HomeMy WebLinkAbout264 BUCKNELL RD - Building Permits�ooxessaeu�ra l64 bUCKNELL RU
o""E"s"u+Ei'aa'''": TRACEY, WILLIAM �
�op�TRACEY, JUDITH E
269 BOCKNELL RD
OSTA MESA,CA 92626536-9822
MPI. WIIRlO �DDAE54:
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mxm�cTarsxu¢A.B.C. HEA'LING & A/C (714)590-0972
CCMIIACTORSY4lM0 2951 GRACE LANE
�oox�ss COSTA MESA CA ucra.: 1J3298
92626 uM:
UCENSED COMRACfOflS DECLAFATION: I MMy � m wMx penely d pu'ryry tlxt I am fcenaed wder pro�rian d CMqa 9
(oomme��q rmA Senion laW) d Onision a d tM Burirov vd Prolmeiow Cole. enE mY liaeme o in lull lpce eed eMw.
cmuc.No.:006041 uc.cuss:C_20 uc.No: 1 3'98 EXP 06/98
DetNL���� COMrada:
OWNEN BUILDEfl DECIAF�TION: I heroby elfi�m uMer panaly d perj�ry Ihet I am exem m �M COM�etlm licanee Lew la the
dbxiq �mson (Seeun 1W I.5 &ni�ees eM Prdeaio�u Cade: My ciy a munty v.fiiN npui�» e pe�m! lo wnsln�[I. W«.'unpaa.
demd'eh, a rpai eiry eVucNro, prior b iro iaeMe. ebo rtpuiree iM epplimM la auch pe�mil b file e uprwd nelemeM iMl M m eM
ie licenud W nuen� m t�a povieian o/1M Gomreaon Licenee Lew �C�eple� 9(commendip wilh Sed'nn J000) al �'vuion 3 W IM
Bueinw eM Prdeaone Code� a Ihe� he a eM ia exemp iherehwn eM �M bavn Iw Ihe elbped ssemqion. My vbletion d Sedion
)03t.5 by enY a00��^t la e pmmil wbpde IM epplicent b a a'm'I peneM1y W rpt maa ihen INe hunEmtl Edlen �f500�1.
� I. m ovmar d Ihe qopenY or mY a^GMba �h wapea m Ihei eob wmpamation. xvll do Ihe xdk. eM �M ei�uclun e rwl inbnded
a Mared la We (Seclion ]OJd, Butineae eM PrdesaansCade: TM Contredon licanae lnw Eoee nW epply lo an owner d popaily
wlw Wld+«'vnpovee Ihareon. eM xto doee surh wak NmeeM v henM « Wwph hi a her own employee�. pwkeE Ihal wch
Mwwem.m. m. �a mia,dee «memd �or.e�e. n. no.mm. me wJC'vro «maowm«n u.dd wunio w» r.a a canpabn. m.
�«�w�n...�n n� m. w„+� a wo��a ne o..na eb „a w�u « �mvob �« ina wmo.e a e.i.l.
� I. m oxner d ihe pivpery. em eatlueney cmiretlip xnh liceved conVx�pe to cwutrua tM poptl (Setlion'lOa�. Bus'viwa vd
r�a.duu coee: n» c«�vmo�. uoeve �.. aom �a wqr m� o�« d ww�r wno w�w v imww« in«em .�a ..ro
conirecb la a4� popea wiN e mm�etla�a) IiumW pwaueN to iha COM�ertns limme lew).
� I em mamq uMm Sectian: B. 8 P.C., br �ha reasan:
Data: �
I Ao heraM canM Net I em ewera W end wderstand IM rtVuimmmb d Cellomia Heelth vd Sdar/ COAs Satliom TS.505. PSS�J. uM
25531. enE OW I a erN tulun Guildirp ocapaN will / wil rid (rimAe ane) need �o canpy wIh uM attls mdes W ihs m�u'vemar�b lar
Dma: Aod�:
WOHKEN'S COMPEN9ATON OKWI�TON: I Mreby elfirm Wer pe�ully d pr'ryry ans d Cw IoYow'vq deduetiom:
❑ I new eM wil meinlaii a cenificeb W wmm�t io eeMinwro br wakers' canpemelian. ro prwidM la by Seeion a]ao d �he leEa
cea.. �« ms wn�. d ub wn i« �n ma wmw A A.�a.
