HomeMy WebLinkAbout3002 KILLYBROOKE LN - Building Permits 1 ;Olit COSTA MESA BUILDING DEPARTMENT I 1, I.
P O. BOX 317 5431
COSTA MESA CALIFORNIA
FOR APPLICANT TO FILL IN
C.L. OF STREET----- BUILDINGADDRESSVOh a id 1.2_ E Ade.-
Owner
PROP LINE I fie ,Seq /40rn
_��_ _ 1"-IN
-\
- -- - - 12FT. 611T OR I \
10 FT. FOR 60 FT. STREET 50 FT. STREET I I Mail Addresc �'4isefr-
I City eosin XA: A. Ph. No.
I � I � r
Contractor Sel/' Ph. No.
I I Addresc 64,142.--
50
4.1'1ti50 TIIF FRON City Lic. No. State Lic. No
IOF PROP i_ - /
150 FT w Size of Lot/ 'X / 20 ' AP No. 1I 3 - - f
1- wi ! .- Setbacks: C/L Street (.5-(.5-15'5- I Rear/MY//1 C Ir�
w \ N i .
I w -I Side Yard - Right g / Left .j s
ai r a� v o Type of Fence Carle L/
wo ALLEY OR PROP, LINEN, (' -cc rj D ,LIN o nAz'JT/G//-
fT 1^ ��
J m
F:-; ..... .., 4 . I I hereby acknowledge that I have read this application and state
v ( z t that the above is correct and agree to comply with all City Ord-
1 U till)
4��- ` I a N inances and State Laws regulating building construction.
1i \ I'--- s, W' < Q o IW Signature /y q/ —
\1 I- . ¢ 10 of Permittee .C�-- �/1'
O
C.:'.:; (--) m FT Agent
ON o P-
37 a
. 6 IN. r 0.1 L r w ao FOR OFFICE USE ONLY
I • w 14 <-' F T 1
Z U o --1 Permit No.
J
a _ t"I.?-a4 N m a ,S'3 7/
0
! V 60 F ST. _I Received by Date Received Date Issued
rc
R 8 IV ED
- . -,,v. 7 - 1 — s 7 - / - s7
Ipp FT. ST. 4 ! ~ E s VALUATION ��
PROP. LINE t`
I_.._, -1! �.-- — — — .— _ —_ _ _eYi I Permit Fee $ -
j \ , r_/ dEPT . �3
INAN'��
CI Y OF ' IS4k MESA $ 60 Plan Check $
C.L. OF STREETSI I TOTAL FEE $ - .
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
PROJECT ADDRESS: 3002 KILLYBROOKE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06542C
OWNER'sNAME: PETERMAN LAWRENCE H
ADDRESS: 30002 02AKILLYBROMESA, KE 92626 PERMIT NO: B 065420 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: OTH
• ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O & REROOF W/COMP , SHINGLES SQ FT: 3, 100
ADDRESS: UNIT:
CLAIM VALUE: 3, 100 . 00 CALC—VALUE: 3, 100. 00 GROUP OCC: R-3 /
PERMITTEE: MARGAR ET P ETERMAN (714 ) 545-4462
ADDRESS: 3002 KILLYBROOKE LN COMMENTS: SMOKE DETECTORS ARE REQUIRED AS PER 1991 U.B .C.
C.M. CA 92626 **************************************+E***;r***********+ESE***;E*******************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 0l the Business and Professions Code. and my license is in full force and effect. SETBACKS •
STATE LIC.: CLASS:
p p ��� Signature' MAIN BRIARING ACCESSORY BUILDING
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WO ERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate at consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation Insurance, or a certified copy thereof(Section 3800. Lab.C).
POLICY NO.: EXP. DATE: PARKING REQ: PROV: PARCEL: 14116312 ZNE: REF NO:
COMPANY: PLANNING NOTES>,
❑ Certified copy is hereby fur^rniisshhf�d d.. ❑ Certified copy is filed with the city Building Division Diivision >
-Dale. /9. 2. I /_4_ Applicant: �LN'/L�i�'/'�A�.��• *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This seat) ed not be completed if the permit is lar one hundred($100)or less). D E V E1 L O P M E N T SERVICES REQUIREMEWITS
/J certify that in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become ZONING APPROVED BY
///% subject to the Workers'Compensation Laws of California. DATE
Date: Signature: BUILDING APPROVED BY
-
NOTICE:II.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor DATE: Q Q
Code,you must forthwith comply with such provisions or this permit Shan be deemed revoked. -
APPLICATION ISSUED BY: / DATE. 2 Z 1/
CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for iE iittlltt jiff
which this permit is issued(Section 3097.Civ.C). ********************** *********** * * ************************** **
**************'******************************************************.*** *******
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 63 . 00 50,/
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).
