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HomeMy WebLinkAbout1799 KENWOOD PL - Building Permits -` i '� (c CITY OF COSTA MESA _ 4t.-----r t. BUILDING DIVISION F• ,._, •A)• DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4. MINI • • PERMIT n.mm a.` ✓601-01641 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1799 KENWOOD PL Status: ISSUED Suite: Applied: 10/16/2001 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 10/16/2001 Parcel Number: 42426216 Zoning: Applicant: WHITNEY, ROBERT • ISSUED BY: i . Address: P015396 Phone: (949)548-0769 NEWPORT BEACH,CA Zip: 92659 Owner: REFUGIO M LEON & MARY S Address LEON REVOCABLE LIVING TR COSTA MESA,CA Phone: 1799 KENWOOD PL Zip: 92627 Contractor: WHITNEY ROOFING Address: P0 15396 • Phone: (949)548-0769 . NEWPORT BEACH,CA Zip: 92659 License: 406022 Arch : Eng: Address: Address: Phone: Phone: • Zip: License: . License: SCOPE OF PERMIT REROOF:TIO WOOD SHAKE, REPAIR SHTG AS NEEDED, 1 LAYER 30#FELT, INSTALL 50-YEAR WOOD SHAKE(CLASS C).29 SQUARES FEE SUMMARY Plan Check: $0.00 - - Calc Valuation: $11,114.00 Permit: $209.25 Claim Valuation: $11,114.00 SMIP Res: $1.11 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 ' Total: $210.36 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 NOTES: • 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 2448-46(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'co sensation,as provided for by section 3700 of the Labor Code,for the performance of the ork for which this permit is Issued. I pr have and will maintain workers'compensation insuranefred by secti• 3700 of the Labor Code,for the performance of the work for which this permit is issued. • My workers'compensation I . r:n^ carrier:nd•.,In •er are: Carrier: j / „/ Policy Number: cc's a a/J (This section need not be completed It tho pe :"velu.d- I . . .. ..*-rs($100)or less.) II 1:1I certify that in the performance of ••work for w• �rmit Is'. ued,I shall not employ any person in any manner so as to be .me su• ect to the workers' compensation laws of California :nd agree t �/`�"l cbeco• : subject to the workers'compensation provisions of Section 370• of the :bor Code,I shall forthwith comply with these provisions. / • �`/ Applicant Signature: / • Date: `v IO 0 WARNING:FAILURE TO SECURE WORKERS'COMP: SATION RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE S A •CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(s10g000),IN ADDITION TO E •. 9•MPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR to•E,INT REST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECL TION: I hereby affirm that I am licensed der pro '-o - -,x' - 9 commencing with Section 7000)of Division 3 of the Business and Pr-pf sips Code :n.my license Is in full force and effect.Lic.N � 0 O(r Class e C 3-7 Contractors Signature: Aar. Date: 7(4' CONSTRUCTION LENDING AGENCY ❑ I hereby affirm that there is a co struction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code), Lenders Name: Lenders 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 pemi1 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. 0 Yes 0 No Drivers 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,falsework,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: I Will the applicant or present or future building occupant need to file end 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 and pressure). 3 Does or wit 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_germit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? II Yes LJ No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑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 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 info .tion 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 -Y. certify unde 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 or.' ances .ating to build' g construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for Inspection purposes.I -•ree not •occupy•r alto • cupancy of any building authorized by this permit ntil final inspection. Signature• egal O4, /� D.0 And/Or Authoriz:• n.1r---”,- - Eate gmI INSPECTIONTYPE / VIE INTUl 5$ MI INSPECTIOR TYPE BM IN1mAL5 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final . 