HomeMy WebLinkAbout1772 KENWOOD PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
• erf y OF COSTA MESA CONSTRUCTION PERMIT P IT TRACT NO. LOT UNIT NO. - A'B'#
t[ (7 y r -, 9 647 Z534424 - 2Co 3 - (3 Zone �ZZ
Project Address till. t\F'�WyODC' 1.4TG� - ' S Main Building: Accessory Building:
Applicant's Mailing Address 1-1-12. K6%.1Won• PL._ /47(.2.1 TYPE OF CONSTRUCTION U NEW LI ADD 1�Q ALTERATION U REPAIR E Front Z
;� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T O
OwrCr's'Name VJILL�An1 S �'CZPIT Phdne�57"�/Is7s7 DESCRIPTION OF WORK/USE OFJ8pLDG. A� /SC• MALL I B N
Ad.tress 1.7-(2 KEtSWCOP PL. CoSV% MESH RlkLi _ • a, '` K/ C EN A Rear I
Ar'/Eng. License No. TYPE OF PERMIT MI GRADING p�I II. FOUNDATION . STRUCTURAL C Right / N
Adress ❑ TENANT ELECTRICAL pl PLUMBING r5irW MECHANICAL S Left R
Co ttractor's Name 40WACe — Phone ❑ OTHER I Ping. Ref.# Parking Req./Provided E
PROJECT DESCRIPTION SQ. FT. . OCCUPAN V I PlanningNotes: iyw�� G Q
Address(mailing) Qv 1 / I I .� �� 1 v M
CONSTRUCTION TYPE VALUATIONS
/D `^'I/1 �� /• —S
City License No. �' ZONE GRADING CU.YDS. ACRES ob lox ,��• I�f, C��rC/X/1 ti
LICENSED CONTRACTOR DECLARATION .tet, .1 pp Lf p
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: KI'eekle-f.1 AGmO�Li HOUSE RE 1�iPE 1R�1�rn`tc WATER v
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect. HTE . k FAL) FEES
License Class License No.
Date Signature PLUMBING I FEES' Automatic Washer Transformer 0 15-50 KW
WORKERS'COMPENSATION DECLARATION I Bar Sink Showers /L GO Construction Pole Sub. ❑ 50+ KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section I Backflow Preventer Service Sink 2 oo I Cooking Unit Meter [pup to 100 amps 3 OU
3800, Lab. C.) _
Policy No. Company ._ Backflow Irrigation Sewer Cap - Dishwasher Meter Dover 100 amps 3 0 0
ECertified copy is hereby furnished. - 2 coI Dryers Gas -❑Electric Sub Panel 3 00
Certified copy IS filed with the city Building Division. Bathtubs I Sewer Connection -0
Date ApplicantFan -
•
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 00.1 HP ❑1T%-8 4' Co
(This section need not be completed if the permit is for one hundred($100) or F.A.U. Inc.Solar❑g-15 HP ❑16-15+
less). I Dishwasher Solar Piping 2 oo 3 OO
I certify that in the performance of the work for which this pegmit is issued I Fixtures -
shall not employ any person in any manner a sub' to the Drinking Fountains Solar Tank • �' - I Microwave 7 s0
Workers' Cores/le laws of California.
)( Date (aSignature ` i4 — _ Device Boxes . Pole Li ht
g Floor Drains " Swimming Pool w/Spa 9
NOTICE:If,after making this declaration, you sh Id boon sub) et to the - Outlets C )
Workers' Compensation provisions of the Labor Code, yo must forthwith Floor Sinks Urinal Range - .7 LS'
comply with such provisions or this permit shall be erred revoked.
