HomeMy WebLinkAbout1779 KENWOOD PL - Building Permits • if I.
• vs CITY OF COSTA MESA
BUILDING DIVISION
> %f ouraanzufrs 4 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUM ER
.I1`a PERMIT
aa,w B05-00 8
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1779 KENWOOD PL Status: ISSUED
Suite: Applied: 01/18/2005
Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 01/18/2005
Parcel Number: 42426212 Zoning: ,/ /
Applicant: MC FEGGAN, BILL ISSUED BY: �,
Address: 1007 W GROVE AV
Phone: (714)997-9449
ORANGE,CA Zip: 92865
Owner: MANCEBO, GAIL TR
Address 2872 COAST CIR#302
Phone:
HUNTINGTON BEACH,CA Zip: 92649-1860
Contractor: FAIRWEATHER ROOFING INC
Address: 1007 W GROVE AV
UNIT D Phone: (714)997-9449
ORANGE, CA
Zip: 92865 License: 770565
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTACHED GARAGE:T/O ROCK ROOF, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 15#FELT,APPLY"30-
YEAR GAF COMP SHINGLES."2800 SQ FT
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $6,250.00
Permit: $139.25 - - - - Claim Valuation: $6,250.00
SMIP Res: $0.63 -
SMIP Com: $0.00
Other: $0.00 •
Inspection: $0.00
Total: $139.88
PLANNING &ZONING •
SETBACKS
MAIN STRUCTURE Front 0-0 . Rear 0-0 Left 0-0 Right :0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
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)
EXPIRATION: This permit shall automatically expire and become void if 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
required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(WOO)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION: •
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
I.have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insuranc carrier and policy number are:
Oo.coo/o/67/3
Carrier: �/i�'y/n iG �k-re yy PolicyNumber:
(This section need not be completed if the permit is valu6d at one hundred dollars($100)or less.)
❑ I certify 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 subject to the workers'
compensation laws ofws California agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pro isio .
Applicant Signature: Date: I 'WARNING:FAILURE FAILURE TO SECURE WORKERS'CAMP ATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES,
LICENSED CONTRACTORS 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.Lic.N +• - Class#
Contractor's Signature: Date:
CONSTRUCTION LENDING LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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 or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or 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).):
❑ I,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(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own 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-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes ❑No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,talsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No
8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Sign. ure Of Legal Owner(s) Date
/—/*dr
/*dr0r
And/Or Authorized Applicant Date
CODE N. INSPECTIONTYPE pia INTITIALS , CODE If INSPECTION TYPE DATE INTmAss
1616 Fixed System Final Fire Prevention 206 Final Mechanical •
1266 Pool Spa Final , 208 Final Plumbing
200 Final Re-Roof /'27-S 4' 210 Final Electrical _
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place .. . 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition - - ., -. 250 Final Building/Occupancy •
► - U 1.'4.,„, CITY OF COSTA MESA
4 BUILDING DIVISION •
: 4-,,,,tja'r •1I DEVELOPMENT SERVICES DEPARTMENT PERMIT NU BER
4rig' PERMIT
%%tamale" B05-0 78
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1779 KENWOOD PL Status: ISSUED
Suite: Applied: 01/18/2005
Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 01/18/2005
Parcel Number: 42426212 Zoning:
Applicant: MC FEGGAN, BILL
Address: 1007 W GROVE AV ISSUED 8Y:
Phone: (714)997-9449
ORANGE,CA Zip: 92865
Owner MANCEBO, GAIL TR
Address 2872 COAST CIR#302 ' '•,,
Phone: '•r a
HUNTINGTON BEACH,CA Zip: 92649-1860 ,,•,:
Contractor FAIRWEATHER ROOFING INC "o ri sn
Address: 1007 W GROVE AV `, y � ,ri <`
UNIT D Phone: (714)997-9449 :_,:.;,,:4?.:( 4.
¢a 1 r-•
ORANGE,CA ^+ Art. •4i t;3/...);(,t1c 't ' ',
Zip: 92865 License: 770565 ..7414,4':<.01,"::1
', 1tc �' .
