HomeMy WebLinkAbout1793 KENWOOD PL - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
rY OF COSTAMESA ONSTRUCTION PERMIT TZDZ G 3S TRACT NO. LOT NO. UNIT N0.
�ro)ecl�Address I•-7y3 Kev\U3cod 1 PLC/N. I 8612 2/05/66 I niE
•
r' Applicant's Mailin• Address 1 ♦ i {V - L , TYPE OF CONSTRUCTION U NEW `XI ADD U ALTERATION U REPAIR f
If MI'/rte ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A•P•# I Zone
\ Owner's Name//�J kce E- WA 4 a sI- phone 64`� i( D CRIPTION OF WORK/USE OF BLDG. i,r6i1 �/'� irf N1/e L
Tl li"1 J N -e 01 . C.rv\ C P 9a� 7 �i�r9�- S Main Building: Accessory Building:
Address fp] �
Arch/Eng. OLONc.r 1 Kt i.1 License No. WI1a' TYPE OF PERMIT U GRADING ICU FOUNDATION 0 STRUCTURAL E Front 0
Address `-,Q ON�,\/�yI I� ❑ TENANT 0 ELECTRICAL JAS PLUMBING ❑ MECHANICA.L BB Rear N
Contractor's Name 1v Lr l Phone f'<- ❑ OTHER
it_
• PROJECT DESCRIPTION SQ. FT._ OCCUPANCY /�-3 C Right N
Address(mailing) N 6- - K G
•
CONSTRUCTION TYPE V VALUATION$ S Left
City License No: • ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRA OR DECLARATION _ Ping. Ref.# Parking Req./Provided . E
Q
I hereby affirm that) I am licensedion under provisionsBusnss Charter 9(commencing Remarks: C� • Planning Notes: M
with section 7000) of a vision 3 of the Business and Professions Code, and �,J }J -1'�E - 0 Z 2e T
my license is in full force and effect. �f / J
1l" License Class License No. -
' Date _ Signature PLUMBING FEES
WORKERS' COMPENSATION DECLARATION Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink •
3800, Lab. C.) Automatic Washer i Transformer 0 15-50 KW
Policy No. ' Company Backflow Irrigation Sewer Cap Construction Pole Sub. • 0 50+ KW
8 Certified copy is hereby furnished.
Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps
Date Applicant ,,,//
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter git ver 100 amps 7 So
(This section need not be completed if the permit is for one hundred (8100) or -
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
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 su ject to the Drinking Fountains Solar Tank Fan
Workers' orype�cyt�on Laws of Califopnl Motors 00-1 HP ❑1'A-8
Date - O nb Signature s 'r• �. `irt\ Floor Drains Swimming Pool w/Spa F.A.U.
'NOTICE: If,after making this declaration, you sh id become subject to the _ Inc.Solar 09-15 HP ❑18-15+
Workers' Compensation provisions of the Labor ode, you must forthwith Floor Sinks Urinal Fixtures • Microwave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range
Lender's Name -
Lender's Address _ Kitchen$ink j Water Service 2 —
00 Switches Sign
OWNER BUILDER DECLARATION 9
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal ;Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or 1
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays, Generator 00-5 KW 05-15 KW Trash Compactor t
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 Roof Drains
the Contractor's 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
enalty of not more than five hundred dollars($500). •
I, as owner of the Property Or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered Reinspection Fee ( $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL •FEES
License Law does not apply to an owner of a property who builds or improves _ - -
thereon, and who goes such work himself/herself or through his dr her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, 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- Canopy Type II 0 Zoning Approved By Data
pletion, the owner will have the burden Of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). Building Approved BY {)-_ Date 1 g
❑ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By / Date
tractors 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 ❑100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects-with a con-
tractor(s) license ptirsuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT, $ SMIP $
proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT
❑ 1 am ex mpt and r Se ' B. & P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers _ PLUMBING $ 00 ISSUANCE $
Date Owner Heating System 10Registers i� 0 ,SO ENERGY P.C. $
PLAN CHECK 25% $
I hereby certify correct.