� i n... �e »;� mew.� wn..• mmo.�� �nurence. m�ewbea M seaa�, a�oo a me �.no. coe.. ro, ine w�«me�m a n.
wak ta whiM Nie pwmil n ueueA. MY w�^�^' �^Da^�a^ ��a rartier enE po4cy number ue:
c.�+..: CALIF COMP EXPIRES
va�r+�ed ��y t t � / O1 /O1 /99
(This aenion neeC riw W canWnM! l IM prmt b/w are hundrM dd/ara �S�OoI w Iw.l
� I cenM �� in iM pMormvwe d �he work br whch �hie pe�mA ia mued. I ehell iwl emplq eiry pereon in vry menmr eo m lo
bemne wM� to tM HaMre' oomD�bn kMa d Celilame. uM e0rea Net il I dwuM beroms wMe o �M xakm'
om povisians �]00 d �ha lebor Coda. l �' h c wiN Ilme prwisiona.
Dele:�jG� � Applicem'
W�minp: Huu� b�.cun woKwi rompxu�tlon covorep� Is vnNw�Nl. antl UWI �Wl n�myloyw ro cNm'rW pxWtlu �M
nvn roro. �y ro on. nundroe moua.rd ewr.., ffio0.aooA M.��ae� ro m. �e,r er �o �ron wm.o.... pov�d.d ror �n
9xHon J106 0l Ms labor CaW, InNn�t, e�W ettornsy i/ws.
CONSTNUCTION LENDINO �QENCY: I hseby etfi�m unEer peneAy d pxj,ry ihet �Mn u e mutewion Widnp epeney br tlM
peAormarim d tM xoM M wM1idi �he pormY e 6awtl (5ednn J08]. CM. C).
LENDEfl'S N1ME:
LENOEP'S AODflE45:
I<mity ihei I Ama mM I�o epplicetian ud aele tlw tM eEove iMametion u caned. I eprte lo canply rriiAeO rny enE oounry adwnon
erM ewe k�w mlel'vq io buik'up miuvuabn end MraEy aulhaixs �aprnentmivm d thia fuy lo anter upon iM a�me�mamuneE propaM
�°`�'0°'""w`0p"RUSSELL BANGERT
om„�—fG • ,�
(S15t�16.WP1 'Nhne-&ddiq 8 Sdely:Oreen-Fb: CenW+�ppim�tl: Rnk�iavanue: (3oMenvJ-Asesesa
CITY UF COSTA MESA - BUILDIN� PERMIT
PERMIT NO: M 086899 PLAN CHECK NO: N
CONSTRUCTION TYPE; V-N PERMIT TYPE: MEC
JOB DESCRIPTION
C��1�iyl+�irlil�
C:T�;Z�L•��1�7R:11��
CALC-VALUE:
-000��o
PERM NO: M UII6899
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS: NO OTHER WORx AUTHORIZED BY THIS PERMIT
if iE iF 3E iF i(� iE-Y,- �IE iE ��F dF # iE iF 1ElE iE 14'lf ik iE if iE iE # iF'k R iE if iE iE fF * 9E iE iE # iE iF IE dFlF if �1F ik'%!! iE IE If iF iE 3f i! iE �IE i(� it aE iE if if ih if iE jE iE # iE'1ElE # iE if 1k 1E
Z O N I N G R E Q U I R E M E N T S
S E T B A C H 5
------ ----- MAIN HUILDING ---------- --�------- ACCESSORY BUILDING ---------
FRNT: FT ZN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 91913506 ZNE: REF NO:
PLANNING NOTES>
% �
9E iE iE �E-)E �E }; !E iE �F 1f !f fk d! iE ik iF # iE if' fF 1E if �E iF if ih i(� iE'lE if 3F'1E if iF iFjF�—k iE iF Y.-iE iF-1E iF iF dF iF # iE if if iE if' 1t i(�'lE i't �1E 1F it iF k iE iF iE if �:- )E �h'lE if �F fE iE � iF iE
D E V E L O P M E N T S E R,�X�- I C E S R E Q U I R E M E N T S
).i..
