HomeMy WebLinkAbout350 BUCKNELL RD - Building Permits.. � ' - . 90,�d'S
C 'TA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
' FOR APPLICANT TO FILL IN
ADDREI55 �SO Al1C�CT1811 Rfi.
COSTA MESA. CALIFORNIA
I OWNER
ciTr
ARCHI
LEGRL LOT
OESCRIPTION NO.
A.P. NO.
SIZE i
�P`;i�'�R 2 �955� �
FI�A�CE DE�T.
GITY 0� 60STA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
NECEIPT NO. �ERMIT NO
PJ�entla �ti�?� - - J ` f � �.� -
t Besch� Cal. THo: MI 6-3227 AooRe�ss
S$'1l6 N�p: COSTA MESA. CALIFORNIA
38tftB FI R E
y ^,I] ZONE
1 COILSI/• CO• CITYLIC. �/�1I �ONE NO.OF TVPE � GROUP
I PLPNS /f _
NO. v
TEL. APPROVED
Sa�e NO. `9ANe BY DATE
12 e�ocrc rwacr 2g� CORRECTIONS
SETB>CN LINE FROM
CENTER OF STNEEt
O.OF BLDGS.
�
RIGHT 6 LEFT O
l:1
�
DESCRIPTION OF WORK
NEW A ALTERATION I ADDITION
{
REPAiR MOVING IDEMOLISH
�BU�ELDING lL��— O ROOMS 6 STORIES 1
V
EXTERIOR WALL _,._____ ROOF L_1 __..�....i
reveev mm�ow�euee r.�� i n ve ne�o mis nvvuc•�ron .
STATE TNRT TME ABOVE I$ CORPECT AND �GNEE TO COMPLV WITM �LL purpose of estzblishing a permit fee only.
CITV OFOIN.�NCE$ A TATE LAW$ XEGUL/�TING Bl11LDING C NSTRUC-
iior�. VALUATION
SIGNATURE OF PERMiT FEE 5 3S�OO
PERMITTEE r
$ 15,967��� PLAN CHECK $ 17.J�
Al1THORIZED GENT TOTAL FEE 5 S��SO '��
PXOJECT RODBESS: � j� 3UCI(NEL L RD
OWNEfl'SNAME: KRAIIT 3EVJAMIL TR
aooaess: q16 M�NDO'LA TER
CORONA DEL MAR,CA 92625
AflLHIENGINEEB: � 714 � 54 �'1576
FDONESS:
UNIT:
flEG.NO.:
UNIT:
� PEPMITTEE: DALE' S ROOF'ING ( 714 ) 550-1 180
ADOXESS: 9'�(�� W. 2ND .CiT
SANTA ANA CA '32'103
IICENSEO CONTBACTON DECLABATION: I hereGy aliirm (ha� I am licensed under Omvisions of Chapter 9(cammencing with Sec�ion
7q10� o� Dmsion 3 of t�e Business antl Pro�essions Cotle, antl my Iicense is in full lorce and ellecl.
arr uc�.:� 0 4 p5. 8 Gp8 STATE LIC.: S O 3 S O B ss •=L%��LL`
Date: �=n—(�— Signawre: �
WOflKEHS' COMPENSATION OECIAflATION: I �ere0y ailirm Iha nave a cenilicate of consent io selbinsure or a certificate ot Workers'
Compensation �nsurance. or a certilieJ coOY ��ereo� (Sec�ion 3800. LaG. q.
ooucr No.: 7399"19-90 E%P.ORTE: S}. JOS I91
cornrnxr: STATE rUND ^
❑ Cetlified copY �5 hereby lumis�ed. � Cetlifietl capy is iU ��e Builtlin r n.
�ale'. _I � �^ � , Ap0licant:
E%EMP710N FPOM WOPREBS' LOMPENSp710N �ECUPR710N: ( is section neea not be completetl il �he Dermn is for one hunOretl (5100) ar less�.
I certily Ihat in Ihe petlormance ol the work for whic� ihis permi� is issued. I shall nol employ any Derson in any manner so as �o �ecome
sublect lo Ihe Workers' Compensation LawS ot Calilornia.