Arch .11YSF ngH %1 , C` i s „
e 1 i
Address: Addresser +
Phone: ?:„*,:::,;.:?.,:,,,;;•:
r; :,' Pho ,
Zip: Licens-: ," ees. ,.. 4Sr y,. Livens 1
.. 4 3^SCOP OF •ERMIN r- b ,,
REROOF RESIDENCE AND ATTACHED e 1 E-cO RQCKRRQ,p 'EPAI - P' SHTG A-,:$1:* DED, 1 LAYER 15# r Y"30-YEAR
GAF COMP SHINGLES:'2800 SO FT . - ` +��" ' '
iPa
g .1 '3.9F`Ed'UM rAR :-�, ' i "
Plan Ch,-C . Ke ' +0 �2k2. i Calc Valuation I' ` gs,zso.00
a It 5 b a. .41 n" Claim Valuation: $6,250.00
°�y ..+Ion. \•$000 Y • ,M[,
°y 't Total: $139.88
ti,, r�
.; .:“.„.44,,t,,,` / 1.zi. ': NING &ZONING
SETBACKS "" 6
LII 4 oet)ti -0 to.,.-;?::(4,1,f `xV tri Left 0-0 Right 0-0
.,..477- fC
••: ,if r 0-0 � 'Igy'y i�'• -0 Left 0-0 Right 0-0
,,,;.PARKINGf ? .: 0 Required: 0 Pr000sed: 0
'NOTES '-,S,
a
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)
EXPIRATION: This permit shall automatically expire and become void if 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
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this pemet Is Issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit Is valued at one hundred dollars($100)or less.)
❑ I certify 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 subject t0 the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING.FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLLARS(S101,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR LW SECTION 3706 OF THE LABOR WOE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS 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.Lic.N Class a
Contractor's Signature: Date:
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.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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 or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Prolessions Code)or that he or 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).):
❑ I,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(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own 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-builder wilt have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property.am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feel in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,An 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions.requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature end pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Ves ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this as plication aaermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will anyfacilitypermit �_........_..._� ....
part of the to be constructed under this be within 10001eet from the outer bountlanes of a school? 0Yes 0 No
(II"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws end city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPUANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of Legal Owners) Date
And/Or Authorized Applicant Date
CODS I IasniCnaIIiTP[mtrauma ""r .
scar `r*n' Sr>�4" ii",`•. �r' w ' tr. g4 ''<g i• cBt.. iY n s YB61N&x
1616e`( Fired System One Fir Prerenfion ft, 206 „�( l!ui.I Merit ' y1 * h"�v�;.
f ; .t.,SNaa 6Y.w'F 1 4l� '�+M1i'
2B6Pad Spa Fi•
nal . c'S°r" � ""#`x 208 'Piut Plumbing M�if +L"hr '�i�. IL1 yam
f .• f nine
ro r
200 a Final Re Roof ,� atter 'T 210 L F6tal H aGlwall/ `� 'Y £'O rT3' xv,',/'r'
2011 rr'FbiiI Block/Retaining Wall 1'S1`^ it-calf, 212 • Fine FiO „rAventlO�i �.`Sr #"'�/
+4 A .'"3. > rY[sra,s. j 1rs'c.1 IFSg,
202 Final Factory Fire Place. 220c •
rj Fidd Planning Approval �:'- - r5 4
a
203 Fkral Sar!:-.4let.? j•.:` )4.ra tw", *14
222 Elmet Site
204 Final 250nal Building/Occupancy �1
_ _
OWNER . JONES. N. L. MR. & MRS. DATE 2-3-56
JOB ADDRESS 1773 Kenwood Pl. BUILDING PERMIT NO. 2326
GENERAL CONTRACTOR Lee Jones VALUE $ •11 ,anp_nn •
LOT 20 BLOCK TRACT 2558h Single family & Att. Gar.
