HomeMy WebLinkAbout3142 KILLYBROOKE LN - Building Permits u • Mac• ri .� CITY OF COSTA MESA / 1
4
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT PER NUMBER
I
4* PERMIT
mss+ ! 03-00446
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us • 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 3142 KILLYBROOKE LN Status: ISSUED
Suite: Applied: 03/19/2003
Vicinity: SIDE PROPERTY LINE Issued: 03/19/2003
Parcel Number 14102221 Zoning: R1 R1
Applicant: HARRIS, KEN ISSUED BY: S/�
Address:
- Phone: 714-557-2374
Zip:
Owner HARRIS, KENNETH L
Address 3142 KILLYBROOKE LN
Phone:
COSTA MESA,CA Zip: 92626
Contractor: OWNER-BUILDER
Address:
Phone:
Zip: License: 000000
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
CONSTRUCT 2 L.F.X 6'HIGH BLOCK WALL RETURN ON SIDE PROPERTY LINE PER CITY STANDARDS.
FEE SUMMARY
Plan Check: $15.28 Calc Valuation: $40.00
Permit: $23.50 Claim Valuation: so.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $39.28
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
2446-48(EV00)
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 Corr,for the performance of the work for which this permit Is issued.
My workers'compensation Insurance carrier and policy number are: I
Carrie Policy Number:
( 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 to the workers'
L ,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 prov' ions. 7
Applicant Signature: iI�.itzet. G4.7.4L Date: o� - /9' 03
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DCLLARE(s100.000),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.# Class q
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,CMI 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 Ucense Law(Chapter 9(commencing with Section 7000)of DMsion 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 Ucense Law does not apply to an owner of property who builds or improves thereon,and who does such work
s'Imself 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
old 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.). •
as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors Ucense 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 u•der sec. Business and Professions Code for this reason:
air
Signature: a ...rte'set! _ -tit—se �� ate: 3 -
Owner ID verified by drivers license. ❑Yes 0 No Drivers License Nt. ¶ // Expires: J- 18- DS
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 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 ❑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? ❑Yes ❑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).
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 ❑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? 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 and 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 propert for inspection o s. gree not to occupy or allow occupancy of any building authorized by this ermit until final inspection.
Signature Of Legal Owner(s) Date
And/Or Authorized Applicant Date
CODE t INSPECTION TYPE PAIL INITIALS CODES INSPECTION TYPE 129IE MTmALS
• 1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 7 210 Final Electrical
r/
201 Final Block/Retaining Wall l 1-03 212 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
\
i . e
•THIS SKETCH IS FOR INFORMATIONAL PURPOSES •SOLID WALLS/FENCES BETWEEN 2'd•&6'IN HEIGHT SHALL
ONLY. APPLICANT 5 RESPONSIBLE FOR PROVIDING BE SETBACK AT(FAST 10 FROM FRONT PROPERTY LINE.
AN ACCURATE REPRESENTATION OF Th R PROPERTY
IN CASE THE SHAPE AND SIZE DO NO:CORRESPOND •SOLID WALLS/FENCES SHALL NOT EKCIID 2'6•IN HEIGHT
WITH THE INFORMATION PROVIDED ON THIS SHEET. WITHIN 10 OF THE FRONT PROPERTY TINE NOT CURB LINE).
•VERIFY DISTANCE FROM CURB TO PROPERTY UNE
AND SHOW ON PLAN. VERIFICATION FROM THE CITY'S
n r ENGINEERING DIVISION 5 REQUIRED. CALL(714)754,5341
7 S —7OO Y V y�, FOR INFORMATION.
1-19 APPROVED
CITY OF COSTA MESA hIcH
NNING DIVISION - - - -
SUBJECT TO BLDG. DE7r. REG.
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OTE:ADDITIONS, DELETIONS,
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R CORRINS SHALL BE RICSoEMCZ
JA m OVED BY THE PLANNING DIN
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BLOCK WALL LAYOUT FOR BUILDING PERMIT
• J
PLANNING DIVISION
j o ! j'L `
•
51" tO CITY OF COSTA MESA
4 BUILDING DIVISION
>• ,,,, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
iPERMIT A3-00502
%froarae
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 3142 KILLYBROOKE LN Status: ISSUED
Suite: Applied: 03/28/2003
Vicinity: SIDE PROPERTY LINE Issued: 03/28/2003
Parcel Number: 14102221 Zoning: R1 R1
Applicant: HARRIS, KENNETH L ISSUED BYY541
Address: 3142 KILLYBROOKE LN
Phone:
COSTA MESA,CA Zip: 92626
Owner: HARRIS, KENNETH L
Address 3142 KILLYBROOKE LN
Phone:
COSTA MESA,CA Zip: 92626
Contractor: OWNER-BUILDER
Address:
Phone:
Zip: License: 000000
•
Arch : - Eng:
Address: - Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
CONSTRUCT 63 LF.X 6 FT HIGH BLOCK WALL ALON SIDE PROPERTY LINE PER CITY STANDARDS.