208 Final Plumbing 200 Final Re-Roof („�� 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 • _t_4a. __ CITY OF COSTA MESA + te-�` BUILDING DIVISION PERMIT NUMBER DEVELOPMENT SERVICES DEPARTMENT p PERMIT ittiotownw dt' RQQ-lr1RRi (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1799 KENWOOD PL Status: ISSUED Suite: Applied: 06/11/1999 Vicinity: PATIO @ REAR OF PROPERTY Issued: 06/11/1999 Parcel Nunmber: 42426216 Zoning: ISSUED BY: Applicant: REFUGIO M LEON & MARY S Address: LEON REVOCABLE LIVING TR COSTA MESA,CA Phone: 1799 KENWOOD PL Zip: 92627 Owner: REFUGIO M LEON & MARY S Address , LEON REVOCABLE LIVING TR COSTA MESA,CA Phone: 1799 KENWOOD PL Zip: 92627 Contractor: • Address: Phone: Zip: - License: Arch : Eng: Address: Address: . Phone: Phone: Zip License: Zip: License: SCOPE OF PERMIT TEAR OFF&RE-ROOF WITH 1-LAYER OF 30#FELT&25 YR.COMPOSITION SHINGLES. PATIO ONLY(5 SO). FEE SUMMARY Plan Check: $0.00 Calc Valuation: $900.00 Permit: $32.00 Claim Valuation: $900.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $32.50 . 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 NOTES: 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 DECIARAT'/ONS Ci r, WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will malntaln 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 Insurance carrier and policy number are: Carrier: Policy Number: (Thisction need not be completed it the permit is valued et 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 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 thesee�ry visio . tApplicam.Signature: %�-' r� �L' � o-4.'3` 7 2y' fDete`..:�R"l/—' 9 ARNINtG:FAILURE TO SECURE WO RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMP OVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL-ARE($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.It Class# Contractors 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: Lenders 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 (steels the applicant to a civil penalty of not more than five hundred dollars($500).): I,as owner of the ptoperty,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 appty 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 appty 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.). and Professions Code for this reason: I —/I— 9 mature: go�ta:- Ne- ner ID verified driv rs license. 0 Yes 0 No Drivers 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,falsework,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 greeter 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 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 Califomia 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 rfplication agemtit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? U Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be fumished on applications for non-residential building permits). 6 Will any part of the faoility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safely 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 ❑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 or allow occupancy of any building authorized by this permit until final inspection. r g- tore Of,' Owner(s)- ,Date -,- — And/Or Autho'zed Applicant Date CODE r. INSPECTION TYPE RAIL 1NTMAL$ CONE INSPECTION TYPE DAFT RRT1$ 1816 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing -7 200 Final Re-Root / -21" 99 eAl 210 Final Electrical j 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 2446-46 OWNER tEON, REFUG20J�,�1DATE '10-20-60 JOB ADDRESS 1 (yy Kenwood YX,/i BUILDING PERMIT NO. 13LI45 GENERAL CONTRACTOR Guthrie Bros. VALUE $ 17,050.00 AP. No.116-161-16 LOT TRACT FIRE ZONE DESCRIPTION OF WORKl s.w/att.Gar: INSPECTIONS ibis-tot DATE GROUP 1 & J TYPE t ZONE RLL Underground Soil/14,tf U.G. Wates / 4, �3-(� PERMITS ISSUED Underground Gas M�.s SUBCONTRACTOR DATE NUMBER • Overhead Water ,A Gas Rough Heating' i., nt , a-2.4-64.S 4 7yt4 - //-/a.