CONSTRUCTION LENDING AGENCY i Switches Sign S zS
Gas Service Outlets Water Closet g
I hereby affirm that there Is a constructionispermtlending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors I Water Heater 2 Ol7 I Garbage Disposal :,
Standing Sections 3 t76
Lender's Name
Lender's Address I Kitchen Sink aer✓
Water Service 2 GO Generator 00-5 KW 05-15 KW I Trash Compactor 3 00
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - -
following reason (Section 7031.5 Business and Professional Code: Any city or - - - -
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap 'Laundry Trays • •
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/She is licensed pursuant to the provisions �ti Roof Drains —p�p;A1� • 2 O,o is-00
the Contractor's License Law (Chapter 9(commencing with Section 7000) o
Division 3 of the Business and Professions Code) or that he/she is exempt . • Reinspection Fee $15 Issue Fee
, therefrom and the basis for the alleged exemption. Any violation of Section / ) $•�
7031.5 by any applicant for a permit subjects the applicant to a civil •
orally ojnot more than five hundred dollars($500). • DEVELOPMENT SERVICES REQUIRE
LJ I, as Owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 - /�i.3..
compensation, will do the work, and the structure is not intended or offered Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License l wv does not apply to an owner of a property who builds or improves
thereon,• nd who does such work himself/herself or through his or her own r . Application Issued By Dat: tin
employee, provided that such improvements are not intended or offered for Boiler / Hood or Type I 0
sale. If, however, the building or improvement Is sold within one year of com- M Canopy Type ll 0 6 re - - SUMMARY OF FEES
pletlon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground
,move for the purpose of sale). 'BUILDING PERMIT $ 2.s 00 SMTP $ aro
b4 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK ., I .l� PERMIT
actors to construct the project (Section 7044,Business and Professions Code: $
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ /7. 00 ISSUANCE $
builds or improves thereon. and who contracts for such oroiects with a con- •I
tractor(s) license pursuant to tne Contractor's License Law). I am aware that 'Exhaust System ❑ Multiple ❑ I System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. I ELECTRICAL $ ss Si, GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBO Fire Dampers -
A PLAN CHECK 50% $ MICROFILM $
Date d t: Owner fair wiz / Heating System& Ducting Registers 1/ 00 MECHANICAL $ 32. SO '/'
I hereby certify that I have read this application an• state that the above V 1110100,000 BTU 0100,00067E TOTAL FEE $ 1/43 .75-
Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city to e • ••n tb. above-mentioned /property for
Inspection purposes. t$1 �•. Date (0-23'e7 /Coo •
)C DSirivers' 1 LAD Reinspection Fee I $15 Issue Fee $r 51 a .'.:-_dt:.•:--
X Drivers' License or SS%f f��.' t - '
.:RTE: [)t/'.. :o TTI;:. �� .-.
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
I _ .
,.CONSTRl1CTION,AND IPLANNI ' ' ' ' , POOL& SPA
IS APPRCIVALS ' Permit# Date Inspector APPROVALS Permit# Date Inspector
1.
1. Temporary Electrical Service.or Pole ' - ea 52. Pool & Equipment L&catioi T
a
iLl
2. Soil Pipe-Undrgrnd. , 53. Steel Reinforcement - - '-' -- --
•
'a
..Elecirical Conduit Utility-Undrgrnd. 54. Forms
4rElectrical Cond t-Undrgrnd. 55. Electrical Bonding
Steel�Reinforcement 1
5.- RoughPlumbingPressure Test
56. &
5 .A
6.:s. Electric I UFER1Grnd. s 57. APPROVAL TO COVER-GUNITE 1 g
t, v 1
7 Footings •
58. Electrical Conduit-Undrgrnd.
B?Four'dation - 59. Gas Pipe, Undrgrnd.,Test C
v\ r' W
9 Wyat, Pipe-Undrgrnd. �� 60. Backwash Lines, P-Trap, 0 Undrgrnd. c • -t-
C
r^ C' .-
tO�Structu`al Floor System J�. ;'!. ��+�. 61. APPROVALTO.DECK - - r
11. Property Sewer Line & House Connection -v 't'-
-62. Backwash & Receptor-.Final .