FEE SUMMARY
Plan Check: $31.14 Calc Valuation: $1,260.00
Permit: $47.90 Claim Valuation: $0.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $79.54
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
2446-48(6/00)
DECLARATIONS
WORKERS'CQMPENSATION 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 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 to the workers'
compensation laws of California,and agree that If I should ecome subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provis�i9n�
Applicant Signature: // 49.7-2.-2.11-14/
,�7 eyJQ / / / L Date: 3" D.p
- 3
WARNING:FAILURE TO SECU WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FiNES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100.000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 37060E 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.# Class a
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).
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 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 appy to an owner of properly 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.). Q
�' 2
I am exemp u der sec. Business and Professions Code for this reason: 7 – C
Signature: Art. -L../i �il�ji S Date:
Owner ID verified by driver's license. LT Yes 0 No Drivers License No. Expires: /1:-/S c'S
Verification of Ownership by(type of docui e 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? ❑Yes 0 No
(Section 25505 of the Califomia 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 Ii 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 lime 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 withr 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 Califomia 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 ❑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 pryperty for pu o s.I agree not to occupy or allow occupancy of any building authorized by this p rmit until final inspection.
i ?– X2'- 03
Signature f Legal Owner(s) Date
And/Or Authorized Applicant Date
CODE t INSPECTION TYPE PAIL 1NTITIALS g9➢E,.t INSPECTION TYPE • PAIL LN7JIU1s
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 206 Final Plumbing
200 Final Re-Roof –���./—,,�, 210 Final Electrical
/��
201 Final Block/Retaining Wall ( t'3 tr�"r"� 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
•THIS SKETCH IS FOR INFORMATIONAL PURPOSES •SOLID WALLS FENCESy'~a 2'6'*6'IN HEIGHT SHALL
ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST TO'�i�:��/ /ROW _•PERTY LINE.
AN ACCURATE REPRESENTATION OF THEIR PROPERTYI�' : N >3
IN CASE THE SHAPE AND SIZE DO NOT CORRESPOND • •SOLID WALLS/FENCES ii \it, ED(02 D•2'6 HEIGHT
WITH THE INFORMATION PROVIDED ON THIS SHEET. WITHIN 10 OF THE FR" i : n•:1•V I ! ,C ''(1JRB LINE).
1:50 3:--dU •VERIFY DIST FRO ��• I,. FRO
ANDSHOWO D'I?' �.'NF'RO iv.
APPRO% E ENGBJ OW G ON 6 A a,. r.
CITY OF COSTA MESA
PLANNING DIVISION PORINFORM w.
SUBJECT TO BLDG. DEPT. REG. �; a a l
NODDITIONS, DELETIONS, jo s 2 Y
O CORRECTIONS SHALL BE m 0 X r 11-
A
APP THS ^ DIV. `Oa 23
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' BY: Iyq J 1N DATE:S/2 2/03' E Pi t
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- f STREET
BLOCK WALL LAYOUT FOR BUILDING PERMIT
PLANNING DIVISION
J _'='ll�,
r
r TYPICAL 611 CONCRETE BLOCK FENCE
1 a 1
``m`ntCo anal GENERAL— NOTES
Channel Block With 1,3/8�i -, `1: X ~I _-- -- .;_,
Horizontal Top of ill
Fences I ,• : :� I � MORTAR: One Part Plastic Cement, and
_ =- ` Three Parts Sand
I -:Oi m I i -- GROUT: One Port Cement, Three and
For , rss 58°r Less `: - W o I a III I'I ll t,,and
Ven.Bars 5'or Less
'-. p'C.-. ;V' One Holf Parts .
