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Home My WebLink About284 BUCKNELL RD - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lob Address: 284 BUCKNELL RD Suite: Vicinity: SIDE PROPERTY LINE Parcel Number: 14141117 npplicant: THOMAS ROTUNNO Address: 278 BUCKNELL RD COSTA MESA, CA Owner: PETERS, GEORGE J Address 284 BUCKNELL RD COSTA MESA, CA Contractor: OW N ER-BU I LD ER Address: 2ip: Arch : Address: Zoning: Phone: 714-556-5741 Zip: 92626 Phone: Zip: 92626-6183 Phone: License: 000000 Eng: Address: Status: ISSUED Applied: 08/OS/2004 Issued: 08/05I2004 ISSUED B Phone: Phone: Zip: License: License: . SCOPE OF PERMIT CONSTRUCT 6' HIGH BLOCK WALL 55' IN LENGTH ALONG SIDE PROPERTY LINE PER CITY STANDARDS. Plan Check: $0.00 Permit: $41.80 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $42.30 SETBACKS MAW STRUCTUR� Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Repuired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 $i,ioo.00 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIHATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlona and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 �aao-ao law7 WORKERS' COMPENSATION DECLARATION: I hereby ettirtn under penalry of perjury one of the tollowing declarations: � ❑ I heve antl will maintain e certificate of consent to seN-Insure tor workers' compensation, es provided tor by section 3700 of ihe Labor Code, for the pertormence of the work for which this permit Is Issued. ❑ I have and will maintain workers' wmpensation insurance, as required by section 3700 of ihe Labor Code, for tha pertortnance of the work for which this permit is Issued. My workers' compensation Insurance cerner and policy number ere: Carnec Polity Number. (This section need not be completed i/ the permit is veluetl at one hundretl dollers ($700) or less.) Q� I�certify ihat in Ihe pertormance of t e work for which Ihis permit is issued, I shall not employ any person in any manner so es to become subject to Ihe workers' compensation laws oi Celifomla, tl egree Ih 1 iJ�ome subject to the workers' compensation provisions oF Sadion 3700 0l the Labor Cotle. I shall tonhwith �—comply with these provisio ApplicanDSigneWre:--- � � �--�--Dete:� � �� WARNINO:�FAIWRE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHP1L SUBIECT AN EMPLOYER�TO CRIMINPL PENALTIES AND CIVIL FINES UP TOONE MUNDRED T/i0U5AND DdlARE (5100,000), IN ADDITION TO THE COST OF COMPENSATIIXJ, DMMGES AS PROVIDED FOR IN SECTION 31060F THE IABOR CODE, IMEREST, ANO ATTORNEYS FEES. LICENSED CONTRACTORS �ECLARATION: I hereby eNirtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, end my license is in full torce entl eHecL Lic. N Class N Contrectors Slgnature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm �ha� there is e constmction lentling agency for the pedormance ot lhe work for which this permit is issued. (Sec. 3097, Civil Code). Lendels Neme: Lender's Address: Signature: oate: OWNER-BUILDER DECLARATIONS: I hereby aflirtn Ihet under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Cotle: Any city or counry which requires e permit to conswct, alter, improve, demoiish, or repeir eny sWcture, prior to its issuance, also requires the epplicant for such pertnit to flle e signed statemern that he or she Is Ilcensetl pursuant to the provisions at ihe Gontrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the Businass and Protessions Code) or ihat he or she is ezempt therefrom antl ihe hasis For the alleged exemption. Any violetion ot Section 7031.5 by any epplicant for e permit subjects the applicant to a civil panalry of not more than tive hundred dollars ($500).): ❑ I, as owner of the property, or my emD�oyeas with wagas as iheir sole compensa�ion, WILL DO THE WORK, and the structure is not intended or oHered tor sele (Sec. 7044, Business and Professlons Code: The Contractors License Law does not apply to an