12.•Sew Cap ' ' -` 63. Heater & Vent-Final -re.)
13. Roof.Drains d 64. Plumbing System - Final - w
14. RoughiPlumbing •
tl s/i' /Er 65. Electrical-Final' "t• ' - '
15. Rough Electrical-Conduit 66. Solar System-Final
(16. Rough Electric Wiring %r1 •
( 9 /'' p 67. Fencing &Access Approval
1'7. Rough Wiring Sign qj 68. APPROVED FOR PLASTERING •
•
i$.... Rough Electrical-T Bar Ceiling "".�,�� L� 69. POOL/SPA SYSTEMS FINAL
19r Rough,Heatjg & Air Condition7
Conditioning . 1/y[gf FIRE DEPT. REQUIREMENT i
20. Rough Factory Fireplace -• j - '`1t APPROVALS Permit# '
r - ._
Iri
21. Ducts, in Structure e . 70. Underground Hydro
22. Ducts, Ventilating o • 71. Product Piping 0 Gas 0 Oil
is
23. Gas Pipe-Rokgh &Test 1 _ 72. Underground Flush
21. Roof Framing rccil t 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing ii T 74. Overhead Hydro
4,
26. T-BartCeiling (Structural) &tMonocoat 75. Dry Chemical.-
27.' ra m�and fjlashing (T In,1&9r78
76. Dry Standpipe
28. Lathing & Siding • 77.�FIXEDSYSTEMFINAL
29. Insultion m 07?At- . FIRE PREV. FINAL 'Pt
30. Drywall Nailing .> ?e-?e-'• '�-• .'}D sHEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat �n 79. FINAL INSPECTION
32. Electrical Power Me't'er-Final? fA r 80. FOOD CERTIFICATE ISSUED
33 Final Electric itat0 o X16/r ga Notes: g 1 i 6 " Jo, Gcss toy
34. Final Heating & Air Conditioning -�
941/#P72.fr
4( ��'•''2 �ler f-X7--�l9%alet//� j;/
35. Final Gas Pipe-Test -71- • ��-.1v�Xi7� .1-Q-X l`7/hd 77e e7ic,.grr
• 36. Hood Or Canopy • 71,07f 7(, J,/cr ----APA
-37. Final Factory Fireplace., n 0
, - ei. n-t-
v Finalltlumbing _ . /0 9 / C •r,_
i
'39Le! . Water Service-Fina 1 �g t ��
/40.- Gas Service-Final / /, • ` cc. j
'141. Solar Domestic-Final i -
t_ c
• y.
42. Backflow Preventers a _ u • e
er bza�p e � r1 c .1- :N 6••-- !;;;
- 43. Backflow Irrigation •
44. Landscape Irrigation System .
45. Sound 'Attenuation.' -
47. HandiLap RegulationsUCTU /
47. FINAL STRUCTURE & BUILDING M e •
48.1Special Requirements Completed //
49. Electric Release to Edison -
'50. Gas Release to Southern California Gas Co •
- d
51. CERTIFICATE OF OCCUPANCY N _ ,.- d t- ' ri- (-) Si .•1 / - p
er-
No. Date .7 4t t., ., t. ` . ' .
OWNER DOVERSPIKII/ DOROTHY SEP 2 4 1957 DATE 3-18-57
MAR 1&1958
JOB ADDRESS 1772 -Kenwood Place BUILDING PERMIT NO. #({698
•
GENERAL CONTRACTOR Owner Bldr, VALUE $ 11,924,00
LOT 9 BLOCK TRACT 2581 Res, w/att. par.