I have read this application and state that the above 00-100,000 BTU 0100,000 BTL $ 1Q.� GRADING $
information Is c aagree do comply with all dy and county rite repre- PLAN\ PLrelatingtobuildingconstruction, andhereby 50% $' 3.7.] MICROFILM $ •
sentatives of this city to enter upon he above-mentioned propert or / Q
inspection pdtpgs-e \ • \ P T Date c — MECHANICAL , $ TOTAL FEE $ / /r7J
Siriver _nse or SS
_
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
�` b
&NSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
"1.-T'dmporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
56. Rough Plumbing & Pressure Test
5. Steel Reinforcement
6. Electrical UFER Grnd. Z�3// 57. APPROVAL TO COVER-GUNITE -
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test '
9. Water Pipe-Undrgrnd. /j0/7L, �4i/7(1 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap • 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final •
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 3ikleo pfv 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace . APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas '0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-13ar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
•
29. Insulation r2 78. FIRE PREV. FINAL
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 1 79. FINAL INSPECTION
32. Electrical Power Meter-Final 9/ ifit, 80. FOOD CERTIFICATE ISSUED
33. Final Electric _ f,-2
�! Notes:�7�G e nrt� sY
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing il/07re L� '
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer 1r1 ,
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co _ -_ ' -
51. CERTIFICATE OF OCCUPANCY _ '
No. Date
1
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
AF-cOSTA MESA C NSTRUC ION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. 6958 1 /08/66 iGe L,F.
1,Address _'t_-il_,p 3 pp `/ �1 1 SE - 2 Z28� 258-1 ''•YYY111��1 _ I42 l •
Applit. it's Mailing Address Ti 1 IJ S,vv-w�/7�101/ ')''1ll /s TYPE OF CONSTRUCTION U NEW?ADD U ALTERATION U REPAIR - _
1A y1 e- kS4 cce C'h4n�hole C,14;)�O/(1 ❑ CONVERSION ❑ DEMOLISH OTHERc -I-0
1 A.P.# '1424— 4e2 - /n Zone ��
Owner's Name y , r DESCRIPTION OF WORK/USE OF BLDG. 10 (3-e- Cr3f r\ ^r1 •`-�.V l`•
Address 1183 \\-e✓1WOOt:� � r ON\ Cc 9�6z) S Main Building: Accessory Building:
E 11 Z
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION TR VCTU RAL T Front O O
0 TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ ANICAL
Address B Rear 16' • N
Contractor's Name 0u—ne r! (nUt \a Pr-phone ❑OTHER •
_,{ A Right ' } - N
• PROJECT DESCRIPTION SQ. F'T. 1n •
OCCUPANCY
s y�'•s{
Address Address(mailing)
CONSTRUCTION TYPE V'-� VALUATION$ CClo S Left 3�f, R
City License No. ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION • _ Ping. Ref.# Parking Req./Provided E
'I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: an6�� m � ted j"ooj'» Q
with section 7000) of Division 3 of the Business and Professions Code, and `/ vT "l(J`. M
my license is In full force and effect. OE.- 633-(1-6, / Pc 1 2 —U/ t T•
License Class License No._ G"c� C.� I C� O lA�J
11 Date Signature PLUMBING I FEES
WORKERS'COMPENSATION DECLARATION Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL •FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C.) : Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15;50 KW
Policy No. Company .Backflow Irrigation - - . 0 50+ KW
8 Certified copy is hereby furnished. • g Sewer Cap • Construction Pole Sub. - ..
Certified copy Is filed with the city Building Division. • Bathtubs Sewer ConnectionCooking Unit Meter ❑up to 100 amps
Date Applicant '- ' Clarifiers
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Solar Collector' • Dishwasher Meter Dover 1006mps '
(This section need not be completed if the permit is for one hundred($100) or '
less). Dishwasher Solar PipingDryers ❑Gas ❑Electric Sub Panel
I certify that In the performance of the work for which this permit is issued,
wort not employper any person in any rnig. so as e ubj o the r Drinking Fountains Solar Tank Fan
Workg@�rs' Co(®ppen}a on Laws of Califyrn' [tX.�' Motors 00-1 HP 0i%.8
Date/�• — -55C _Signature j� Floor Drains Swimming Pool w/Spa F.A.U.•NOT CE: If,after making this declar lion, you shout ecome subject to the _ Inc.Solar 09-15 HP 016-15+
Workers' Compensation provisions Of the Labor Cod you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. ` Fixtures
Microwave •j6
CONSTRUCTION LENDING AGENCY •
Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there Is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ, C.)