ZONING APPROVED BY ! DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED HY: '� �- DATE: Z Io �( g
iEiFiEiE�E�Eif�fEiFiE3E�EiE3EiEifiEifaf3E�Fif%'itTFiFiFiF�FiF�iF3F3FiFg�iF3F�iF�FiFiFiF ��3fiFiF�it3F�1E3E3E3f-IEiEiE3f3EaF ���E?E
LEGALIZATIQN:N F E E S U M M A R Y STRCTCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 13.25
25Y SMIP/NON-RES
PLAN
ISSUE FEE 22.00
bUILDZNG-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 13,25 22.00 0.00 35.25 35.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 35.25 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECIC
35.25
dE iE if' �1! iE 1E iE 9k iE 7f �f' �f 9E 1E iE if if ?t iE ik �'i' iE iE i(� 7klf �)F 1E if iE It iE if iE if i! ie 341E if iE �F iF �IE �)E 1f �f �f iE if if iE if iE iE 3f 1f �)E'1E ik iF ik iF iF iE * i@ iE �E'7E iF iF iE 3E �7E 3l-ic if if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I U N UNIT COST TOTAL COST
MEC 1 INST FORC-AIR/GRAV FURN <= 100 IC bTU 13.25 13.25
END OF FEES
82-18-1998/83:12 Ptl/f35.25
ftCPTN:BI-8819477
PERMITe686899
� CONS7RUCTION AND PLANNING PL�� & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Feinforcement
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. APPROVA� TO COVEA�GUNITE '
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. 6Vater Pipe�Undrgrnd. . 60. Backwash Lines, P-Trap, 0 Undrgrnd.
70. Structural Ploor Svstem 67. APPROVAL TO DECK
; 1 t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Root Orains 64. Plumbing System � Final �
14. Rough Plumbing 65. Electrical•Final ,
15. Rough Electriwl•Conduit 66. Solar System-Final
t6. Rough Elettric Wiring 67. Fencing & Access Anv�oval
17. Rough Wiri�g Sign 68. APPROVEO FOR PLASTERING
78. Rough Electriwl•T Bar Ceili�g 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rouqh Factocy Firepface - APPROVAIS Permit #
21. Dutts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil
23. Gas PiPe-Fough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank O Gas ❑ Oil
25. Roof Sheathing � 74. Overhead Hydro
26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical � �
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 76. FIRE PREV. FINA�
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79, FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric %% Notes:
34. Final Heating & Air Conditionin9 Z/��/�8
35. Final Gas Pipe-Test �
36. Hood or Canopy
37. Final FaC[ory Fireplace
38. Final Plumbing
39. Water $ervice-Final
40. Gas Service-Final
41. Solar pomestic�Final
42. Backflow Preventer
43. 8ackffow Irrigation
44. landscape IrriAation System
45. Sound Attenuation
46. Handicap Regulations �
47. PINAL STRUCTURE & BUI�DING .
48. FINAL PLANNING
49. Electric Release to Edison '
50. Gas Retease to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY
No. Date
�nonEssovemwwc: 269 BUCKDJELL RD
w�asxnueivaawr+: TRACEY, TrIILLIAM A
moxFss: TRACEY, JUDITH E
264 BUCKNELL RD
08TA A1ESA,CA 92626556-9822
APPL. YNIINf. ADUflESS:
ANCHRECT Ofl FNf�NFEH:
JICN.Ofl ENO.'S ADDXESS:
carim�crarsruvE ROY CHAFEY ROOFING
CONIPACTOASYNIINO 9 6 9 2 LUD EAS AV
wowess GARDEA] GROVE
92544
LICENSED COIRRRCTOFS DECLRN�TION: I hareby �Mm uMer peneXy d
,� �wre w�m seno� �000� d oM.� a a m. a,r�. �d rme..�, �
criv,uc. no.: 0 2 5 61 5 uc. cuss: C— 3 9 uc. No.: ,
�� CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B Q71183 PLAN CHECK NO: N
CONSTRUCTIOA] TYPE: V—D]
PEP.MIT TYFE: STR
J05 DESCRIPTION ; T/OFF REROOF PITCH ROOF S^I/COMP, E
uc.r�o:
r.nr riv: a viiio.:
�,vvi: rv 5urr: ,v
PU?POSE: ALT
S� FT: 3,900
uxr: CLAIM PALUE: 3,900.00 CALC—C�ALUE: 3,900.00 GROUP OCC; R-3 ,
(719)636-1797 COMMENTS: SMOKE DETECTORS REQUIRED PER °1 UBC, REROOF 2300SF RESIDENCE
3E �Y 1f iR iF if iF if iE i4 if 1f if if 1f if if iF iE if iE iE -)f iE if �E i�' if-�F if N� �1f �F �If 1f jF �14 iE iF iF dF 1F iF iF # if-iF * K jf -M� 1f� iF Y JR 1f 3M+E iM if �I(' if if if �f aE aF �iF ik iL iF aE+E if +f iR iE af'k
CA ucr�o.: 556629 Z O N I N G R E Q U I R E M E N T S
urn: S E T B A C K S
0
I
Chepler B
/95
�WN�ii BI11LbEX DECLANR110N: I hereW elfiim undar peneAy d perN�hat 1 em eRemq fm�.�Re Controdpe Licenee Lew Iw iM
11d vfi 0 re%� (�bn ]0�1.5 &reireea erd ProfessiMs Code: AnY cYY a oountY �� repuirea e pa�ml�fo on,strun. enx. Imwwe.