Oate: SiAnaiure:
NO710E: II, aftet making I�is dectaration. yau shoul0 6ecome sublect to the Workers' ComDensation D/ovisions of the Labor
Cade. you must fonAwith comO�Y'�'��� such D�ovisions or ihis permil shall be deemed revakeA.
CONSTPUCTION 1EN01NG pCENCY: I �e�eby allirm t�al I�ere is a constmction IenOing agency lor I�e DeAormance of ihe work lOr
wnicn ims permi� is issuea �Section 3W7. Civ. CI.
�ENOEN:
aoonEss:
OWNEfl BUILDEN OECLAHBTION: I hereby allirm thal I am exempt fmm the Coniractors' State License Law for ihe followinp reason
�Sec�ion 70JL5 Business and Gmfessional CoOe: Fny cily ol county which requir¢s a permil to con5�mci, alier, impmve, Oemolis�, or
repai� any s�mc�ure. prior lo iis issuance. also reQuires the apP6cant �ar such permil �o lile a siBneA Sla�ement Ihat he/she is licensed
Oursuanl to I�e D�ovisions ol Ihe Comracmrt Slate License Law (C�apier 9(commenting wilA Seclion 7000) o� Oivision 3 of lhe Business
an0 Pmlessions Cotle) or iha� he/she is exempt therelmm an0 the basis for t�e alleAeO exemption. Pny violation of Section 7031.5 by
any apPlitant br a permi� SUbletls ��e applitam l0 a tivil penal�y of not mor¢ ��an Irve hundr¢E Aollars (5500).
I, as owner oi t�e pmDeny ar my employees wi�� wages as iAeir sole compensatian, will Oo Ihe wark, ana ihe
❑ s�mcmre is not intendeU or allereU tar sale (Seciion 7Pi4, Business anG Pmfessional CoOe: T�e Cantractors' State License Law
COeS noi appty la an owner o� a O�oOehy who bmltls or impmve5 ihereon, antl who Ooes suc� work himseltl�erself or l�mu0h
his Or �er own employ¢es. pmvid¢A t�a� su[h improvemenis are no� in�enCetl ar ofleretl lor sale. I�, however I�e Uuildinp or
impwv¢menl is soltl wii�in one year ol complelion, t�e owner mll have the burUen of Dwving he/5he aiA noi bui10 or impmve
lor tne vurpose ol Sale).
1, as owner of ��e pmpeny, am erclusively coniracting wiih IicenseA coniraclo¢ lo consimcl �he pmlet� (Sec�ion 704a, Business
❑ ana Pmfessions Cotle� The Comraclors' Slale License Law does noi aOPly �o an owner of pmDe�y who builas or impmves thereon
and wha cantracl5 lor such pro�ecls wil� a contraclor(5)liwnse pursuant to ihe ConVaztors Slale License Law�. I am aware
I�al O�ool of iheir Worker'S Compensalion insurance ShoNU be pmviGetl to me.
� I am exempt under Semion: B. 8 P. C.
lor Ihis reason:
�a�e: Uvner
I aa nereUy ceNty that I am aware ot an0 untlerstanA tne repuiremenis of Calilornia HealtA anA Safety CAtle S¢ctions 25505. 25533, an0
2553a ana Inai I or any �uWre �uildmg occuDani wiil/will nol (cirtle one) nee0 io comply wit� saiE slaie coAes antl I�e requiremenis lar a
permil b� cOnslmciion or motlilica�ion �mm Ine Ai� Ouahry Management Districl. Fe5i0en�ial rAnSimttion aD0lications are exemp� imm
inese pmvisions.
Date: Applicant:
I here�y cenily tha� I have read this applica�ion an0 slate �hal lhe a�ove informa�ion is WrrecL I aA�ee lo compty wi�h all tity an0 counly
ortlinances and s�alelawsrela�ingto building conslNction antl nereby aN�n ' represen�a ' es o�lhis citylo en� he above-menlionetl
propetly �or mspeclion purposes.
