HomeMy WebLinkAbout1778 KENWOOD PL - Building Permits` .. F E N D r :S I T a. 4832 _.... .
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I hereby acknowledge that I bave.read
this application and state that the
above is correct and agree to comply
with all City Ordinances and State
Laws regulating building construction.,
Signature
of Permittee
Agent
FOR OFFICE USE ONLY
P t Noo
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4ALUAT ON
Permit Fee
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PROJECT ADDRESS: 1778 KENWOOD P4.' ,
OWNER'S NAME: TOELLE MARIE A TR
ADDRESS: 1778 KENWOOD PL
A COSTA MESA,CA 92627
+ I ARCHIENGINEER:
ADDRESS:
UNIT:
REG.NO.:
UNIT:
PERMITTEE: MARIE TOELLE (714)616-7912
ADDRESS: 1778 KENWWOD PL
C.M. CA 92626
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
CITY LIC.: STATE LIC.: CLASS:
Date: Signature
WORKERS' COMPENSATION DECLARATION: 1 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 3800. Lab, C).
POLICY NO.: EXP. DATE:
COMPANY:
❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division
Date: Applicant
EKEMPTION FROM WORKEFITCOMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($1DO) Or less).
1 codify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become
subjectSh� Workers��gmpe/)sgtion� am of California. p
Date: ,/yj� ignature: '�l%Cy- UPa"DP
NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code. you must forthwith comply with Such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued (Section 3097. Civ. C),
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code'. Any city of county which requires a permit to construct, alter, improve, demolish, or
repair 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 Of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/she is exempt 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 penalty of not more than five hundred dollars ($500).
EI structure
as owner of the property or my employees with wages as their sole compensation, will do the work, and the
structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law
does not apply to an owner of a property who builds or improves thereon, and who does such work himselflherself or through
his or her awn employees, provided that such improvements are not intended or offered for sale. If, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose Of sale).
I,as owner of the property, am exclu;ively contracting with licensed contractors to construct the project (Section 7044, Business
IX and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
I am exempt under Section B. 8 P. C.
for this r/eaason'. f�
Date'. , 1° 1.3 Owner: /%YI/p
I do hereby Certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant willlwill not (circle one) need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct. l agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes.
Date: 6 / � 7q 3 Signature:
Driver's License or Social Security ,y.:
1641 46 White—Building: Green—Code Enforcement: Canary—AnolicanL Pink—Revenue: Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; H 06352
PERMIT NO: B 063528 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF REROOF W/COMP SHINGLES SQ FT: 2,800
CLAIM VALUE: 2,800.00 CALC—VALUE: 2,800.00 GROUP OCC: R-3 /M-1
Z O N I N GREQUIRE M E N T'S"'�''i `" EJ IL I CV I Uri
S ET BACKS
REQUIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT: FT IN 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": 42426314 ZNE: REF NO:
PLANNING N TES>
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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 M E W -T S
ZONING APPROVED BY DATE: '
BUILDING APPROVED BY DATE:
APPLICATION ISSUED BY: DATE: —; 1%
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LEGALIZATION:N _ F E E' S'U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE - SMIP/RES GRADING
PERMIT 54.00 SMIP/NON-RES
PLAN -
BUILDINGEDIV-> PERMIT ISSUE PLAN -CHECK TOTAL �' PAID DUE
TOTALS ---- > 54.50 0.00 0.00 54.50 '`" 54.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT:00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT,!, GRADING PLAN -CHECK
54.00 ,50.1
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I N D I V I D U A L F E E B R E A K D 6`W N
TYPE QTY D E S C R I P T I O N UNIT'COST TOTAL COST
SFR " 2800 REROOF BY VALUE RESIDENTIAL NOZONE 1!00 2,800.00
END OF FEES
f•
1
01 00145151-00145152 Till54.2
DATE: 08/17/93 TIME: 14:47
rCONSTRUCTIONAND PLANNING-
POOL & 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 Reinforcement
trical Condit'-t�i�fi lity-Undrgrnd.
54. Forms
m4; E5:rtrical Cond'tlltSJndrgrnd. -
55. Electrical Bonding
x5':5 eel ReinforcebL rit
56. Rough Plumbing & Pressure Test
w
_ 4fctrical UFE rnd.
57. APPROVAL TO COVER-GUNITE
09•!"Platings ::^C
58. Electrical Conduit-Undrgrnd.
w
�.,g,;roundation ,.,.
59. Gas Pipe, O Undrgrnd., Test
:.
-c.
E Water Pipe-Undrgrnd.
60, Backwash Lines, P -Trap, O Undrgrnd.