Interceptors Water Heater
Lender's Name 9 Outlets, Range 60
Lender's Address Kitchen Sink Water Service ' Switches Sign 10
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 Garbage Disposal ;Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑0.5 KW ❑5.15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's 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 _ ,
Pe elty of not more than five hundred dollars($500).
b I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 -- -
compensation, will do the work,and the structure is not intended or offered .
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Reinspection Fee I $15 Issue Fee $ 3
License Law does not apply to an owner of a property who builds or improves _
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREM NTg
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ -. //�� �(��
sale. If, however, the building or Improvement is sold within one year of cam- Canopy Type II ❑ - Zoning Approved By L lti-C JL• Date
pletion, the owner will have the burden Of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). 'Building Approved By Date' , lis
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Data
tractorsto 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 ❑0-100,000.BTU❑100,000 BTU SUMMARY,�I1I�'�� OF FEES
builds r improvesicense thereon,and who contracts for such projects with a con- , BUILDING PERMIT $ Tt"• 'MIP c.-$' erl�
tractor(s) license ursua ht to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration ��ss
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ 74.s�l� PERMIT
0 I am exempt under Section —B.& P,C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers ISSUANCE $
� R
1 PLUMBING $
Date �t- Owner *�Tatt>LINIME♦t11 I f. Heating System&Ducting Registers ENERGY P.C. $
-PLAN CHECK 25% $
I her-by certify that I nave read this applicatio .nd hale that the above 00100,000 BTU 0100,000 BTU • a GRADING $
information is correct. I agree to comply with all c • and county ordinances ELECTRICAL $ 1�1-t'.0
and state laws relating to building construction,and hereby authorize lepra- 50 MICROFILM, $
senlatives of this city to enter upon the above-mentioned property for PLAN CHECK , 50% $ •
Inspection puc.o •s, .i 1 , X 1-g' O•/ - • MECHANICAL $ TOTAL FEE $ 10-45
Signature , •s. .i•.�A11 _ • Dale Ra
,r SS# 1� • _ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White . Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
(RUCTION AND PLANNING POOL&SPA
PRO VALS Permit Date Inspector APPROVALS Permit# Date Inspector;
�. Te porary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
-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. APPROVAL TO COVER-GUNITE
7. Footings 271646 („<r- 58. Electrical Conduit-Undrgrnd.
•8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final •
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring a,/q to At, 67. Fencing &Access Approval
17. Rough Wiring Sign •
68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0Oil
25. Roof Sheathing � &rP VC- 74. Overhead Hydro
. 26. T-Bar Ceiling (Structural) & Monocoat f"`4 75. Dry Chemical
27. Frame and Flashing 3/1/at, 7c_ 76. Dry Standpipe
28. Lathing &'Siding r3 rO/G C/C., 77. FIXED SYSTEM FINAL
29. Insulation ��_///6 Co (�C-- 78. FIRE PREV. FINAL
30. Drywall Nailing 543/ w HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat '• 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
•
33. Final Electric #40 It Notes:
34. Final Heating & Air Conditioning --444
-24(�. � �� t'1�Z' e•
c- - sS
35. Final Gas Pipe-Test �coR-S K 7'
/�-� �YI�T"QA N� S
36. Hood or Canopy-
37. Final Factory Fireplace
38. Final Plumbing -
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation •
• 44. Landscape Irrigation System •
45. Sound Attenuation
46. Handicap Regulations ".
47. FINAL STRUCTURE& BUI LDING (9/ I/ �V "CCY
48. Special Requirements Completed I' V V
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
,51. CERTIFICATE OF OCCUPANCY
" No. - Date
COSTA . MESA BUILDING DEPARTMENT I 6609 '
P. I
SEE � ������t. J
O. BOX 317 - - 1� S. S 1 V c,..--
G OS T A
..--COSTA MESA CALIFORNIA • , FINANCE DEPT.