�damWs�. a rapei enY %��lum. pin b ilf 6werce. eYu �eVuiref IM epplimnl Iv av:h petmil b fib e sqind ela�amenl tlW M a eM
ia licensed Wnuanl to ihe prm'vima d Ne ConlreUorO ��eme lew �Cheqm 9(oomme�a�q wilh Setlion 1000) ol OM'sion 9 d iha
Businea end Prdaaeona Cade� a Ihel he or eha ia expmq thereham end �ha bmie for ihe dlapad eaemption. My vuletion d Sed'on
)03t.5 by anY eGW�t Iw e permil wbjeae the epplcMt to e dvY paneny af rw� mpa then (na huMred ddlen I`3.A011�
❑ i,e+o..,�,wmaaowm«mramdw�a�n..a��m.:�mmw�v�,�;ndome�,�eineOum�Ae�a�ma�,aaa
w ollered br eele (Seclion ]oaa, Buainew eM Prdossiona CoEe: Ti�e Conlreaas liceroe LawEoee iat eppyto en owner d propery
wM buida w inpeovee �harean, aW Ww doee aueh � M1�mmll a hener or Ihrwph he w har own ampbyeea, pmvided ihet weh
imqovemmU ve mi imeedeE a WemC I« sab. p. �'�. �he buiNiig a mpo.ernenl b eaN xiihin me Yeer W mmWe�nn. tM
wrierbuiNer will heve Ihe buNen N proving M of ehe d'q �wl Wik ar im0� �a �� WT�e d aele�.
� I. ec owrer W tM poGeM. em ud�vah oonlreGmO wilh IicenseE comrenwn io aweua Me O�M� (Seeion )010. &ninme erd
Pmfam'vne Cade: TM Canlredae Lieenx law doas iwl epdY ro en awrer d peapeny xfio W iNe or'unpv.•es ihereon ud who
conirecb Iw wM D�I� �h e canlredm(e) liceneed Wnuant ta the Canlradan Licensa law�.
� I em eRempt unEer Sxlbn: B. 8 P.C.. tor Ne reeaon:
Dete: �'^a��
1 do Mreby eMity ihet I em ewara d erd understeM IM �eVuiramenb M Celfanu Hml�h eM Selery COEa Sed'wea 255�5. 255�3, enE
2553a, vd thet I«eny M1nure Wikirq omment vnll / wil rrot (arcb me) rieed �o wmpy xvh eaid nma mdu vd ihe rpuimnmb far
ape�mntammVuclionwmodifiraiionhomlheAk ie�iy erieCemenlDiAnd.ReaiAeMielcareliud'aneppicetiamereexemplimmlheae
provisions.
ome: ncd<�*�.
W ONKER'S COMPENS�TION DECUINATON: I MraW elfiim unds pereMy d perjury me d the lollowi�q dedvmiwu:
❑ I new eM xie maimen a mnMiraie a mnaent io.en:euum br xaken• mm0a�ion. m A^^4� 1« M Setlim 3100 d iM Labor
Catle, iw tM peAarmence W IM vrork /or wh'rh ihia peimn ie iaued.