BUILDING—DIV—> PERMIT ISSUE .PLAN—CHECK TOTALPAID / C DUE
x I. as owner of the property or my employees with wages as their sole compensation, will do the work. and the TOTALS 63 , 50 0 , 00 0 . 00 63. 50 63 . 50 . 00
(•J structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale.If, however the building or REVENUE DIVISION TOTALS--> COLLECTED: 63. 50 OVER/SHORT
improvement is sold within one year of completion,the owner will have the burden of proving he/sh�Clilf�oAry jplL�Ve DET gLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING• PLAN—CHECK
for the purpose of sale). tt77���V/��`/KtLt... C/'�T(V�[� 00
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044 Business C l! S O ,•.
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or imprII• *,**,***,***,*,********,*********,****,***,*,***************,***,*,***,*,**,***, **,*,******
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law) i .i t�p��.�'�
that proof of their Worker's Compensation insurance should be provided to me. 1 t ,L�l.J INDIVIDUAL F E E BREAKDOWN t r
❑ I am exempt under Section: B.&P.C. /f
for this reason: / �� TYPE QTY DESCRIPTION UNIT COST , TOTAL COST
Date: /)-42- Z ! ` g Dvmer:�i������ti6A �e/ i. SFR 3100 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 100 . 00
do hereby certify that I am aware of and understand the requirements of California Healt nit Safely Code Sections 25505,25533,and END OF FEES •
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a i
permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from
these provisions. r 7"
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to e er upon the above-mentioned
property for inspection purposes.
0bl AI-2./ !_3_ Signature'. �g. L {+ ' DATE:0i 12/22-9325TIMEr C9:33:]I j 45: 5;2
�f�l�✓Y� 10I2652i00 2653: 0
Driver's License or Social Security n:
7
1641.4e White—Building:Green—Code Enforcement,Canary—Applicant:Pink—Revenue',Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# - Date Inspector APPROVALS Permit # Date Inspector
1. temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd, 53. Steel Reinforcement -
_,;� Ejectricai Cor t $Jtility•Undrgrnd. 54. Forms
c Electrical CantAlit'Undrgrnd. - 55. Electrical Bonding
-5-,,- - j
T;Si., eel Reinforeer'IRnt ' • 56. Rough Plumbing & Pressure Test _
▪ gt.tbeectrical UFER'Tirnd. 57. APPROVAL TO COVER-GUNITE ' i
t';"r.
potings 1'"- 58. Electrical Conduit-Undrgrnu. I :D 1
I
$:•Foundation . • 59. Gas Pipe, 0 U^.drgrnd.,Test
J
°'.9. Water Pipe.Und€grnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
19. Structural Flodiystem 61. APPROVAL TO DECK {
-
11. Property Sewer Line & House Connection , 62. Backwash & Receptor Final v I
12. Sewer Cap 1, 63. Heater & Vent-Final • - 1
13. Roof Drains .3 64. Plumbing System - Final
•
14. Rough Plumt itjg nJ / 65. Electrical-Final 1
15. Rough Electrical-Conduit 66. Solar System-Final. I
J
16. Rough Electric Wiring 67. Fencing & Access Approval '
17. Rough Wirm n i
9 9e69 68. APPROVED FO R;i~'LP.S_7ERINO - ,
,
18. Rough Electrictl-T Bar Ceiling 69. POOL/SPA SYSTtQS k-rr.AL "
19. Rough Heating & Air Conditioning FIRE DEPT. REOtII'I17).1ENT '
2011 RoDgh•,Eactary•Ei,neplace T , APPI'OV�CSts : PSFfnit/_1i >'
' -Q , 1 - .^ .. 1 • Int i .'..10-4-, - L,
4
21';Digts,aq Stauctfe- s 7 r-t 70. .gndergr¢t.rd I-fgdr¢ s4�
H
22. Ducts, Ventffating'- 7: t S 71.{Produ -
23;1 Gas,Pi Ro h & Test t 11 ' -, -1
R� 49rt t -t .r, r1, 72. Underground Frush�s
24: Roof Foaming nt ••i-, 'T1 7r" a 't 73V Undergrrid.Sto1-1:AZ. '0 Gas 0r0i1 '
25. Ra f S athin - ' '
q l� g ;.e :"12�-Z'3�QJ'�s�+^��' 7tr•Qvarhead�HvdrCrl"�• .