GROUP I & J TYPE V ZONE R4 FIRE DISTRICT 4747
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
.[1� DATE NUMBER
0
Footing Trench r /
Foundation Forms and Grade to Garage
F
Rough Framing `/y�pj Y�f
Plumbing,Rough to Slab ex 3i-24 , LTJ _ 3-19-57 J 6_</'
Plumbing,Rough Complete 7n S . --C-5-
Temporary Pole APR 5 ' ' ; , 1117 Dtl„ �. o . 3/_vm-2 93%$/6-1-/
3 'y d-- '1ys
Wiring, Rough APR-_ 1957 Vat- /' j Q" �� -�— �S .�
Heating, RoughWu/49er 3-J.1. MK - . 7 . 1���II ' -,% ,20-6'_ ' g J tki--
Heating,Final�r-� h4, _5--/9-37 a
jwer, House/// ' Sewer,St. HAS 4,..2.4.fl I / ' -.i _ d 9�-9
Septic Tank orrCCesspool
Lathing, In (.1.2-)4,1
✓ Out
Plastering ✓ ��
Plumbing,Final,Fixtures Complete ,4(,a . —/4')$
Plumbing,Final Gas Test rL, n�_ -
ir
CWiring,Final vvl/A "'/� / "' _ ��
-Occupancy OYIdJ 4': Zit ' L - _. - .
4698 1 FORM 210 ]M 10.05
4'74'7 f/2 3 �D � RECEIVED
G. �� .✓4/s
`• cut Q
COSTA MESA BUILDING DEPARTMENT "\ I S 7�5'
P.O. BOX 317 FINANCE DEPT.
COSTA MESA. CALIFORNIA CITY OF COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING./774, � fl BUILDING
ADDRESS /� ✓(
oateftety
COSTA /:/�'Lf FjORNIA FOR OFFICE USE ONLY
(II //7(�y{t eECE1PT NO. PERMIT NO.
OWNER ` L//��I/� YADDRESS ��� r� J/4:e/ BY oaT/R D STE ISSUED'
TEL.�I ���J� U{ILDI S /7 7.2 7 rm.
CITY 1 � NO J ADDRESS �/V CV G�/
ARCHITECT ((( LIC.NCOSTA MESA. CALIFORNIA
OR HITICTER C.
FIRE
ADDRESS ZONE
CITY LII T✓�6 ZONE (� / NO.
PLANS TVPE� GROUP�.
CONTRACTOR yV..M NO. 4Yo'J / tT/ �'
ADDRESS
TEL.
NO. /J'✓/vim APPROVED. aal 'DATE ���/r,
LEGAL LOT 'IA/fL)C COECTIONS
DESCRIPTION NO. (
BLOCK TRACTS
A.P.NO.
SIZE BLOCS.
OF LOT d�1,x,a 2 NNO.OWOF ON LOT
USE OF
EXISTING BLDG.
SETBACK LINE FROM ( /
CENTER OF STREET J� REAR YARD ra/
SIDE YARD 5.1 RIGHT i LEFT -ca ®�E,D
DESCRIPTION OF WORK lam S.r"IIq WWMESA
U'1 or Co
NEW XALTERATION ADDITION PLAN I �G DEPT•
SUBJECT T /'BL. DCP7 RE
REPAIR MOVING DEMOLISH „� •J /, '••
BUILDING J9fr
NO.OF / tail
SIZE ��j ROOMS ST RIES Fo • .T _)
I t
EXTERIOR WAL ROOF -t LAN CCH. _-
COVERING tGC.re .COVERING r
USE OF NE
BUILDING Cit / att . /,
I HEREB KNOWLEDGE ' HAVE READ THIS APPLICATION AND
STATE THE ABOV it AND AGREE TO COMPLY WITH ALL
CITY 0 INANCES ND ST- ECU EATING BU G CONBTRUU
TION. VALUATION
SIGNATURE • �F / PERMIT FEE $ 8 G b
PERMITTEE '' _ i T C6 •
9�,/\ PLAN CHECK $ /VC C
$ /yL
AUTHORIZE AGENT /'� TOTAL FEE $/4,,• D 0 VBAIi