owner of property who builds or improves Ihereon, and who tloes such work himsalf or hersetl or through his or her own employees, provided that such improvemenis ere not intended or oflered for sele. If, hawever, Ihe building ar improvement is sold within one year ot completion, the owner-builtler will heve ihe 6urden of proving ihat he or she did not build or improve tor purpose oi sale.). ' ❑ I, es owner ot the property am EXCLUSIVELV CONTRACTING WI7M LICENSED CONTRACTORS to consiruct tha projea (Sec. 7044, Business and Professions Cotle: The contractors License Law does not epply to an owner of propeny who builds or improves thereon, end who contrecis for such project with a contractor(s) license pursuant to ihe Coniractors License Laws.). ❑ I am ezempt untler sec. Signature: Owner ID verified by dnver's license. ❑ Yes ❑ No Business and Protessions Code for ihis reason: Veriticetion of Ownership by (type of document, I.e. - property taz bill or deed): Drivefs License No. Date: Expires: DIVISION OF INOUSTRIAL SAFETV VERMIT GERTIFICATION: ❑ I hereby certity that no ezcavation five (5) or more feet in depih into which e person is requirad to descend, will be made in connection with work authonzed by this permit, and ihat no building simcNre, scatfolding, falsework, or demolition or dismantling thereot, will 6e more ihan thirty-six (36) teet high. (Chep. 32, Grp 2, Art 2, Sac. 341, Ttle 8, Califomia Administrative Cotle). ❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Division of Industrial Sefety, as no�ed a6we, unless such person has e permit to do such work from the division. Signawra: Date: Division of Indusirial Satery Permit Number: ICERTIFlCATE OF COMPLIANCE ANU AUTHORVA710N OF ENfTiY: I cerlify under penalry of perjury thet I have read this epplication and state ihat the information given is I cortecL I agree b comply with all state laws end ciry ordinances relating to buiiding construction, antl authonze representatives of ihe Ciry of Costa Mesa to enter upon the above-descnDed property for inspection purposes. 1 agree not to occupy or allow occupancy ol any builtling authorized by ihis permit until finel inspection. CQOE 1, INSPECTIONTYPE 1676 Pixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 207 Final elock/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2L INTRI�LS �-�-Z-cr-� `� 40DE il INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elec�rical 212 Final Fire Prevention 220 Finel Planninq Approval 222 Final Site 250 Final Builtling�Occupency Q' e " S^a � Date P9I€ ir+mu�s „ DECLARATION OF AUTHORITY FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS Street Address: . . �s� . ,. , Bldg. Permit # CL�” - t —O�� I�J This Permit # AP Number: 1. I(we), V�l'1 � �� / a=71 S , declare that I am the Owner of Titte of the above referenced real pro7perty, and that I(we) hereby authorize: �h O/� f�S �d�Cl1✓A/� Name: � �G,�,�..c T f r7 -�L� StreetAddress:� �VGE+CNCL�- �B�V �^�� . Telephone Number: � �"I � �`� b�� '� `"' D `� � Ciry: �v57� T%CS/} State: C�L/f Zip: �% Z�0�6 to obtain pertnits in my behalf, as owner/builder, for atthe above referenced property. �� 2. Should any person become an amployee engaged in the improvement of the property, I(we) shall immediately provide Workels Compensa6on Insurance coverage and cause a ceRificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or wrporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless trom any claim resulting in damage or personal injury to myself or any other parties as a result ot work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalry of perjury that the foregoing is true and correct. � Executed this � day of � SIIS� 200� , at �S� %h�S i� , California. Print Name: GCO� GC V_�� 1�,�.5 Signature: �/� /,iF . Date: � ✓ /� �/� � Note: This authorization does rrot grant authorization to perfortn the work as ovmer, d solely provides for limited power of attomey to secure this permit in any behaH. 