10. Structural Floor System
61, APPROVAL TO DECK
11. Ptaperty Sewer Linfn& House Connection
62. Backwash & Receptor•Final
12. S:eher Cap
63. Heater & Vent -Final
y
13. Roof Drains
64. Plumbing System - Final
14. Rough Plumbic ^o
65. Electrical -Final
15. Rough Electric7-Conduit
66. Solar System -Final
16. Rough Electriiring
67. Fencing & Access Approval
17, Rough Wiring $fin
68. APPROVED FOR PLASTERING
18. Rough Electricat-T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
PPRMVA-C3?D'pemtit
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21. U,{�,�, i tr t " HF ?:S �•
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22. Ducts, Ventoatiraj+n t CJ.:A.
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.-r71, Product'^.PAing -"As [xDil
23. as'Pip-fioµ`_jh &' est r^•
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1-31. CE IFICATE OF;;DCCUPAN
No. -Date
0
October 2, 1994
CITY OF COSTA MESA
CALIFORNIA 92628-1200 P.O. BOX 1200
DEVELOPMENT SERVICES DEPARTMENT
Dear Costa Mesa Property Owner:
In reviewing past permits, we find that work has been done on your
property located at 1778 Kenwood Place, Permit No. B63528, for a
roofing permit. The permit is valid for 180 days from issuance or
your last inspection, per Section 303 (d) of the 1991 Uniform
Building Code. Should we not hear from you within 10 days, your
permit will expire as stated herein and additional fees will be
required to finalize the permit. Failure to final a Building
Permit could possibly impact the future sale of your property.
To activate the above permit, please follow these steps:
1. Telephone (714) 754-5626 or 754-5627.
2. Request an inspection; state address, permit number, and type
of inspection.
3. Be sure to have working smoke detector's as required per
Section 1210(a) of the 1991 Uniform Building Code.
4. Have an adult present at the property at the time of
inspection to provide us access.
Should you have any questions regarding this process, please
contact me at (714) 754-5273.
Thank you for your cooperation.
Sincerely,
�rland. Huapaya
Permit Processing Specialist
150-35- `15"
ill _ (9 q6 - 7giii
77 FAIR DRIVE
Budding Division (714) 754-5273 Code Enforcement 1714) 754-5623 Planning Division (714) 7545245
FAX (714) 556.7508 TDD (714) 754-5244
U
OWNER CORNELIUS, L. G.- DATE 1i_1i_57
JOBADDRESS 1778 Kenwood Place BUILDINGPERMIT NO. #4801
GENERAL CONTRACTOR Owner Bldr. VALUE $ 100.00
LOT 10 BLOCK TRACT 2584 Fence
GROUP TYPE ZONE FIRE DISTRICT 4832
INSPECTIONS
DATE
SUBCONTRACTOR
PERMITS ISSUED
DATE
NUMBER
Footing Trench
Foundation Forms anq Grade to Garage
Rough Framing
Plumbing, Rough to Slab _
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
Sewer, House Sewer, St.
\ ��I �✓/d
Septic Tank or Cesspool
A kr
Lathing, In Out
U
Plastering
Plumbing, Final, Fixtures Complete
Plumbing, Final Gas Test
Wiring, Final
nnr-u nanny4A..Q
_
FORM 210 3M 10.55 v 4801
OWNER
DATE 7 -31 -
JOB ADDRESS 1778 Kenwood Place BUILDING PERMIT NO. 32127
AP No. 116-181-10 LOT 10 - TRACT 2584 FIRE ZONE VALUE $ 2.000.00
INSPECTIONS
Si nature Dare
GROUP J
TYPE V
ZONE R-2
SOIL
/
SUBCONTRACTOR
PERMITS ISSUED
GAS
i Dote Number I Si nature
WATER
Plumb*
ROUGH PLUMBING
PROP. SWR. LINE 11 HOUSE CON. I--]
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER ❑
ROUGH WIRING
,' L/�L
Heating and
Vent.
TRENCHES ® FORMS kfl STEEL REINF.
/ LO
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
/6
LATHING — IN OUT
Q
PLASTER, BROWN COAT
QL'
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
3 ���
PLUMBING, FINAL AND GAS TEST
To
ELECTRIC, FINAL
Z6. -7o
BUILDING, FINAL
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9-7
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
PAID
AN-3-70�y$A00 001* ****30.00
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIV D BY
DATE
3 IECEIVED
_J/ 0
DATE ISSUED
JJ/
~ `�zI
BUILDING
��Q!%%�
ADDRESS /I/
/
OWNER
A.P. NO. �/ �I� Q
PERMIT NO.
BUILDING
MAIL
ADDRESS
ADDRESS �/
TEL.
CITY lF TE _�
TRACT
LOT BLOCK
CONSTRUCTION
NEW ADD
ALTF R FPAIALT
LENDER �—
BRANCH
OWNER
ADDRESS
VALUE
SE $
gag sw"gsi
ARCHITECT TEL.
OR ENGINEER N
FIRE
ADDRESS
ZONE TYPE GROUP
�J
APPROVED�F
CONTRACTOR
BY DATE /�
ADDRESS.
- v
NO ^
PLAN$ ✓
USE OF NEW
BUILDING
�/ /�jp
CITY _ NO`(J (ONO.