s
26-.-T-5sr Ceiling (StructM
tura!) onocoat r• ii + 7F;_4Dry Chemical '7 4 '• -
rn
27C-,Fra,me and Flasfint1 J „a t. _' 7• `0'Dry Star pipe v ' ' i
.d c +
-28. La{hing& Sidir5,:! of ;.„^, ' __ •• • . 77T: FIXEDS`t2TEW-FINAL. =J O
'-�3:. r" r'•_ t. r - -- • v - -
' 29. Insulati&i n;y ''' s " •• • h- i i i*. t PR x. o; w
30. DrywalhNadingstr .. �+ .-i i-k1EALTIttDEPT,rREQUIFL€MENT
-�31, Plaster4rown 03a4 , r,, {, ;" t.,, 7I' FINAL I$JSPECTiON * c r .>
-. 32;Electrical Power, Meter-Final• `�' N _ j Lr • t+! 8Qr, FOOD CERT)IFTCZTE ISSUED
33�ZFi i I EJ-@ctric =y 3 < ''; l Is, Y M Notes: sr e _ n i
C^ 1 ?,
I^ ata I +-rte!--�,- i I I; , T,
,j 34-Fi0. 1 lli &,;,1;r fctcd:tiP ^S* , 1 � f i:. 5 .. c
,� 7 t Tt Y; r r-,rP a
I �A - e .. Ik irl•� • .r -.
• '1 ' r1 (-1”-1 4 r,,^
•- 36: Hcod or.Canopy f' ,. _ H C1 1 y f�T -rill
_
~.
r
_ -, t...21.1-. 1.01. x m a Ti r ,-4-37%Fnald'ctory Flip$late • j
�
-38. Fi�al Plymbing s N I ., 1 = i- x s 0
.� - t_______. ..:.
---
[_•39. Water Service-Fend( •.M { i. > n r1 ti
,-. -.a T . 1 r. -. .4
0.
,▪40. Gas Service;Final,, ,, s x is ; J o °C. „i 1I
41, Solar DomesticEtriaL •• 4 Cr 1 Eta dr_ -
•1 _t m '1O r ;; CJ
-'42.Backflow PreveAtej n , J i 1 :, ,, -r 0 • , c ,i
43. Backf low Irrigation -:.SS * '• I CHC i-, 3 ",
5, s 5r x i 0 i * -
i
c.44. Landse.ii1rigatipn Systerrp,r71 a a n, r7 .7 'Jx ! c, .J -n[J itr ^J .-
\., capJ
;t ` : :: _ 7 - -1c-4r
--4rY:Sound Atteludti ti•^,.• m 2 r x , iti ^• J x
Itr-i
.46.;;Handictfp Regulati§ns :- - K `r •• „x ., d". x • -�-
x
47i FISAL STRUCTURE & BI; LDING- l`L -�,C� i ' '- ` --9...-,..„- -`w- _,G`t�
48_FIgAL PLANNING -ft * ti c
1
rlJ 4J "-�[-'
=49:•ElgatricRelease tot.Edison x I - x .n
50`Gas Rebase to Southern Canforgja Gas Co „ 1 - -- Y Cr' , y?� :T
51. CERTIFICATE OF OCCUP}JtCV t _ ; , :,..; r,
No. Date
OWNER SCHMOYFR, A. H. DATE 7-1-57
—
JOB ADDRESS 3002 Killybrooke Lane BUILDING PERMIT NO. 537].
G�E I A ONTRACTOR Owner-Builder VALUE $ 11oo.00
117AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK Fence
GROUP TYPE ZONE PLAN NO. _5)31
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Trenches Forms Steel 1.----fel: 91-,..-4-7
Floor System
Steel Reinforce Chimney Re-Rod
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 /o __
OCCUPANCY /42,01,,0,-e /- I. •-.CR
Form 210-5M-1-57 071,,
OWNER College Mesa Co.- DATE 9-15-55
JOB ADDRESS 3002 Killybrlooke Lane BUILDING PERMIT NO. 1758
!