~j' � neve ana wi� mei��an wonfen' mmwM1+mon fos��ence. %+reu��roe M smia, slao a uie Lnn« cme. m. ine rortoimd,oe a �ne
.,.�r«,.n�ma�na�,�,e.Mv•�,5,1ATE� FUh7D ���um�ua EXPIRES
c�a:
Pdiry Number. y— y u 1 t O 1; O 1/ 9 6
/mis aeuiwr need rwr ee cwnd�ed I rn. o�� is ro. aa nwkree edws (S�ool a�m,.)
� I rarlty thet in �he pa�tortnence d tM wak fw xiich �hia pa�mn is ienuetl, I Mell ml empby eny pa�aon in e�ry menner eo es �o
become w 1 lo iM xoMan' canPM�bn Wwe d Califanie. W e thm X I Mw E b ann letl to �M waMen'
mmpen pmvisiom d Seclion 3lOD d the labw Code. I dWl /a ompy xiU s' ✓
�ele' AVP�itenl:
Wam/np: Felluis h sseun w Axi mmpmutlon Nw�+p� �� un�e+Nl, a I�Nl/ aWJ�ct an w�np yer fo e�ln NI pMlIf1N 1�0
c/vll fliw� up ro am Fun�retl tMuasiM dollei� (S/0A�1, �� �Itlan lo • ro�t ol romperw0on, Cemepes u prevMSE br In
Swtlon J106 0l fhs I.�bor Corb, Infxest, end ettomsy� Ir�.
CONSTRUCTfON LENDINO AGENCY: I hereby elfm� under penelly W perjury ihm t�en e e mrmNd'wn kMi�q eperx.y br tlro
(IBiOlIIIBIICB Oi��IB WOf�t�OfW�ll(�IIh6 �IBfT1 H W9YB(� �$BC1011'.iO3).CiM.C�.
LENDEF'SNMIE:FLAT Fi00F — P,EROOF SdITH
LENOEP'S �DONES4: B U I LT UP .
I cerlily iM1et I have reed this appliceiim vd ama thel ihe aEm'e In�ame�ion ia cortm. I ap�ea io canply xith ell ary eM oounry adinenue
eM staie kws mlein9 to Wikvq canatruaian eM M1eraM e/in�Mrae repraaen/tetivea ot Ihb dty lo mter upon the eDwe�mmiionad properry
brinaPeCion our�0 i �_ �fT /1 / �� 7
Ome: �
(5t51�de.WP) Whne-BuiWhpdSdety:GreeMFle:Cer�ery-�ppicenl:Rnk-Aevenue:Oddmro��eama
------------ P1AIN BUILDZNG ---------- -------- ACCESSORY BUILDI"7C.
FRNT; FT IN REAR; FT IN FRNT: FT IN AEAR: FT IN
LEFT; FT IN RGHT; FT IDl LEFT; FT IDl AGHT: FT IN
PARKING REQ; PRO��; PARCEL: 41913506 ZNE: REF NO:
PLANNING NOTES>
�
# ff if�lf if'M'if iE)E'fE YF iE 1E iEiE if af�lf-iE# if'!E �f +E iFif if if if iEif 1E 9E�)f if if iE # iE iFit if Y if if Y'-')F'1f iF ii+f if if iF 1F if�lfil�aF M-if iE iE if M M 9F iF +f iF if ifiE iEiE # aE +f #
D E V E L O P M E N T S E R V I C E S R E Q U I R E P1 E N T S
ZONING APPROCTEU BY DATc:
BUILDING APF�ROC*ED HY • DATE:
P.PPLICATION ISSUEL� HY;� DATE; a'� '/
ifif�3f�if�lf�fiEil'Y-ififiEaf'1fiEMifiEdEifif4�}'�. .F . .! i i F Vf. ifafiFifaf;hiEYit'kit+ffF sE4 iE 'lfif
ifaEiEiEiFlEif�fiE�EifilafjfjfiEiMlfafifiEiEafif*lfifiE�Y-+fifif4iEiEjfiFlfM4 �4kaEifiEYiFif?E�fk+fSiflEiF?EMiiffifi(�iFiFaEaFiRlE�fifaf�fiEiEjflEaf
LEGALIZATION:N F E E S U M A4 A R Y STRUCTLRAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIP,E SMIPlP.ES GP,ADING
PERMIT 63.00 ,5Q
PLAP] SMIP /NON—P.ES
ISSUE FEE
BUILDIA7G—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63.SU 0.00 0,00 63.50 63.SQ .00
REC'ENUE DIVISION TOTALS--> COLLECTED; 63,50 O�'ER/SHORT; ,00
bLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GP.P.DING PLAPI—CHECk
63,00 ,5p