Oale: —` ��/ $ignalure'. _ _ _
Oriver's l¢ense o� Sociai Seanty a: �
t6ci-O6 WM1ne—Builtling: Green—Coee EnlorcemenL Canary—AOP�icanL Pink—Revenue: Goldenrod—Assessor
CITY O? COSTA MESA - BUILDING PERMIT FER,y NO: H U516Q:
PERMIT NO: B 051602 PLAN CHECK NO: N GUVi: N SJPP; N
CONSTRJCPION TYPE: 5-N PERMIT TYPE: .^�TR FJr-iP05E: ALf
JOH DESCRIPTION : REROOc W/25 YR FIBERGLASS COMP SQ FT: 1,700
CLATM VALUE: 2,700,00 CAiC-VAi,UE; 2,700.00 GkOUP OCC: R--3 /,�-1
CONMnNTS• SMdKc DETECTOR(S) RE�UIRED IN HUME.
IE1FlFie#ii�1EK1hiFIFiE�efhi'r�t}ifiEi4if?eiFaE1E#if%�ii�k�� ?Ei'�if�Fif?f#liRiFN�lFi�1't3:lfifa!��i�n�iEi�iE#iF#iei!�3Rai�ik#'�icifa:iFX�iiiF3f��uY�if�)f�if•%
'L U N Z N G R E Q U I R E M E N T S
S c T' H A C K S
------------ MAIN 3UILDlNG ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: PT IN FRNT: Fi ZN RcAR: FT iN
LEFT: FT IN RGHT: FT IN LEFT: FT �N RGAT: rT IN
PARKING REQ• PROV: FARCEL: 1419110'I_ ZNE; REr NO;
PLANNING NC7TES>
) .
iE iF R M� IF iE fi� fE 3f 3(� 3E iE iF IF?f 3k if ii� � df if IE ih 3h f(� 9F if aE if iE �16 iF if �E it ii- ii� iF it ii- N� i'r iF �IE if 3e N• �lE k iF il� k if 9F ic if it # iE if• M� k� %� IE k� iF �7F i(� �If �E iF i'r 3i� t�Ie if k)f �lf
D E V E L 0 P M B N 3 S.? R V I C E 5 R E Q U I R E M E N`T S
ZONING APPROVED FtY DATE; �
BUILDING APPROVED BY ; DATc.: ' /
APPLZCATION ISSUED BY: DAT�: �l.J.�'��
Y-ific3(��ci[3F�F+i;�1i�aF1(�iei�}Mii�ifii�IfiiiF .ft��F. � �t � .. tcir �x . r .r r.+�F1FiE�kii-ifii•iriE3t3fMt �i�lE
1EiF�liiF-lC�ii3c�EaiiElEfFiEiflfiilEi�lc�lf-iFieiF-)EifikiFifk'iF#'�3Fif3'tif%iEif'.ERiE : 361f�3Eifii�lf%�IfMifi�iEifiF}iF�ii��1E�1ciPil�IEiEK�7fii�aE�Ji-1's�r:i:+f}..i4N�
LEGALIZATION:N F E E S U M A R Y STkUCTUa'<AL SEGMENT;Y
BLDG PMT PLUMBING ELcCTRTC MaCHANIC FIRE SMIP/R35 GRADING
PERMZT 59,00 ,50
SNIP/NON-Ri5
PI.AN
r.ssuE FEt
BUTLDTNG-DIV-> PERNIT ISSUE FLAN-CHECK TOTAL PAID DUE
TOTALS----> 54,50 0.00 0.00 54.50 SS.SU .q0
REVENUE DIVZSION TOTAi,S--> COLLECTED: 59,50 OVcR/SHORT; ,00
3LDG PMT PLUMBING ELECT'RIC N,ECiiANIC rIRE SN,3P/TOT GRADZNG PLAN-CH�CK
��i . �Q . JQ ..