Ii FOR APPLICANTRyF EJWIN9ESA
C.L. OF STREET
BUILDING ADDRESS f ? Q 1 Ire N 14.100 I)
LINE Owner 'f. J- F32yAK- ---- -PROP
FT. FOR 60 FT. STREET—� ��50 T. STREET � Mail Address S;16.1‘Ir vrS Arlodt
City Co St A M E S I> Ph. No.
' I Contractor VI i YYI PAS C M R Y Ph. No.3 C V W°3 t
I Address 2503 '2. Ih IN ST- WittW11NS1C p .,
50 F111F FRONT City Lic. No. QI 3 2-2 State Lic. No. 5 713
IOF PROP, f - - - - -/- - - - -
50 FT_ w Size of Lot (�^6O X/t9 +AP No. //-/p/ Ar-
1- t -5-0Setbacks: C/L Street �/ 74 Rear ✓N
w CO
ZRN
a J1 i w Side Yard - Right �� Left
ai r a� v O Type of Fence Q X&X1 e• L' I N a. R CLOCK
LL ALLEY OR P'OP. UNEP (I ai 0 2 " 71k2 ferret C, '/ 3 '#1-fly
o. 1.01 \ 1��
J m _ ,- .CI Q —'1 I hereby acknowledge that I have read this application and state
_va I I that the above is correct and agree to comply with all City Ord-
U j Ella �p ; ^p — F- a inances and State Laws regulating building construction.
; y
V h—� /�� j�r -[ p o (�. I Signature ,,,,� ('� —
111V $� '.,uSe t'-' c� a �\ 10 1 I of Permittee 001• 11. C • %.aAaav1—
i c, ual 8 _ m FTI Agent
37 6 1N. I// pyo � , I I
FT. �G F a,U z I 40 I FOR OFFICE USE ONLY
ta
m
J )Q �0z . U a FT I icPermit No. q
pJ co /
o XE I i �5— / y �.� Pi
-� ��"`° lobo
60 FT ST. ts ifed b Vatece' a(t�e su (�
50 F T. ST. 1 F i I I i y jr / ��d
. -PROP. LINE " _ _ _ _ _ SZ VALUATION
y—— —— — — — — I Y Permit Fee $
O
` to C Y $ 51 Plan Check $
C.L. OF STREET—. 1
TOTAL FEE $r'---------
MAXI MUM
MAXIMUM 4 Ft. FENCE MAY BE PLACED ON DOTTED LINES
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES USE REVERSE SIDE FOR DETAILS
OWNER BRYAN, T. J. DATE 7-23-57 —
JOB ADDRESS 1793 Kenwood Place BUILDING PERMIT NO. 5478
lG NF,J2 1CONTRACTOR Owner-Builder VALUE $ lli,h it0.00
- No. LOT 16 TRACT 2584 FIRE ZONE DESCRIPTION OF WORK Residence w/att. garage.
GROUP I & J TYPE V ZONE Rh PLAN NO. 5490
-
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
��� [y--/4-57., DATE NUMBER
Trenches Forms Sfeel
Floor System
Steel Reinforce Chimney Re-Rodr( /-_ T. •
Bond Beam 4 -$ 7-7,5 `J` .e:} ye CGd/�e !7'
Frame and Flashing 10.7-4-1 /
Lathing, In Oute--4--V1 ' /(J^a Si
Plaster, brown coat t
Underground soil Tv`�i4 W/G Pipe Test/rt) e-6a-7 fU i
Top Out _ h2GS /0-`I-37 _ Gci.