�1E iE iE iE iF+f af 1f 1E it �)f L� iE �1f �f iF iF i* it �f �f it �If if :t iE N aE af k±E if fE i: # if af 1r iA if iF at fk+! iE 1! �f �.' �t k iF'iE iF #' �Y 1f :! µ if Y.)c iR iE 4 ii af # V+F Jt>+M1 �,` iE ## it if #
I N D I L' I D U A L F E E B R E P. K D O W N
TYPE
SFR
QTY
390Q
U E 5 C P. T P T I O N
REF.00JF HY VALUE P.ESIUENTZAL Nc�ZONE
END OF £EES
UNIT C!:�ST TOTAL CUST
1,00 3,90Q.00
01 00176412-1i�1769?? i C+'Y 63.�C
DRTE: �?!1?f?.5 iiME: 13:44
� CONSTRUCTION AND PLANNING � " & SPP' '
' ` Bate Inspector Date inspector
APPROVALS Permit a� APPROVALS Permit #
t. Temporary Electrical 5e� vice or Pole 52. Pool & Equipment Locatipq � �
2. Soil Pipe�Undrgmd. � 53. Steel Reiriforcemer,t � j •
3. Electrical Conduit UtiGtv-Undrgmd. 54. Forms �
4. Electrical Conduit-Undrnrnd. 55. Electricai Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure-Tett
6. Electricai UFER Gmd. 57. APPROVAL TO COVER GUNiTE
7. Footings 58. Eiectrical Conduit-Undrgrnd.
B. Foundation 59. Gas Pipe, � Undrgrnd., Test '
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-7rap, C' Undrgrnd. ,
10. Structural Fioor S{stem � 61. APPROVAI.70 DECK j;.� �
i t. Property Sewer l.ine & House Connection 62. Backwash & ReceptorvFinal ,
12. Sewei Cap 63. Heater & Vent-Final
13. Roof Drains � 6A. Piumbing System - Final � •
,
14. Rough Plumbing � 65. Electricai�Finai � ,� �
15. Rough Electricai-Condu�t % � � 66. Soiar SYstem-Final ' �
76. Rough Electric Wiring � 67. Fencing & Access ApUrovai (
17. Rough Wiring Sign 68. APPROVED FOfl P�ASTERING
78. ftough Electrical-T Bar Cefling 69. PQOLISPA SYSTEh1S PINAL
19. Rough Heating & Air Conditioning PIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping OGas GOiI
23. Gas Pipe-Rough & Tesi 72. Unde�ground Flush
24. Roof Framing 73. Undergrnd. Storaye Tank � Gas ❑ Oi!
25. Roof Sheathing Z"ZZ-�� f.d�/ 7A. Overhead Hydro
26. T�Bar Ceilin9 {Structural) & Monocwt 75. Dry Chemicai
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. F1XED SYSTEM FINAL
29. Insulation 78. F1ftE PREV. FINAI
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Piaste� Bro�vn Coat -� 79. PINAL WSPECTION
32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED
33. Finai Electric Notes:
34. Final Heating & Air Conditioning --
35. final Gas Pipe�Test
36. Hood or Canopy �
37. Final Factory Firepiace
38. Final Plumbing
39. 1Vater Service�Final
40. Gas Service-Pinai
47. Solar pomestic-Final
42. Backfiow Preventer
43. Backflow Irri9ation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINA� STRUCTURE & BUtLDING �, Zt(_gs'��
48. FINALPLANNING
49. Electric Release to Edison '�, i
50. Gas Fielease to Southern Caiifornia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
: �• �.��3
�. -
COSTA MESA BUILDING DEPARTMENT
P.O.BO% 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
��aooRes"s 264 BuCknell R.d.
COSTA MESA. CALIFORNIA
OWNER Mesa Highlands, Inc.
MA�� 1555 Placentia
AODRE55
cirv +�Cx
ARCHITECT
OR ENGINEER
Cal. TNo: MI E}-32,27
LIC.
NO.
ss s8me
. W. Ko Con9 . Co arv uc.
ACTOR NO.