A E-+ _ a :%, >' ° F I -- COPING: One Part Cement, Three
For Fences Highei Tlian•5''t • 1. o '� Welllim
PorlS Sand
Ven. Ban3I8�m n2"9.C: ; r '- ^ a w I - - - - -- CONCRETE: ixed 1:2-1/2: 3-1/2 -
° Mau of 7- 1/2 Galicn5 of
Fill Cells Solid Wi Trout' t : `' i `` s „ '
Where Steel Occu'E:a _, -' - III
-Water Per Sack of Cement
1 ti r
Reinforcing Steel Shall ,� r �': 4 F 'o GROUT MAY BE POURED FROM THE TOP
.� ,.. a,� �_ I. OF THE FENCE IN CELLS WHERE STEEL
Conform to Sec./ 15134; ;. w o 1 OCCURS.
A.S.T.M. S " t"' �C, U I CELLS AND AREAS OF HORIZONTAL REIN
All Steel to bE Lapped , '•" " '‘ w i ! — �� , 111 FORCEMENT SHALL BE CLEAR.CLEAN&
FREE OF ALL MORTAR DEBRIS.ETC.
24"or to Code i • ' MI •.
NATURAL GRADE
''.)?' ' - ." tttt� IMtttttttt�
TWO 3/B"O BARS ' - '
CONTINUOUS TOP • • �1. O ! , r ,
&BOTTOM __,4 WIDTH 10 'IB' 0 'C MAX ®
y SEE CHART s
HORI3.STEEL MUST BE TIED IN 1 BELOW DE Pill (V CARTHTCOTH
PLACE AT TIME OF TRENCH In THE HE 1GTH Or FENCE
INSPECTION. p -�c�
�, °GLOW BOT TOM OF FOOTING
;� o" 2.. • SCALE: 1/2" r I'
is ®FOOTING REQUIREMENTS CHART
WALL HEIGHT 6 ' 5 4' 3'
WIDTH , , 14" . 14 . . . . 12 . . 12"
THICKNESS," . - 10" ' 10" 8 " 8 "
DEPTH OF EARTHTOOTH 24" 20" . . 16" 12"
SPACING OF EARTHTOOT 12' 14' . 16' 16'
L
1
> BUILDING DIVISION
EADDRESS OF BUILDING: 3142 KILLYBROOKE LN UNIT: CITY OF COSTA MESA - BUILDING PERMIT
a iiNEWSNAMEIFIwowN: HARRIS, KENNETH L FLOOD : X 46 PERM NO: B 079083
ADDRESS: 3142 KILLYBROOKE LN
COSTA MESA, CA 92626 PERMIT NO: B 079083 PLAN CHECK NO: N GOVT : N SUPP : N
APR..MMUNii ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
ARCNRECT OR ENGINEER: MHO.: JOB DESCRIPTION : T/OFF , RESTH & REROF W/BUR & COMP . SQ FT: 8, 085
ARCH.OR EMO'S ADDRESS: WIT:
CLAIM VALUE: 8, 085 . 00 CALC-VALUE: 8, 085 . 00 GROUP OCC : R-3 /U-1
CONmACTOIFSNAME CRANK BROS ROOFING CO ( 714 ) 548-5569
CONTRACTORS MMUNG 126 COMMERCIAL WAY COMMENTS : SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY
ADDRESS: COSTA MESA CA uc.NO.: 408677 *****+ *+E+E*************+E**ft*srS5*** iE*stsEIHM*iestM******ie*at*Net+alt****sEAtlt*****sssE**le+s**+t
92627 WIT: Z ON ING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaty of perjury thin I am licensed under Provisions of Chapter 9 SETBACKS
(commencing with Section 1000)of Division 3 of the Business end Professions Code,end my 1 is in full force end effeet
c uc.No,005993 uc.cuss: C39 .No.: 40L8 j EXP : 06/97 MAIN BUILDING ACCESSORY BUILDING
4. r16/ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Datt�75 Contractor FRNT:
FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
/- NEP BUILDER DECLARATION:I hereby affirm under of perjury that I am exempt from the Contracted License Law for the
'lowly reason(Sedicn 7031.5 Business and Profession :Any city or county which requires a permit to construct,alter,improve, PARKING REQ: P ROV: PARCEL: 14102221 Z N E: REF N O:
ndeh.or repair any structure,«v to its issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES->
A licensed pursuant to the Provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of D111110113 of the '
Business and Professions Code)or that he or she is exempt therefrom and the bests for the alleged exempon.My violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than the hundred dollars lS50011. *********-******.******-*-*********-************************1E*************'*-***1E*****
ElI,as owner of the properly or my employees with wages as their sole compensation,will do the work,and the structure i mol intended D E V E L OP MEN T SERVICES R E Q U I R E M E N h T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License law does viol appy to an owner of property
who builds or improves thereon,and who does such work Nmaef or herself or through his Of her own employees.provided that such •- "
improvements are not intended o offered for sale.R.however,the building or i mprovemem is add within one yew of completion,the ZONING APPROVED' BY DATE: ,-
ownw-0uilder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner o the property.am exdudvey contredblg with licensee contractors to construct the prmjee(Swan 7044,Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does ml apply loan owner of property who builds or improves thereon and who
contracts for such projects with a wrnredol(a)licensed pursuant to the Contractors License Lav). - /