07]9�a61rev.1 bO0) • 7M5 SI�TQi LS FOR INFORMATIONAL PURP066 • 50[1D WALLS/FEJQ�S BEiIYEQJ 2'fi• k 6' PI FQ�]CFR SFIALL pNLY. APPLICAM 6 RFSPONSiBLE FOR PROVIDQJC BE Si7BAOC AT IFASf 10' FROM FRONi PROPERTY ID`lE. AN ACCURATE RFPP.FSE�ffATION OF it�t PROPFR7Y R1 CASE 7HE S�iAPE AND SIZE DO NOT CORRESPOND • 90t� WALLS/FfN�S SHALL N07 D(�2' 6' P7 f47GH7 WCI717t[E INFORMA770N PROVIDID ON T}45 SI-@FI'. WRt1IIJ 1P OF i}ff FROM' PROPER7Y lA7E (NQi NRB I12�1E). � j3��- o/ ��1- �-=--,� 3= �� :-� . , iSA PLANNING DIV►SI N ECT T,Q9�,(�G. DE T. REG. ;: ADDITIONS, DE ETIONS ALL BE VED BY THE PLANNING D � _ /��l�kN� l, ��r M90CMCl a9� EZ • VERIFY D6TAN� FROM CURB 7D PROPEICIY UNE AND 4�OW ON PLAN. VERIF7GTION FROMTHE QIYS HdCINEF1tING DfVbION 6 REQUIRPD. CAIl(l1�) 751534i POR INPORMATION. -- �Q o q � � N `6 � � � � �� .� �� z�-� =� o� � � �� z� _ Ca a� �o �2 .�_. �^�'. � -� 9 _ -.;� � �� ; � y � N � q � � O _ � oy = i N ¢ 3 fi ' � � V � � d � � yA� �� d d R �'Q 9 y[ � � amua s�€ —o � oC� , �� 0 4 a � � �. � : � .........................................=� , --- __ -- � BLOCK WALL LAYOUT FOR BUILDING PERMIT PLANNING DIVISION V W 1VC:K CONTRACTOR 1NSPECTIONS or UA'1'� (-1,1,—b BUIT.DING PERMIT NO. DESCRIP7`ION OF WORK VALUE Date I GROUP J TYPE SUBCONTRACTOR �iectric � � r-,nr,'�� e....:�a �STA MESA BUILDING-SAFEtY DEPARTMENT P.O. BOX 1Y00 � COSTA ME9A, CALIFORNIA 926Y6 Por Appllcanf fo Fi11 In Complefaly TYPE OR PRINT COSTA ME3A, CALIFORNIA �ARCHITECT / ` OR ENGINEHR L � � O pCipwCK LIX� r110M no. or ■tnos. DESCRIPTION• OF WORK \ Patc ' JUL 71-67ce+sr�0 730 �i**�`•',t,S.DC ; APPLICATION FOR PERMR BUILDINQ� for' OHlce Use Only nace�rt xo, qep�. ,r�o�. .F Y yp� T[q[C[IV6D "�/'J' 6�18�8� D /- /�-� % /� //� /. � LiOAL H0T6: NOGV60V[RI 80• TO HIDi 4 fiiAR P ewvea ALLOWiD YAROf APPROVHD MAIN BUILDINO vwn.# ZONING � �Nti �. UY[O�N[W �}" lOILDIHO � � �� - � � sHw�� ee �¢s7 s rH�n YARDB MPROVBD ACCEYSORY BU ILDINO DATE EXTERIORWALL I ROOP MPROV[D t �E � GOVERIN6 COVERINO OY ATE � UYH OF EUILDINY AND WORK TO E6 P[RFORM[D a 07 L � �S'c �� n� � P,4—� Cd �/�� . �. � 1 HHREBY ACKNOWL6D06 TXAT 1 XAV6 qfAD TIIB APPLIGTION TN8 AMOUIR BXOWN UNOBR VALUATON 18 FOR TN6 � AND BTAT6 THAT TN6 AGOV[ 1� WRR[CT�ANO AORE{ TO COM. 1'URP088 OP �BTAOLIBHINO A P6PNIT P88 ONLY. PLY WITX ALL CITY OROIIUNCY I�ND iTATi LAW➢ R[4UlATINO VALUATION � BUILOINO CONBTIlYGT10N. _�J � aJJ &IGNATURE Or �� , / PERMIT FEE �� p PERMITTE l� s ��¢.J� �tJ W U� AUTHORIZiD AO[NT ` � i TOTAL FEE ��9 COSTA MESA BUILDING DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA eui�oiNc ADDRE55 FOR APPLICANT TO FILL IN y ISLLUIS.[1C11 il(1. COSTA MESA. CALIFORNIA ADDRE55 1555 Placentia c�rr Newnort Beach� C ARCHITECT TEL. 1. NO. 6�1e LIC. NO. AODRE♦5♦5 v 8S/�ID8 l^ r� C}a}RIY�lloll Const• V� C�TY N�O_ 1F.1/ V A O �E�.� I�or 49 DESCFIPTION NO. A.P. NO. S��E 62 x 100.1,8 OF LOT USE OF E%ISTING BLOG. . , �Iq .sy� .; ,• „r ��c'�. APPLICAT�ON FOR PERMIT BUILDING FOR OFFICE USE ONLY NECEIPT NO. PEF�R�q@ EN IEC�.1j� !� BT [LTE RE�EIVED D/�TE ISSUEO �i�� . i � � rrw � �nr� COSTA MESA. CALIFORNIA FIRE TEL. APPROVED NO. $8TIl8 BY DATE __.__ 2029 CORRECTIONS No.oF eloc5. Q IOW ON LOT SETBACN LINE FROM C[NteA O� sinE[i SO qEAR VARD' 2� SIDE VARD� _RIGHT � LEFT p DESCRIPTION OF �/VORK NEW g ALTERATION I AODITION REPAIR � ��MOVING _ _I DEMOLISH BUILDING NO.OF SIZE ROOMS STORIES E%TERIOR WALL ROOF COVERING StiiCC� COVERING bO�IDO�i USE OF NEW Residence & att. garage BUILDING The Amount shown under valuatian is (or the I NEREOY ACNNOWLEOGE TNPT I H/�VE NEI�D TMI$ PPPLICATION AND purpose o esa is mg a permi ee ony. STnTE TMqt THE �BOVE IS CORflECT PND iGREE TO COMPLV WITN �LL CITY OROINANCES AND STATE L.�WS NEGULl�TING BVILUING CON6TPUC� T�o�. V A W ATI ON SIGNATURE OF PERMIT FEE S 35ry�Qo PERMITTEE 15,622�0o pLAN CHECK $ �I•�O $ AUTHORIZED AGENT TOTAL FEE 5 5�L,5O v°'"