STATE CITY
ARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
���
MAIN BUILDING
ACCESSORY BUILDING
SIZEr' NO.OF BLDGS.
(FROM C/L STREET)
/
OF LOT Q NOW ON LOT (
FROM FT.
FT.
USE OF
EXISTING B
R. SIDE IrFT.
A FT.
SIZE OF rF IN O. OF
NEW BLDG. ROOMS STORIES
L. SIDE FT.
FT.
EXTERIOR WALROOF
VPC
COV EPING ��O
COVERING
REAR T.
FT,
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
MAIN BLDGS.
ACCESS. BLOGS.
VAR. #
DATE
C.U.P.#
APPROVED
APPROVED
a
I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby Certify thdt I am properly licensed as a contractor under
SQ. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Divisicn 3,
Chapter 9, and that such licenses are in full force and affect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
am exempt from the provisions of the State of California Business
VALUATION
1/`�+
and Professions CeC i isie Chapter 9.
—
PERMR FEE $
PLAN CHECK $/40 Q.Q
Signature of
Permittee O
������{{{{{{
�,Q,s,tt
T/T/
Authorized Agent
TOTAL FEE $
OWNER CORMIUS,-I. G. DATE 1Q-1)1-56
JOB ADDRESS 1778 Kenwood Place
BUILDING PERM
GENERAL CONTRACTOR Cornelius & Boling VALUE $ 11,056 00
AP116-182-10
GROUP I & J TYPE V ZONE R1. FIRE DISTRICT )11 "ti
INSPECTIONS
DATE
SUBCONTRACTOR
PERMITS ISSUED
DATE
NUMBER
Footing Trench
Foundation Forms and ar
_S
Rough Framing
a"
Plumbing, Rough to
/
Plumbing, Rough Complet S
,r
Temporary Pole
Wiring, Rough
Heating, Rough
N -"sew -ET n
-�
3 (o `f O — `i` V2 %
Heating, Final LS
J-6�5 7
�t/ � ./��-/7 n.0,
„%- V -S %
%
Sewer, Hous Sewer; St%Ph.0-S
�•/4/-,f 7
Septic7ank or Cesspo I
Lathing, In Out�,�,
--
�-
Plastering y
Plumbing, Final, Fixtures Complete %11 J�,S
Plumbing, Final Gas Test iS'-- mes-
3 •as=S7
\ /� Yid
` -
11
Wiring, FinalK-2-U-�1,)
QCB—
Occupancy
f7" 7- /
FORM 210 3M 10.55 h102
a mesa isnuautg Impartment � AYYLIBUILDING
LU I L D I N G ltsiru�
P. O. Box 3!7 /1 7
COSTA MESA CALIFORNIA h /�
FORM 204 ,O2�5 0. P. & O.
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
Receipt No.
I Permit QNo.
�
Building
Address Q
Costa Mesa, Califormia
Received by Date Recd.
—
Date Issued
-�
Nearest s�
cross St. �(j ' ST
Building
Address
Owner 4 ; �O �L /.LS
Costa Mesa, California
Mail �J ..7 ��� LI��
Address /,/
Nearest
Cross St.
Tel:,
City C � r No/.
Zone I
No. of
Plans
I Type Group
Architect or t- Lie.
Engineer .G L — No.S t'
Approved
b Date,/ �
Address �2
CORREC `1TNS
//'') City Ll
ContractgF�';L ai/ s7 o- IV 0.
Address r %.�>— "t /
D
Legal
Description
Lot
I No. �U I Block I Tractus/111
IP y 0V._,
(Attach Metesand Bounds) 14 —1819-- / O
CITY OF COST:' is 1.'L•:: 't
No. of Bldgs
Size of Lot 7Lj I) Now on Lot
—
; uf1 � �..�.z >;�•
I
Ilse of I No. of
Existing Bldg. C> Families
I No. of
Rooms
SuBjtef F_
700
—
Setback Line fromN . Rear Yard 3/•—
Center of Street J b Side Yard q`-'
BY ' - D
DESCRIPTION OF WOR
New I I Alteration
I I Addition
Repair I I Moving I
I Demolish
Building( `, / No. of i✓
Size `/�%x 7 (�� RoomsJ Stories
Exterior Wall
Covering UCCID
Roof //�,� ,�t�
I CoveringL't�//rio
APPROVALS
Use.gf New
Building .(/L> L�- '
Foundation Location
Forms, Materials,
Under -Pinning
Inspector
Date +
_
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply
with all City Ord' nan and State Law regulating
building ConSirUC 'e/2
Signature of '
Permittee .LNi///
Authorized Agt.
Lath. Int.
C
Lath. Ext.
--�
Plaster, Int.
Plaster, Ext.
Valuation Fl
//;,e` S� I
j
p
Permit Fee $ �- 6 ^
Plan Check $'
Masonry Reinforced
O
O
Bond Beam
W
Total '1
Fee $ —
FINAL
0
FORM 204 ,O2�5 0. P. & O.
PLOTPLAN
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