iF �7f ir iE fF iP 3E iF 3E f!� k� iE 1i� i61E N� iF i4 3F R i4 if i'r iE ib # iE # k# if �le If� # 3F �lF iF if 3f �]E �k� IE iQ iF-lt } if M�lE Iv i'r x� �lE iE 3E 3E k Y� k 3F if• iE M� 1f if Y.- �i 3E-if ii� ji �t� > tk if li� ie �7t� k
I N D I V I D U A L F E E B R E A K D 0 W N
T'YPE (�TY D E S C R Z P T I O N J?dIT CUST 30TAL COST
SFR 2700 REROOF BY VALIJE RESIDENIAT. N020NE 1.00 2,700,00
END OF FEES
\ \
\
OI 000^.<y-,7-' :C„43�2 Y �! -
UaT� L�r. C�.'?? TIr�=: -, . ,
CONS7RUCTIOtN ANO PLANNING A- -�& SPA
APPROVALS Permit # Date Inspector APpROVALS Permit # Date Inspector
1. Temporary Electricat Service or Pole • 52. Pool & Eq�ipment Location �
2. Soil Pipe-Undrgmd. 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. Electricai UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation -' 59. Gas Pipe, O Undrgrnd., 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
•i
13. Roof Drains 64. Plumbing System � Final -
�
14. Rough Plumbing � 65. Electrical-Final
15. Rough Electrical-Conduit. � ..�� 66. Solar SVstem-Final ,
i6. Rough Electric Wiring � 67. Fencing & Access Approval
17. RougN Wiring Sign 68. APPROVED FOR PLASTERING
18. RougN Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rou9N Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, �n Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas OOiI -
25. Roof 5heathing 74. Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
2S. 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 S0. 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 S¢rvice-Final
41. Solar pomestic-Final
42. 8ackflow Preventer
43. Backflow Irrigation
44. Land5cape IrriGation System
45. Sound Attenuation
46. Handicap Regulations �
47. FINAI STRUCTURE & BUILDING j(v _, �� �J �_ 6'��f
48. FINAL PLANNING �
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co � .
51. CER7IFICATE OF OCCUPANCY
No. Date
VW1VPilt (
JVtS qUL1LC;AJ ]7V 2371C:KI1C11 .
GENERAL CONTRACTOR Acme
nr rro. i 4i _4� i�m i.oT
INSPECTIONS
� Soil _
llAT� �-�v v7
SUBCONTRACTOR
� 2464�
..--,
t�A�M1�SA BUILDINC+SAFETY DEPARTMEtJf
�P O. BOX 1200 COSTA ME3A. CALIFORNIA V2620
Fw Applloant ro F711 In CompltNly
TYPE OR PRINT
ADDReDD �`�V O/1�"iKl1)QII �Ad
CO�A MESA, CALIFORNIA
A wncHtTecr
STAT6
LIC. NO
61ZE
�F L�T
U8H OP
siv „o-s�%•/JSz
INO. 0► O1DY�.
DESCRIPTION OF WORK
WALL
1 N6R Y ACNHOWL[DI
AND� TAT6 iMAT TN[ �
PLY WITH ALL CITY O0.
euaotNa Cowsrp c
BIONATUHG O
PBRMITf6
AUTHORIZ[D AO�N7
y-
M�V[ RfAD THI� A�►LIGTOM
CORR[CY ANO AOR[t YO COM•
AND A�i[ MM7aFoyunnp�
CITY OF C�STA MES�
AUG 30 196$
fOf
�'O
YARDf MPROV ED
MAIN BUILOINO
vuc. #
�
-�-(�1�
\N0.8HALL B6 L688 THAN
L
(U.B.C.RHOUIRBMQNTI
YARDBAPPROV6D
ACC68HORY BUILOINO
DAT6
e
/ / a
w
�
a
�. �. �
TX[ IIYOYM �NOWN UN0611 VALVATION IG IOR TX8 �
►URPOG{ O� [�TApLIGMINO A P6PMIT !86 OHLY. I
vALuwiION mp �
PERM7T FH8
�
a%/�6o°� w
� � �d
TOTRL PHB
. y
O�VNER R. M. BUSSEY ' DATE 9/8/59
JOB ADDRESS 250 Bucknell Rd. BUILDING PERMIT N0. 10326
GENERAL CONTRACTOR KB1'1 Frobenius VALUE S 30S.00
INSPECTIONS I on7E I GROUP TYPE
SUBCONTRAGTOR
Form 210-3M-4�59 1�i•26