2 4'szj �'.--
_. �,:t ...
i
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
-s`--' x 91 F�,E
COSTA MESA. CA�IFORNIA
ADORE55 S�e TNO. Sa�' BYPROVED � ' DATE
I�E��� �or 53 2�2�J CORRECTIONS
,oEscnivnorv NO. BLOCN TRACT
A.P. NO.
62 x 100.48 �o. oF a�o��. p
NOw ON LOT
EXiSntaG �t
SETBPCK IINE
2��
SIOE VARD RIGHT -/ , LEFT �
DESCRIPTION OF WORK
NEW g ALTERATION ApDITION
REPAIR I ���MOVING I DEMOLISH
BUILDING NO.OF
SIZE AOOMS �j STORIES
EXTERIOR WALL 1 ROOF L
COVERING SbUCCO COVERING IIOt—IDO�
USE OF NEW ..___ �____ e _lt �..........
The Amount shown under valuation is f.. i:,.
I HEREBY �CRNOWIEOGE TH�T I HnVE READ THIS 4PPLIC/.T�ON wNp purpose o es a is mg a perm� 0Q ��� �.
ST4TE TN6T THE ABOVE IS COflRECT AND .�GflEE TO COMPIY WITX �LL �'
CITY OROIN�NCE NO ST�TE LAWS NEGULATING BUIL�ING CONSTNUG
nOrv. VALUATION
SIGNATUFE OF PERMIT FEE S �
PERMITTEE ' �f C
15,747�0� PLAN CHECK 3 l��Jo
s
eiirwnwncrwar.cur TOTAL FEE 8 S9 �(7
�sai
vrv.vr.�s L�; �unr��1,1,15 tuc'in�n n. „n.l. 7 v ��
dOB ADDRESS 264 Bucknell Road BUILDING PERMIT N0. '�%S11
GENERAL CONTRACTOR 7.c......_uie,-ln„mrnm+ DESCRIPTION OF WORK pr7ri Familv Rnnm i�.n Raa_
7'xACT 2029 FIRE 'LONE
I Sienature I Date � GROUP
SUBCONTRACTOR
i�.
- � 27511
COSTA MESA BUILDINCrSAFETY DEPARTMENT
P.O. BO% 7200 GOSTA MESA� CALIFORNIA YT626
Foe Appllcanf to Fill In Completely
TYPE OR PRINT
COSTA MESA, CALIFORNIA
/7.
0
C �j �6
xo. or ■�.nos. ;
o¢TeweK un� �nor
CBNTBR oP YTReR RGR YA D �
/
�! •r
BIDQ YARD LiPT S o RI6F1'T `} '�
DESCRIPTION Of WOR9C
�"/ /� LO ROOMB I
WALLa... _I ROOF
rn�o
StP -1-67crT>r,OO Oyy" .... .':1�t; t
APPLICATION FOR PERMR
BUILDING
f0� Ofilce Uu Only
Z 6
ZONINCi , ^
zowa ' Ho. o� uaa w r�
� �uns� eulLotna���
��,� s �a �
oucn�mo �.
A.P.NO. ��� �7' �� —U
NOTR: NO BAVH OV[RNAN6 SHALL BB LE88 THAN
90' TO 81DH 0 RHAR P. L.
ewvea
ALLOWHD �U..B.G.REQUIREMfiNT1
YARDHAPPROVHD YMDSAPPROV6G
MAINBUILDINO ACCEYHORYBUILDIN6
DIBTANC[ !R. 66T. 1
MAIN BLDOf. ACCE
VM. �F DATE
� I ,,.�. 1�-
U9HOFBUIIDIN AND ORKTOl6PtRrORMQD � � / �
qm i,c b �
�
�
�. �. �
0
i HBREBY ACNNOWL6D06 TMAi 1 NAVB RBAO TH�6 APPLICATIOH TH6 I�MOUM BHOWN �1NDER VALUATON 18 FOP THB j
ANO BTATB THAT TX[ ABOVB It CORR6R ANC AORBI TO COM. �URPOBB OP 69TABLIBXINO A PERM�T F88 ONLY. 3
PLY WITH ALL CITY OpDINANCBI AND �TAT{ L4WY R[OULATIXY yALUATION � / �
BUILnINO CONBTRUCTIO
SIGNATUREOP �v � PERMITFEH �/�06
P6RMITfE s�OO� ' (O. O Q W
AUTNORIZiDAGQNT � / (}� OO
TOTALFEE d �