--Leo `)- /'7 Y eV Rough Plumbic:. 14,7? offt,2Q,G'd ,e.e 10-,27-6 s 7##C P llaneous 4p' P.,.r. Swr. Line- HotatCon. St. Swr. /x/LS1'n ove--11•tr k.;.a k.' la / )/Yta GD 2:7 2--4 1 Sprinkling System - I 0Heating, Final 7S. i t A Plumbing Fixtures ' vs Final Gas Test :rli_r_'a'..F't VO V Construction Pole "M i- - i• i ��Arf �C - __ ' Underground Power - AA Rough Wiring //L / r 'CO (o' J��r� /-2-3--LSD /S.P/3 Trenches Forms �— �.�j /....... ,76 s�- (�® ' Floor System (. d ' / a - 6 0 Steel Reinforce \- Chimney Re-Rodes I Bond Beam Sheathing {?d3 12 7-40 , Frame and Flashing C.. -43, /-- 4,4 -- 6 0 Lathing, In V Out 'Mc- /— /2 — is Plaster, brown coat n. 7)1 C — G Plumbing Fixtures, Final. � ( e• Electric Fixtures, Final Aline 4e B---ling, Final fA i)9 /' . \ t JPANCY /1r6V i 4-fl 9' -....\-.% Form 210-5M-11-59 S-B P 13045 4 I 13045 FEEECEIVED CO_STA MESA BUILDING-SAFETY DEPARTMENT D k5-GO P. O. BOX 917 COSTA MESA. CALIFORNIA FINAN E DEPT. For Applicant to Fill In Completely c?cRKIC/CLIOif• FORPPERMIT TYPE OR PRINT BUILDING/ p' , j BUILDING ADDRESG/ TY7 n51/ wO et)sa COSTA MESA. CALIFORNIA For Office Use Only j . / RECEIPT NO. I{ PERMIT NO. l' OWNE aI ?7(J CI .Z. ELry AI I I / �O 6 MAIL111111______ _/ yyy3 ADDRESS S K/? ��/ /�+ /� RECE7 ByrJ�.I�+ D gOn¢ E 1, ,)....;?,..,seD CITY( 7-4 M T-'- J I-/ NEO. ADDRESS ILDING // / ( 9/ A V ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. ADDRESS FIRE a/ //�� Tithe y'L/ ZONE TYPE GROUP' / CONTRACTOR ((2 0 1 /he I r &10 S. APPROVED U'✓i DATE/O•Z.���JII ADDRESS/.3712• I/ViteJ 6c/ILLS !� •• NING ,�'L/^y j CITY `1 _L� I PLANSF /�� ....-- I BUILE OINO EW I1 N`l✓f� LEGAL ) / .` S �l DESCRIPTION /+�V' I 7 r SIZE 6 Az/OF LOT 0 / NOW ON LOT A.P.NO. I ,I / 6- Il I / 6 EXISTINGUSE YARDS EVES APPROVED ALLOWED ..• REAR YARD 2 0 (CENTER LINE ST.) 5-0 FRONT FT. eft, IN.�I SIDE R.SIDE 'ton. l //, /8 IN.N YARD DESCRIPTION OF WORK 5/FT. N. /I��y L.SIDE NEW I - ((ALTERATION I II ADDITION I Ci"- � � ( • 1 . REAR / FT, r1 ��N. REPAIR II MOVING I II DEMOLISH I APPROVED I�/ 7i // �` DATE I0 --(-3--‘70 BUILDING .. /y /NO. OF 6 p}Y (,Vj J-J SIZE /G 'be. I``RIOOMS �. (`.S`TTORIESS� / EXTERCOVERIOR INGWALL�T L�C/C10 Sk 0F' R ,S4"9/4„,6-A F_ i � D USE OF BUILDING AND WORK TO BE PERFORMED T.. i-I /'r- s/ 9 Fit/ rrI>4TTQC/?5L sir •------/- . , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER , UATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CAM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY 0 INANCEE AND STATE LAWS REGULATING BUILDING CONSTRV Oler;;;#4j--107-s VALUATION7fPERMIITTEF SIGNATURE OP I/'J� Sa r PERMIT FEE $ I y/, P S//J D /L PLAN CHECK $ /cU//' AUTHORIZED AGENT1 �L� TOTAL FEE $�1`7 C. D O I GI LEON, Refugio M. JOB ADDRESS 1799 Kenwood Place BUILDING PERMIT NO. 38838 GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Patio Cover IAP No. 116-181-16 LOT TRACT FIRE ZONE VALUES 480.00 �k-INSPECTIONS Signature Date TYPE V GROUP J ZONE R-2 sr,�,�`j,= PERMITS ISSUED SUBCONTRACTOR Date 1 Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE❑ HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS � ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRINGy Heatin, and Vent. TRENCHES FORMS • STEEL REINF. U Ar���t�/ - FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER. BROWN COAT STRUCTURAL. FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PI ING. FINAL AND GAS TEST n EL dIC. FINAL ` BUILDING. FINAL r7 / c--AS- -7/' G PULP e. 38638 am, COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely PP CA ION FOR BUILDING PERMIT ED V DATE RECEIVED DA ISSUED ADDRESSG/./may/ 799 to hi Wood PA-ce. / ,Q {, OWNER /1e ru6/0 /-r, Aam A.P.NO.11 tn-- tat— (6 P i ( v MAIL BUILDING /79/ YNwe n L ADDRESS 1WU/ 7 h'e•Atwo od PA A c e ADDRESS / /�( rE CI.O CITY C o•S/m M es/H cA!