlrezc OWNER BUILDER DECLAR TION I hereby atTirm that I am exempt from the Contractor's License Law for tbe following reason (Section ]031.5 Business antl Professlonal Cotle: Any city or county which reQuires a permit to construct, alter, improva, tlemolish or repair any itru<ture, prlo� to its Issuanc¢, also requires the aDP�iwnt tor Such pe�mit �etrom antl the basis for tna alle9etl exemption. Any vlolation o( Saction 13.5 by any appl(can[ for a pe�ml[ SUDjectS the applicant to a civil alty o/ not more than five huntlretl tlollars (E500). I, as owner ot ehe oroperty or my employees with wages as tneir solu ipensaHon will ao tM10 work, antl the structure is not intuntletl or offeretl sale ($ecFion �044, Bu5Ine55 antl Professlonal COCe: The Contracto�'s ;nse Law aoes nol apply to an owner of a property wM10 bullas or Improves reon, antl wbo tloes such wo�k nlms¢tl/herself or tnrough bis o� hor own 0l0y oes, provitletl that su<h improvemenls are not IntentlBtl o� oftoretl to� If, howevaq tno bulltling or improvemant IS Soltl wilhin one year ot com- '.ion, the ownor will have the bUrtlen Of proving ha/she aia nOl �uiltl or im- ve for the purpose of sal¢). I, as owner of lhe property, am axcluslvely contracting with licensatl con- :tors td construct the project (Sec[Ion ]044, BuSiness an0 Professions Cotla: i ConVactoYs Llcense Law does not apply to an owner of praperty who Itls or Improves Ihereon, antl w�o mn[racts for Such pro�ects witn a con- 3or(s) Iicense pursuant [o,[ne Contractor's Licanse lawl. I am exempt untler $ectlon B. & P. C. �or this reason Date Owner i harepy cartify tnat I hava rea0 tM1is applica[Ion an0 state that the abova information is mrrect. I aqree to comolv wit� all citv and countv ortlinances Si9nature /✓/� U Drivers' License or 55 � CMF 0865-46 rev. 12/03 TYPE OF CONSTRUCTION `�NEW LJ ADD LJ ALTERATION LJ REPAIR - ❑'CONVERSION ❑ DEM/O.�S ❑ OT E � p.p, #" , DESCRIPTION OF WORK {/��Q✓� � NPV' . S Main Building: TVPE OF PERMIT GRADING(�q FOUN�ATION STRUCTURAL T� Fron[ ❑ TENANT ❑ ELECTRICAL VCJ PLUMBING ❑ MECHANICAL 6 Rear ❑ OTHER A PROJECT DESCRIPTION Sq. FT. OCcuPANcv � C� Right K Left CONSTRUCTION TVPE � VAIUATION S S ZONE GRA�ING CU.YDS. ACRES Ping. Ref. # Remarks: Parkin9 Req./Provided � , � � UseofBuilding: PLUMBING FEES P�anning Notes: Bar Sink . Showers Preventer Irrigation Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptor5 Kitchen Sink Lavatories P—Trap Roof Drains Reinspeccion Fee � $p5 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ ai oo,000 sTu � i oo,000 Reinspeetion Fee White - BW Iding; Canary - Appliwnp Pink - AGcounting; Goltlenrotl - ASsesSor $25 Servite Sink Sewer Cap Sewer Connection Solar Collecrors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Clout Water Heater Water Service laue Fee Hoad or Typel ❑ Canopy Typell ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteretion laua Fee $ 3 FEES $ 3 � 86E7 4/16/84 Zone Accessory Building: Park.Fees $ ELEC7RICAL Automatic Washer Transformer ❑ 15�50 KW Construt[ion Pole Sub. ❑ 50+KW Cooking Unit _ Meter ❑up to 100amps Dishwasher Ma[er ❑overi00amps Dryers ❑Gas �Electric Sub Panel Fan Motors � 0.1 HP � 1 Yh - 8 F.A.U. Inc.Solar 09-15 HP 016-15+ Fixtures Microwave Device Boxes Pole Light Outlets Switches Garbage Disposal Generator 00.5 KW �5-15 KW Standing Sections Trash Compactor 5.00 TL Z O N I N G H E Q U I R E —� � T S FEES I Reinspection Fee I$25 I laue Fee I $ 3 � PUBLIC SERVICES REQUIREMENTS: 2oning Approvad By Date Building Approved By Date � Appliption Issued By Dat� SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBWG § -'S`� ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE .$ � PI.AN CHECK 25% $ , , � " CONSTRUCTION AND PCANNING POOL & SPA . � .� � � , � Date Inspector Date� Inspectoi' APPROVALS Permit# APPROVALS Permit# � , , 1. Temporary_ Electrical Service or��Pole 52. Pool & Equipment Location � � � �• 2: Soil Pipe-Undrgmd.- � 53. Steel Reinforcement . _'� �� 3. Electrical�Conduit Utility-Undrgmd. ' 54. Forms • - � 4. Electrical Conduit-Undrgrnd, 55. Electrical Bonding - � _� � � .r 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test � � � 6. Elect�ical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. � ' 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 � . 