GROUP I & J TYPE V ZONE Rh FIRE DISTRICT 22142
PERMITS ISSUED
• INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench 0y/,L--3-4.1
Foundation Forms and Grade to Garage•
Rough Framing &-4'tr
Plumbing,Rough to Slab o-e-t-.04frfS y-/'//'
Plumbing,Rough Complete // I- 1-V� /�� en if 04,.5/, ,r-4-1, 4oz1-7 •�
Temporary Pole /ter -LLL
Wiring, Rough B�/° ` .'• .s, . fcirsir Y o-xJ 2 073-,Tg n2J41 —
Heating,Rough «'-,, 1r • a. I
Heating, '[�� I �_L I, 5 z >_ �< %�/1efw,. % j,f ,�r. , 3-aa -S6 H3Z.2, --
Sewer, H41 6/"/, Sewer,St. (5irnl"wi ,fn, /-0-s-/_ snc2a, —
Septic Tank or Cesspool/ �. L 0
Lathing, In)/ +-I D' lout ( c� -& 4-,s 4 e
Plastering
Plumbing,Final,Fixtures Complete ,6.04.a7�
Plumbing,Final Gas Test jJ1J 4040,6 ‘-) o. 4 tC(Y�L-/J J 7-6 To, -,•- - ---'
Wiring,Final N.nee - - ii n .."—c-66 _ ---,---ssY, _✓
Occupancy OQ,(! 7 tl,-aAA
vnr..,2111 C_H icon 1.55 1 i16
,OWNER JONES, N. L. MR. & MRS. / DATE .2-3-56
JOB ADDRESS 1779 Kenwood P1, BUILDING-PERMIT NO. 2325
•
GENERAL CONTRACTOR Lee Jones . . VALUE $ 11,700.00
LOT 19 BLOCK TRACT 25R1J SInelP Fpm;___ 1. e
GROUP I & J TYPE V ZONE WI FIRE DISTRICT 9310
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench 4 -• , -.---S-6 2 Y
Foundation Forms and Grade to�Garage -7- SG fe.-.-c-//�* ti4
Rough Framing &/C/E ' —4-St (((///
Plumbing,Rough to Slab ie--e.--26., 3
Plumbing, Rough Complete 'L — " sr- .4 w. ?---r- to S 5 2Ccf �
Temporary Pole -1.n!---
I _ le � •
a 1�• ra- - r-1 e. acc .54 �p
Wiring, Rough "/ 3).Zy.ei �.r. / ',.. .. 3- ,2 3 -S-A .? 141 I —
Heating,Rough let 3 24,3 k
Heati '. A �
. �alfir,��(/ I - - .12 _St to 9- a . "1?A-6H3A'3 —
Sewe �G�Y L'JA'„ Sewer,St. //1„,4.Q^ - (re.- ?fj /_ -/-.CI, .LD1 3
Septic Tank or Cesspool ,c
Lathing, In X.4- 1 y3- utx E_4,e 4 m3 -4 >
Plastering
Plumbing,Final,Fixtures Complete,ee zr L-.2,7-131,
Plumbing,Final Gas Test /5$ 4L,4/ 6 ad(jZ. /fid Ol.4/ ..4,J 1- d-CY, i4e....2
Wiring,Final 4 e4/ y-3-C - // i' 7-C--talo i✓----^..✓L.,
Occupancy 09• C X 7.,t-61
sesa Building Department PLICATION FOR PERMIT
111 EAST 20th STREET COSTA MESA, CALIFORNIA � BUILDING
il
r
' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
Building At
Address }� Receipt No. I Permit No.
�7 7 9 AstisiotIo !i,. a)- 3 .- S
Costa Mesa, California Received by Date Reed. Date Issued
Nearest (+ entr /- 3 c -.1--4 02 -3-- J ‘
Cross St. lent 4'7 / Building
M4vr4n A<< 1./OA/ES Address
Mall Costa Mesa, California
Mall 4<P Ra*-404.A/ 04/ Nearest
Address T
R Tel. Cross St.
City NQM ORT/34,941` No. fill' , Zone No.of I Type Group
• P u I Plans
or Lie. Y I
( ne a/I e /Ili4RTAV No. Approved
S Date
press `r0-3'F AntAboR CORRECTIONS
Contractor 4.-- iCity LIq.,
No. Q9
f
Address t 9,9 .0.9..o..........-...e.7.—
Legal
O.9....w.- -ems
Legal Lot / I �y .[ -Description No. /9 I Block I Trace[/- „ ,-
(Attach Metes and Bounds) _- F. , ;
-
Size of Lot &QXiQ .rt I No.of Bldgs.
Now on Lot •^
Use of I No.of I No.of l ., . 11 '=: !*) xi
Existing Bldg. Families Rooms - -
Setback Line from r Yard 3e' / z
Center of Street Jai' �ida,v and `s (ITV nr nne+TJ nnrnn
DESC ONOFWORK -..• . . ..i vvvin Ivtwn
New I Alteration I I Addition I
Repair I I Moving I I Demolish I
'Building pLL3 No.of jj /
1 ler 8' �J P Rooms V Stories
Cv•eriinsWaSTJCCP I Roof —
Covering Reek APPROVALS
Use of New Foundation Location Inspector Date
Building s'`/►`(�` 2 ,0J/,6V 9� Forms,Materials, P
rte- / Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby arlmowledge that I have read this Application
and state that the above is correct and agree to comply Lath.Int
with all City Ordinances and State Laws regulating
building construction. Lath.Ext
Signature of - / —
Permittee ?<G',"4-et/ Plaster,Int
Authorized Agt. Plaster,Ext.