❑ Iam pt under Section: B.aP.C.,for this reason: APPLICATION ISSUED BY: DATE: a* w 6
**************t5******************* **** *************************- - -f- **
Dale: uww OwnerLEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby candy that 1 am aware of and understand the requirements of California Health and Safety Code Sections 25505,?Wan,end
25534,and that l or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from the Air-Management District.Residential conAwction applications are exempt from these
provisions. PERMIT 149 . 75 . 81
Date: Applicant: SM I P/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarative: ISSUE FEE
❑ I have and wiImainan a certificate o consent to self-insure for workers'compensation,as provided for Section 3700o the by Sion 3o Labor BUILDING-DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for «
the a en.w«kt«whit permit TOTALS----> 150 . 56 0 . 00 0 . 00 150 . 56 150 . 56 . 00
i] I have and wit maintan workers'compensation insurance.es required by Section 3700 of the Labor Code,for the ped«rnance of the
work for which this permit is issued.My workers'compensation insurance er and policy number are:
Carrier: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 150 . 56 OVER/SHORT: . 00
Policy Number: 2M5-JbUN112Z4 01 /01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed y the permit is for one hundred dollars(5100)or less.) 149 . 75 . 81
o I canny that in the performance of the work for which this permit is issued,I ehen not employ any semen in any manner o as to
become subject to the workers compensation lawn of California,and agree that R I should become subject to the wakes' *******************************************************************************
y`odnsa7iNs1°^ L/' 3700 d the Labor Codellhwth corn
n'Sthose provisions/1o. IND IV IDUAL FEE BREAKDOWN
e: Apdicant: � toil
&Jr
Warning;Felons to secure woken'compensation coverage Is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil noes up to one hundred thousand dollars(St04000A In addition to the COSI of compensation damages a provided for In �.�s
Section 3706 of the rorn°y's fees. SFR 8085 REROOF BY VALUE RESIiyp�iTa Labor Code,Interest,and atIAL NOZONE 1 .00 8, 065 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for theEND'S ^FEES
performance d the work for which hi penmi is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS: A www
Ind stale Laws
sewing this application utho idormaioentsorsa.Ipratt comply enterponall band oontydordinances �A��L``�
and laws urpisp to buiong construction and hereby authorize representatives of this cyto enter upon the abovememoned property `1_ `/jam
for inspection purposes.JIM CRANK
--tr ` a DaTKf fit—•y6 igNi TSR
ignature of OwnedAgen •pp •
•
(5151in.WP) While-Bu
eilding S Safely:Green-eery-Applicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING/ PC L SPA - -
APPROVALS Permit# • Date Inspector APPROVALS Permit# Date Inspector
I
1
1. Temporary Electrical Service of Pole . 11 52. Pool & Equipment Location,.
2. Soil Pipe-Undrgrnd. j i.1L 53. Steel Reinforcement ✓
'!3. Electrical Conduit Utility-Undrgrnd. . 54: Forms 'I 1.1
4. Electrical Conduit-Undrgrnd. '' 55. Electrical Bonding
•
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test ' f
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. _ 60. Backwash Lines, P-Trap, Y Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK t
11. Property Sewer Line & House Conhection 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 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 �w 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing x
/�/- J6 Cc, �(- 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy •
37. Final Factory Fireplace •
--
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backf low Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations 1'
47. FINAL STRUCTURE & BUILDING yf')j-G/& &Gyp
48. FINAL PLANNING v V lQ --
49. Electric Release to Edison
-50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
HAIWWSUtt HALL Ula' EAMII HOMES, DK:.OWNER - DATE DEC 1 1 1"2 yi_ )
JOB ADDRESS 31 illybrooke Lane BUILDING PERMIT NO. I ;mitt q
GENERAL CONTRACTOR Lifetime Res.Bldg. Corp. VALUE $ 197055.00
AP No. LOT 34 TRACT 4355 FIRE ZONE DESCRIPTION OF WORK Res.Watt.Gar.