11 . Property Sewer Line & House Connection 62. Backwash & Receptor-Final �-. , 12. Sewer Cap � 63. Heater & Vent-Final , 13. Roof Drains 64. Plumbing System - Final - 14. Rough,Plumbing 65. Electrlcal-Final � 15. Rough Electrical-Conduit 66. Solar System-Final � � 76. 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 . � '� � ,i 23. Gas Pipe-Rough & Test � 72. Underground Flush .. ' : 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil ' 25. Roof Sheathing 74. Overhead Hydro 26. T-Ba[ 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 . y//j/�( (�p � 39. Water Service� Final , , . 40. Gas Service-Final � , � '� 41. Solar pomestic-Final �� 42. Backflow Preventer ' 43. Backflow Irrigation , 44. Landscape Irrigation System � 45. Sound Attenuation � 46. Handicap Regulations . 47. FINALSTRUCTURE&BUILDING . � 48. Special Requirements Completed � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANC' � ' No. - " ' Date , _ OW NER Costa Mesa Estates � oATE �-12-56 JOBADDRESS 366,Buclmell &bad BUILDINGPERMITNO. 2617 GENERAL CONTRACTOR �VBII-SPl@g21 CO VALUE $ ZZ��O.00 LOT 1.7 �, • BLOCK TRACT �75o Single Res w/att gar GROUP I& J TVPE v ZONE �1 FIRE DISTRICT 2639 PERMITS 19SUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Foundation Forms and Grede to Rough Framing Plumbina. Rouoh to 91ab 5� Rough CoMplete Pole .. . f<..1'-,�. IX,/d'�.{/_ I !c'YS �-- wiring,Hougn v�4� u-ii•.16 C. �0'4 �V� .S.d/fo '�" Heatins�. Rouah /'j1 �5 / a//S/.t'6 �1.. 0, - -- .Cl. �. 'Ye �}..� n-i3 - �S'/. /_ � Q a. � House Lathinq. In Test i S' Final JH[V 1 ¢ �:l :" cy JRN 16 957 VCB FORM 310 3M 10�•v5 Costa Mesa Bailding Department � - 111 EAST 20th STREET � ,y+ CDSTA MESA� CALIFORNIA FOR APPLICANT TO FdLL BuIlding �A� _ , /// Addrosa•�'C��.' C.('-C{�f Owner (�Gj/ /T ��% s'� G L Mail � i/ /ii � c�� ' Address J d /N Tel. Cfty !J °� / �'�� No1 Arohitect or '/ �� Lic. Engineer yG� C/�� No. Address 3��i�C'L�1�� /%G/��., SiS? '� Cd. ; �', .,%: � � _ No // I Block � Tn i and Bounda) ��'��6 J/�, No. of 8 Size of Lot � � X�QQ, Z- % Now on Use oT / I Ne. nf Side Vard Addltion APPLICATION FOR PERMPl' \ �q BUILDING � FOR OFFICE USE ONLY Receipt No. Permit No. �6i Received by Date Redd. /�Data Issued ./S"^�4� il . /2 —•� ( /"_��` S �i Address �(e (p /�:1��'��-r- Costa Mesa, California i3# Plans Type Size ...a �{�� i JC (� Rooms G Stories Exterior Wall Roof ��+ Covering � % Covering �j1iNG'LG� APPROVALS Use of New /, Building 2( � �LGi�l�. ��.C�"/�� FoundationLocation Inspector �/J - Forms. Materials, � bL CL�i h G«-d L'. � UnderPinning ' Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have mad this Application and state that the abwe is correM and agree to comply Lath. Int with all City Ordinances and State Laws regulating building construCtion. Lath. Ext Si natureoT �r— Permittee �ST v�/�C= �!��5 Plaster, Int AuthoNzed Agt �%l" � plas[er, Eut Valuation rmit Fee $ d2. �� Masonry Reinforced $ �� Plan Check $ � � Bond Beam 17-- Total Fee $ �L J FINAL RM 2114 C-RP 2hf F-SS Date O 9 � Z D r PII.OT Pd.AN Show location and distances from property Iine and 6etween buildinga J COSTl' ^ n� r � "� �- ��PDtfESc: �I�a ��•'' ' ?T �? �wrvr:n GENliRAL AP No_ l 1 Final P7.V Y�1 SUBCONTRACTOR I Date .,� 2s�oo '� COSTA MESA BUILDING-SAFEIY DEPARTMEM �� P.O. BOX 7200 COSTA MESA� CALIFORNIA 92828 Foe Appl(caM to FIII In Compl�Nly TYPE OR PRINT �DCRE,DD ��CJZI_L�L ,!!'P/ { � �� COSTA MESA, CALIFORNIA US'e OF EXI6TIN BET9ACK ♦ � no. o� a�oos. DESCRIPTlON OF WCRK WALL �I XBR6BY AeKNOWLiDOi T1AT.1 HAV[ p�11D TXI/ AP►LICATON AND BTAT[ THAT TM[ AGOV� IB CORRQCT ANO AORC6 YO COY. PLY WITH ALL CITY ORGINANCO A�10 RAT[ WYW RiOYIATINO OYILDINO COxlTRIILTIox. AUG 10-66 OD 601 03**��18.00 ArPLICATION FOR PERMIT BUILDING for Offic� Us� Only necs�rr no. � ,^ �J �� owTe �'�� ZONING NO. OF , UO[ O! N ►LAND OUILDINa �/ �, 7i�,�-Z �%-- t� v�-- 10 /E OVERHAN6 BHALL BE Ll88 THAN ! REAR P. L. fU.B.C.REqUIREMHNTI YARDSAPPROVED YARCBAPPROVED MAINBUILDIN6 ACC6880RYBUILDIN6 fFROMC/LBTRHR)_ 1 ._ VAR. $C Txi uAounT � ►URP06[ O� VALUATION ��0 i OATB VALWTION IB FOR THQ A PPAMIT Pfi8 ONLY. h � O i4