Furnace U,4_ fltc S i o-t/-,A-7 hm.t: 1._ 6A--- . Cl ?-2.5‘_1-7 if/0 Z‘ _y____ .-
r%l'r
Gas Vents , // _
Rough Plumbing J'nc S lb-V-47 ./."yr. 11 U/.. [ 7-2-67 _ /O(74.2i ✓
Cesspool Septic Tank _
' - Prop. Swr. Line%House Co /#cSt. Swr. 12-/0 b3 I teni.t_ .0.-2...,.../ 12-S-41 // 9 to
Sprinkling System
Heating Final Mkt t2-49-s-7 -
Plumbing Fixtures, Final M/WC M -t4-57 `
Final Gas Test/5— MM-S i2..--/1 s7 \
Construction Pole A 4,I j'_zo 07 &tyca k0s tat- y-17-� s--.233-a/ Alt' f
Underground Power tr - �j ,,e t"-
Roughg Wiring -Pi IO-/) •J 7 0:4-4.0-.1,_,-
..�i0-. A. _ ate- :9_1ti s7 S.3.i?7✓A'11-� ._ i
Fixtures, Final /5- i. f -.l7 -.0-,1i / 1T
OCCUPANCY ��I/e) �)-�",' CI` ny \
Form 210-5M-1-57 - 1 , 5478
OWNER BRYAN, T. J. DATE 4-15-58 -
JOB ADDRESS 1793 Kenwood BUILDING PERMIT NO. 6609
R L CONTRACTOR Masonry VALUE $ 474.00
115 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Block Fence
GROUP TYPE ZONE PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches Forms Steel 4--E-4-1--JA -orae
Floor System
Steel Reinforce Chimney Re-Roder-4 4- / 7•s/
Bond Beam _
Frame and Flashing
Lathing, In Out
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
Fixtures, Final
•OCCUPANCY �i�i� 4-/ y -a
Form 210--5M-1-57 6609
Vr ^^�^ 15HZU1Vt T. J. ofIL 5-e1-/4
>JOB ADDRESS 1793 Kenwood Place BUILDING PERMIT NO. 38130
GENERAL CONTRACTOR Monte Montgomery DESCRIPTION of WORK Patio Cover
APNo116-181-15 LOT TRACT FIRE ZONE VALUE $ 520.00
INSPECTIONS Signature Date TYPE V GROUP J ZONE R-2
SOIL SUBCONTRACTOR PERMITS ISSUED
VGAS Date Number Signature
WATER Plumbing •
ROUGH PLUMBING
PROP. SWR, LINE n HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS •
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND n POWER n
ROUGH WIRING Heating and Vent. •
TRENCHES n FORMS 0 STEEL REINF. D
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE in
SHEATHING
FRAME AND FLASHING •
LATHING - IN n OUT in
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST n
ELECTRIC, FINAL L'A �y
BUILDING. FINAL r Jj '
38130 IARPpw
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely IDATE� /J pyyy
RE�EIV�D BY ✓.. /C/T ' Ea/. /4L
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ILDING n Egillo//il' /
(\„ADDRESS j r /•7e,r1
!OWNER C/l// J/�/J� /^ q //� PERMI }p�(
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MAIL BUILDIESS ,R3 //`/� C4( JOvre �/
ADDRESS ADDRESS ���// //
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0_ L.) CITY eat hp fl rya-, NEOCs/O 3
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NEW ADD ALTER REPAIR MOVING DFMOI ISH
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J D BRANCH
JN OWNER
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ADDRESS .f,(//,r/t �' /�� / q/ /R'
m m ARCHITECT TEL. USE (, `—t/ KEG/ $ � O
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J Cr ADDR ( I C /y y U _ _.
W w TEL. /�/-L [[[ ZON NO.OF USE OF NW
/by
r CIT &A 1rrn R NO /TJ,1/ C� PLANS4:2 BUILDING ff(/y�/� ea or p
STA CITY / YARDS APPROVED YARDS APPROVED /`••
twn Cr LIC. NO. y /(f LIC.NO.36�� MAIN BUILDING ACCESSORY BUILDING
D O -- ROM OIL STR ET)
SIZE NO.OF BLOCS. `'�
OF LOT I NOW ON LOT FRONT 9 cm eel FT.