P GENERAL CONTRACTOR The Hale Co. l - VALUE $ 8,000.00
LOT 19 BLOCK TRACT 23141 Single Dwelling
c
GROUP I TYPE V ZONE R4 FIRE DISTRICT 1774
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
. p DATE NUMBER
Footing Trench '. :- / .ti:{. •
n" ,t
Foundation Forms and Grade to Garage _ .. 9 '?9 3 ✓ `L
Rough Framing -tesla' /2--Z -..7 //� ////
Plumbing,Rough to Slab"afsSC �6 9-�-S.i fr�i ...,12�t�,.., "L.„i_..._ /O-/9-SS baa a
Plumbing,Rough Complete `ct� -/1- 7- Jp- U ft
Temporary Pole l /�
• Wiring, Rough 0,451-Cd r .- S /.0--, A- 7-4-5- /-.�6.1/
Heating,Rough
' Heating,Final t#4_4(p_„-„.,i ..---k- 7-J 3 0 .2 or
e Sewer, House Sewer,St. O7 1 d--4---X-,J (/( //_,?3-55 .3`-4C&S,
Septic Tank or/�Cesspool
Lathing, Ina/,. y'6hout$ n--8 /,$.`2--
Plastering t -4 /-S 1
Plumbing,Final,Fixtures Completete 3j-.-,- IIII
Plumbing,Final Gas Test ZO D C,1j 3 -,2,�- - ,0 `/e.IQ QJ 'Irk:
Wiring,Final Complete:
r! _ // t-_ _`
Occupancy 4.e,x, 3-23-a
w,...... .nnr ulSnn,FS
pcosta Mesa Building Department APPLICATION FOR PERMIT
1 111 EAST 20th STREET 1774 BUILDING 1
�,!- COSTA MESA, CALIFORNIA
`- FOR OFFICE USE ONLY
FOR APPLICANT TO FILL INReceipt No. Permit No.
Building
I Q
Address 3002 Killybrooke lane /7�O
Costa Mesa, California R_eeccc/iL_ed by Date Redd. Date Issued.S� ,
Nearest - i. 9-7M- < RC I- 7 /3 '1
Crs St Baker Avenue Building'
os _
Add rets
Owner College Mesa Company Costa Mesa, California
Mail
Address 8002 Central Avenue Nearest
Tel. Cross St.
City Garden Grove,, Calif. No, Le 9-2158 Zone ,(J� I No.of I Type Group •�-•
Architect or Lic. !P Plans Engineer Davis & Quigley No. (:-1490 ' r ApproVed
by Date
•
Address43 Malaga Cove Plaza,Palos Verdes CORRECTIONS
City Lic.
contractor The Hale Company No. 3422 'Id
Address 8002 Central Ave. ,Garden Grove .t� b
Legal Lot I _.J 1 u i'
Description I No. 19 I Block I Tract 2341 rp
(Attach Metes and Bounds) ,A 11 liX
No.of Bldgs.
Size of Lot 8280 sq.ft. I Now on Lot None .Y 0 0
Use of I No.of I No.of ,./ /Lk' z
Existing Bldg. Families Rooms -r, - . y1
Setback Line from Rear Yard 40' 1 is
Center of Street 551 Side Yard 81 c/n I j
-
DESCRIPTION OF WORK .�•I i/ i r
New I x I Alteration I I Addition I JR ,
Repair I I Moving I I Demolish I V
Building No.of
Size 1270 Rooms 6 Stories 1
Exterior Wall I Roof —
Covering Stucco I Covering Rock APPROVALS
Use of New Foundation Location Inspector Date ,
Building Single family dwelling with Forms,Materials, .1
attached garage. Under-Pinning
Frame: Fire Stops, �i
Bracing,Bolts
I hereby acknowledge that I have read this Application :o
and state that the above is correct and agree to comply Lath.Int. •-
with all City Ordinances and State Laws regulating m'o
..
building construction. Lath.Ext. nil
Signature of THE HALE COMPANY ..+
Permittee --f-/I Plaster,Int. J
Authorized Agt. I tQ,/� 1�4 tr - 69� Plaster,Ext. 'R
HERMAN M. HALL r?.
Valuation / Permit Fee $ Cl '� O Masonry Reinforced
lr ` C 6 .- Plan Check$ 3. A a gond Beam rr. i
$ ") Total G a ^
k '
Fee - $ 77 3. --FINAL )
•FORM 204 S-RP 2M 0-55 .
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Street - • . ••
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PLOT PLAN . . . •
- -
Show location and distances from
property tine and between buildings.
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