/F NO.sy83ory TRACT g J d/y LOT) BLOCK I— ZCONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLLSH \ O 1- LENDER J O BRANCH /� / 4 I to �` OWNER Cron u M r JUi 7 m J ADDRESS /J _V� VALUE -CO ARCHITECT TEL. �(J GrC� J W OR ENGINEER NO. U FIRE WCC ADDRESS ZONE L/TYE?i- GROUa LLl ,(/ APPROVED7/_W Z CONTRACTORXOW/.P/� /���� BV DATF�'/ ,� Ja JJJ co Z J go ADDRESS NEW-WI O= CITY NO.TEJ LU LLt ZO � PLANS NO.OF?.r BUILDING USE OF CCti tige- Z1- W O STATE CITY YARDS APPROVED YARDS APPROVED to Ir LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING 0 SIZE NO.OF BLOCS. (FROM C/L STREET) OF LOT NOW ON LOT fRONT Airf FT. FT. USE OF EXISTING BLDG. R•SITIF I C) FT. FT. I- SIZE OF /a ' //, �fNO.OF �Q Z NEW BLDG. (O X/ ROOMS STORIES L.SIDE l FT. FT. VEXTERIOR WALL ROOF /'� / // _ COVERING COVERING REAR / FT. t FT. ..J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL 0 MAIN BUDGE.. ACCESS.BLOCS.. O /3"6 X _/1" /Ai770 dgc-n_ C.U.P.50 APPRtOOVVtEEEDD/jy�/\\ Z APPROVE (ar Ica'?to I BY �Q�, Z P O r y UI herebythe acknowledge that I have read this applicationraet state D that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ CC F any person in violation of the workman's compensation laws of N the State of California. 2 CO Z I hereby certify that I am properly licensed as a contractor under 2 3 SQ. FT. o the State of California Business and Professions Code, Division 3, E AMOUNT SHOWN UNDER VALUATION IS FOR s Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLEHING A PERMIT FEE ONLY: S am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9. �_ Y� n L,�//// "'� --'0 PERMIT FEE $ Signature o( _...„4"..., V ea Permturel �6� .7- $ �� PLAN CHECK $ E pa Authorized Agan if / o TOTAL FEE $ OWNER CUSTOM CRAFT MASONRY DATE 3-3©-61 JOB ADDRESS 1799 Kenwood Pl. BUILDING PERMIT NO.14201 GENERAL CONTRACTOR Custom Craft Masonry VALUE $100.00 AP. No.116-181-16 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Block Wall INSPECTIONS DATE GROUP TYPE ZONE 1111 Underground Soil U.G. Water PERMITS ISSUED Underground Gas --- SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating Rr^Hh Plumbing I ,llaneous Primp. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring Trenches Forms Steel Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final //� /^ P' -ling, Final 44 J CI Pt 0 t JPANCY Form 210-5M-11-59 S-B P 1b201 14'40'1 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT ! - MAR 3011 P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. Applicant to Fill In Completely CITY OF COSTA MESA For P Y APPLICATION FOR PERMIT TYPE OR PRINT; BUILDING BUILDING ADDRESS /2 9/ /` '-NWOO� n COSTA MESA. CALIFORNIA For Office Use Only `n• /Lia/Ir ,IJ/ I RECEIPT NO. I $ER / OWNERO. '•Y/. MAIL oo ivOO L• R8•CEJV/g.DA BY DATE_R_ECEIVE0 DATE ISSUED ADDRESS /7 99 /✓ L1 I4 .--a. -V/ V//� �I. '///d0- OOP //JJ /174-5A _ / TEL. BUILDING! /y9, i�-r/t"_�'( set_ �- E•M �GITY C:O47� LrJA�L�C/� NO. ADDRESS / ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. ADDRESS FIRE A/n/ /l ZONE TYPE GR AkU.L(" CONTRACTOR K� S/O/t/f//( 4,7-/�JfJ741/i.2 y APPROVED DATE ADDRESS 1/0) ,6zs1' /' ZONING �)f� CITY �tapoe7 /./�/lc,/ CAG /F ZONE nq IPL NS I Bu BUILDING $AJocie,iofl L ATE TEL LIC.NO. NO. DESALIP R 0 T /� l /\ -4 -5—e- 0 1 DESCRIPTION SIZE I NO. OF SLOGS. /(I - 1 o (� �j / — i / OF LOT NOW ON LOT A.P.NO. fib USE OF YARDS EVES EXISTING BLDG _ APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) CENTER OP STREET REAR YARD FRONT FT. IN. SIDE YARD I LEFT I RIGHT R.SIDE FT. -f U[f I� IN. `/� DESCRIPTION OF WORK L.SIDE FT. A��lh 76 i /(/ NEW I I ALTERATION I II ADDITION I REAR FT. MOVING I II DEMOLISH I BYPROVEC'A. ATE 3! ^_/ REPAIRI `'- 17 / BUILDING NO. OF SIZE ROOMS STORIES EXTERIOR WALL I ROOF . COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED so/ X � „ 6 ' X /' /lam iloee l!/A'L . � -4 ' X,?o' X --17/ " G / x5' u41 '/ Ic I HEREBY ACKNOWLEDGE T. 9I HAVE READ THIS APPLICATION AND STATE THAT THE A:• . IS CORRECT AND AGREE TO CON- THE AMOUNT SHOWN UNDER VALUATIONIS FOR THE PLY WITH ALL CITY 0:•I CES AND STATE LAWS REGULATING PURPOSE OF lBTABLIBHIN6 A PERMIT FEE ONLY. BUILDING CONSTRU L VALUATION �J cLO SIGNATURE OF / ,p� PERMIT FEE SO( PERMITTEE - m!Y a S PLAN CHECK S III' AUTHORIZED AGENT 7 O TOTAL FEE S 8