USE OF /vy ,fj,,,,/y
EXISTING BLDG. �t, C7,4/17/t e��p� ,,,/// R.SID 2,09i FT.
2 SIZE L r /' s// b ROOMSNO. v`6v �y�F S / L.SIDE7 T. IT pr2 FT.
Q NEW BLDG. {�J J� !/ / —ef
—
U EXTERIOR WALL ROOF
_ COVERING COVERING REAR 9FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CL
d MAIN BLOCS. ACCESS. BLDGS.
Q rc—
VAR.# DATE
O ��1� (, /�i C.U.P.# APPROVED
I— .sAPPROVE/L/ �� nNa be _HY /xk.../.J DATE , i I
O '
O I hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws ruminating building construction, and I shall not employ
I— any persor in violation of the workman's compensation laws of
(q the State of California. fo
Z I hereby certify that I am properly licensed as a contractor under SQ. FT. o
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDE ' VALUA •N IS FOR
Chapter 9. and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A ' -r T FEE ONLY: a
am exempt from tile rovisions of the S to of Ca ' ornia Business ¢
VALUATION
and Protessio s n Div' ion 3, 9. PERMIT FEE $ • m
n'
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Signature o �N T 1M/ //7�L�� n m
Permittees(( //�[/ V $ �O PLAN CHECK $ E
000/// !!�11
Authorize Agent o.
TOTAL FEE $ Az t
illpr .
5490 I FEE RECEIVED
7
COSTA.MESA BUILDING DEPARTMENT
P.O. BOX 317 F7/ E DEPT.
COSTA MESA, CALIFORNIA CII I OF COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT •
ADDRESS 7
BUILDING /1 93 ./fEbr/ood /7L4oj BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
�j' J� /j �) RECEIPT NO. PEbM IT
OWNER /• V• I.J R ✓AW �J
MAIL ,(,./ RECEIVED BY / }/ATE RE�CjEIVED''7 DA ISSUED
ADDRESS` 7 Pa FQ�/P/4 C/ (7 !�.s" /_-7 Y /" �O^S1 ) a. ?� ,��
Co r9 At54
TEL. // lS 3f27 ADILDING
DRESS
CITY NL` ADDRESS
ARCHITECT LIC. iiiit
OR ENGINEER COSTA MESA. CALIFORNIA
S7000ji<c�.V NO.
FIRE
ADDRESS ZONE
ZONE NO.OF TYPE / GROUP
CITY LIC. PLANS /v/
CONTRACTOR Q(I,y(r�/Q NO. l/
TEL. APP nr� 1 c'
ADDRESS NO. BY !i"//r • DATE/ i J
LEGAL LOT / CORRECTION
DESCRIPTION NO.
6 BLOCK1TRACT 23 {11
A.P. NO. 116 •-• I a /1.� / 1
SIZE ✓✓✓ af..ur_cLUGn
U S LOT 6Q tl i V,qw ory LOT E_
USE OF 4' {�7IYA�
EXISTING BLDG.
SETBAC! LINE FFebTY ::TA MESA _
CENTER OF STREET Pt,b , ! .,REAR YARD 4 2/
'i .�iri I% �1 _ I
51 DE YARD suBJEcTG',Iry 144 wor[Eggs.
D SCAMP ION OF •RK
'Y ar BATE_ I •
NEW R4.iM 1.AJ43ERATION DDITI
REPAIR MOVING I DEMOLISH
BUILDING yCL NO.OF
SIZE , n6a ROOMS 0 STORIES /
EXTERIOR WALI` ROOF [�
COVERINGUSE OF
J��C COVERING �l.�G`\
BUILDING Ys-$/nA,rpr `/- Arr -YAC. /(O I yra J
f
tO `—'/
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 S/T WS REGULATING BUILDING CONSTRUC-
TION. -.... .e,
Li� `( VALUATION +
SIGNATURE OF ' -.... PERMIT FEE S 5.
PERMITTEE 44
/V v //O PLAN CHECK S /'
5 L/�. (`f.
AUTHORIZED AGENT / TOTAL FEE $ ,..- %Mir