INSPECTIONS Signature /DATE GROUPI & 3 TYPE V ZONE R1 •
Soil 4-4-4GJ-/G.61 PERMITS ISSUED
Gas 1 (../.." /.47-47SUBCONTRACTOR DATE NUMBER
Water . " f-/7-Cf
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating (�/ Q. O `� _.•(___-_ 4� d o76-6,3
Rough Plumbing i 'sj. wI., ,# 62 Ai-21-d& fi7,�9— ,/
Miscellaneous (/ /j ^`�q�,l,,,L
Prop.Swr.Line ❑ House Con. St.Swr. ❑ /4745V-14"G3 ( ' _;, z_drag.. ry6ar6. a?074- . i.
Sprinkling System / ili‘IC:
Construction Pole
Underground 0 Power ❑ ��
Rough Wiring Area 3'/Q-C"t .� /L/F(�i�—.A-4-__ _-/✓�-li3 / - .-v---=
lir' Forms L9" Steel Reinf. U /to, n-2.G-Cs-
Floor System e i-/7-4
Bond Beam 0 Steel Reinforce 0
Sheathing /p4"i/_f a-s=G3
Frame and Flashing i , 3-2-/-h3
Lathing — In p- Out Yr t. y_A,-63
Plaster, brown coat ,A--/O-63
Refrig. 0 Air Cond. ❑ Final
Heating, Final /Yl--S e,4/-6t3
Plumbing Fixtures, Final >-ti-G3
•
• 18416 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENTLot 34, Tract r4355pEE,19 0W2-D
P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely APPLICAtLl 1 @bIiQ% AMESA
TYPE OR PRINT S• ,,
BUILDING ` J_ r BUILDING._ . .. 5
ADDRESS y Z /I i�/ 6YaaA C '^a"•,L-
COSTA MESA. CALIFORNIA For Office Use Only
OWNER Harbor Hall of Fame Homes, Inc. RECEIPT NO. P$RJAIT,(ay
6
RECEIVED BY DATE peep/ED DATE ISSUED
AMDAIDRESSL P.O. Box 2066I
'---2-1--"° /d.�. /41,-1 DEC 1 1 196Z
CITY Santa Ana TEL
9-2201 BUILDING
ADDRESS
ARCHITECT Jamison . TEL544-0040 COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS 225 "D" St., Tustin FIRE ` 1�Iy
ZONE TYPE�i GROUP�J'T�f�
CONTRACTOR Lifetime Residential Bldg - BYPROVED DATE
Corp.
ADDRESS 2131 So. Artesia ZONING
ZON[ � NOOP USE OP NEW 9n' 4'4.4./
CITY Santa Ana - ING
(Saw yN •
STAE TEL.
LIC.TNO. 208676 - NO. KI 9-2204 LEGAL 3
Lot c./ 7", 3
/ S.S-
DESCRIPTION / L
OF LOT 6000' -I NOW SIZE NO. OON LOTF S o
A.P.NO.
USE OF YARDS EVES
EXISTING BLDG: None APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE GT.)
CENTER OF STREET 541 REAR YARD 32'6" FRONT G/
`5^/ FT. '—' IN.
SIDE YARD I LEFT 51 1 RIGHT 5' - R.SIDE 3 FT. IN.
DESCRIPTION OF WORK - _s---
L.SIDE FT. IN.
NEW I X II ALTERATION I V ADDITION I REAR 3 Z FT. C IN.
REPAIR I II MOVING I IIDEMOLISH I BY4 PROVED enDATE "A f C
BUILDING /vY O NO. OF r14'77,�
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF
COVERING • Shake
USE OF BUILD AND WORK TO BE PERFORMED
Single familyy. sidence
wi(f/a.,-th/v ity,, b il
,.....e _ 6o'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION TH- MOUNT SHOWN /DER VALUATION IS FOR THE
AND STATE THAT TN' -•VE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY •I ANCES TATE LAWS REGULATING
BUILDING CONSTR VALUATION ,J�, !-v �.,/ �{t//L
SIGNATURE - 1()`. PERMIT FEE $ ILS ' N
PERMITTEE �M.4 - *96----4-
J o ��7'D / R
$ PLAN CHECK $ %..J�S 0)w
AUTHORIZED AGENT /J /3 A, TO"7 •F tS3
E'�1 Y / -a yC
A( CJ7 •J _