Valuation Permit Fee $ .2.f ° ° Masonry Reinforced
�
O Plan Check$ / e o
$ i// 70 , -Total e o Bond Beam
Fee $ q Z . FINAL
FORM 204 S-BP 2M 0-55
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.''�'i• -55?fln�s�-S7S�' a
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Street
•
PLOT PLAN
Show location and distances from
property line and between buildings
{ l 1
OWNER THOHF1I, HAY DATE 6-3-57
JOB ADDRESS 1779 Kenwood Pl . BUILDING PERMIT NO. 529h
G ' • s S LTRACTOR _ - ,,- VALUE $ •1.928/00
A•. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK Lanai Add, to Ex. Res
GROUP I TYPE V ZONE Rh PLAN NO.as per UtiG 5255
INSPECTIONS DATE PERMITS ISSUED
SUBCONTRACTOR DATE NUMBER
Trenches Forms Steel f/1-J2- 6 '6 - •' /
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Frame and Flashing -O/Q"L
ParOut 2-- t-t -Zr-
Plaster, brown coat
Underground soil W/G Pipe Test
Top Out
Furnace
Gas Vents
Rough Plumbing
Cesspool Septic Tank
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating Final •
Plumbing Fixtures, Final
Final Gas Test
Construction Pole
Underground Power
Rough Wiring _ ,r -r/%+nA tr .L..r•. I 4 -//-5 2 ,F _-
Fixtures,
__Fixtures, Final Tyx- 7.. /I l7 6 v i
OCCUPANCY i- i-ice' t_•.•
-�
Form 210-5M—I-57 • 7
C 2314
RIFF .
5255 •
FEE RECEIVED
\\
COSTA MESA BUILDING DEPARTMENT MIN-fr1/4.8itkE
9}-Z t � lr1_ cCC ; Q
P.O. BOX 317 DEPT.
COSTA MESA. CALIFORNIA co TIpFF
FOR APPLICANT TO FILL IN ONSTCOSTA
APPLILA7IERMIT
BUILDIN
RESSG/779 ,(4ttflr0en pA. BUILDING
ADD
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
•
//jam' T RECEIPT NO. PERMIT NO.
OWNER • \ Ay ! 4'oR/p^C _ ✓' 033`/
MAIL RECEIVED BY i ( -DATE RECEIVED DATE ISSUE
�66D
ADDRESS /799 yegnao P<, -� J `2, / 6 -•3� �] /
` Oi Tf 4,F' TEL. BUILDING
CITVI NO. ADDRESS
ARCHI'^`CT /0E (� pr'j NLIO. COSTA MESA. CALIFORNIA
OR E' EER 4! /� NO.
FIRE
ADDRESS ZONE / _
ZONE NO.OF TYPE GROUP
his flans
CITY LIC.NO. �O O P PLANS
CONTRACTOR ♦11/ 5' ��....JJ v ///}
�f]) / 'Cr TEL. o--9CO` APPROVEDA / ATE s/
ADDRESS OIJ D� /GTIf /.FA NO.�fO 7 /
LEGAL LOT p(( CO ECTIONS
DESCRIPTION
1 NO. /9 BLOCK TRACTOcO /
A.P.NO. / /C � ! V/� 2
OF 760K /0z NO.OF SLOGS. / --
OF LOT NOW ON LOT
USE OF r JL y ,,��11 T�
EXISTING BLDG Rn P IF YE Y ■
SETBACK LINE FROM (� pJ 1111 1 83 JC
CENTER OF STREET O O J-�. REAR YARD SP CITY OF r �,T,� MCSA
SIDE/YARD RIGHT O LEFT PI'4NN1NG �'s�-PT.
S�'� . •Lt.a. UEi'r. REG.
DESCRIPTIONS/�VOF WORK / I�
NEW ✓ ALTERATION ADDITION BY/ A DATF. / T
II�VII! ALAN ,CN.
REPAIR MOVING DEMOLISH
BUILDING 9K G NO.OF
SIZE % ^ m ROOMS / STORIES
EXTERICOVERIOR NG WALLS70 ROOF
COVERING
Go"ft j h'Oc.0
USE OF NEW
BUILDING Rim 4pol/ .�E^R Q xIS r/f1I‘ as.4 5 �.&c /is—s-7-0/ 4 e— .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATEWS REGULATING BUILDING CONSTRUC.
TION. A VALUATION O
SIGNATURE OF G PERMIT FEE S
.n
PERMITTEE VVV
/ �f 7r J� PLAN CHECK S 4Z
\UTHORIZED AGENT - TOTAL FEE $ / NCMI
1N ., -