HomeMy WebLinkAbout603 KNOWELL PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DAIVE, COSTA MESA, CA 92626
JobAddress: GO3 KNOWELL PL
Suite:
Vicinity: HOUSE & ATTACHED GARAGE
Parcel Number: 422 � 32�8
Applicant CASTIL, WILLIAM
Address: 603 KNOWELL PL
COSTA MESA, CA
Owner: CASTIL, WILLIAM & MARILYN
Address 603 KNOWELL PL
COSTA MESA, CA
Contrector: OWNER-BUI LDER
Address:
Zip:
Arch :
Address:
Zoning:
Phone: (949) 574-9893
Zip: 92627
Phone: (949)574-9893
Zip: 92627
Phone:
License: 0
Eng:
Address:
Status: ISSUED
Applied: 06/26/2001
Issued: 06/26/2001
ISSUED BY:
Phone: " . Phone:
Zip: License: License:
SCOPE OF PERMIT ,
REROOF EXISTING SINGLE FAMILY RESIDENCE�& ATTACHED GARAGE-(12 SQ). INSTALL 7 LAYER OF 30# FELT
UNDERLAYMENT & 25 YEAR COMPOSITION SHINGLES OVER EXISTING LAYER OF ROOFING: . � �
Plan Check: $0.00
Permit: $38.75
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $39.25
: - . -
SETBACKS "
MAIN STRUCTURE Front 0- 0
ACCESSORY Front ,0-0
PARKING existinq: o
NOTES:
_ _ _ _ FEE SUMMARY _ _ �
• - - Calc Valuation: �
Claim Valuation: �".
r ' � � � �
Rear 0-0
Rear 0- 0
Required: 0
PLANNING & ZONING_,'; ' �
:
Left 0. 0 , Right' �� 0- 0 ,
Lek 0-0 .. , Right, �0-"0
Pr000sed:� 0 � � -
si,000:oo
si,000.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis 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.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetions and tinal approval must be obtained. Failure to obtain inspections and final appioval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
244&d6 (6/00)
WORKERS'COMPENSAnON DECLAFiAnON:
I hereby affrtn under penaly of perjury one of the following dedaretions:
❑ I have entl will maintein e cerlificate o1 wnsent to seH-Insure For workers' crompensation, es providetl tor 6y section 3700 of the Lebor Coda, tor the peAormance of the
work fOr whiCh t�i5 permll i5 issued.
❑ I have antl wiil meintflin woAcere' canpanse�� insurance, as requiretl by sectlon 3700 of the Lebor Cotle, for the pertortnance of t�e work tor which Nis pertnit is iswed.
' My workere' compensatlon Insurence caMer and pdicy number ere: _
Cartier: Poliry iJumber: _
(7his secflon need nof be comp/efed il the Oermlf is velued et one huntlretl dollers ($100) or less.)
❑ I certity Ihat in t�a performance of the worN for which this pertnit is iuued, I shall not employ any person in any manner so es to bewme subjecl to ihe workers'
compensaUon laws of Calitomia, end egreb ihat it I shoultl become subject to Ihe workers' campensatlon provislons oi Sadlon 3700 of tha Labor Cotle, I shell forthwith
wmply wit� these provisions.
Applicam Signeture: Date:
WARNINO: FAILURE TO SEWRE WORKERS' COMPEN�T�� �ERAOE IS UNLAWFUT AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO GVIL FlNES UP TOONE HUNDRED
THOUSAND DdJARE (5/00,000), IN ADDITION TO THE �T OF COMPENSATION, DAM4GES AS PFWIDED FOR IN SECTIIXJ �OB OF iHE UBOR CODE, INTEREST, AND ATTORNENS FEES.
LICENSED CONTRACTORS DECLARATON:
I hereby aflirm that I am licensetl under provisions of Chapter 9(commencinq with Section 7000) of Division 3 ot Ihe Business and Prolessions Code, antl my license is In full
force entl ettect. LJc. A Class x
Coniredors Signature: Date:
CONSTRUC710N LENDING AGENCY:
❑ I hereby effirm Ihat there is a consiruction lending agency for the pertormance of the work for which this permit is iuuetl. (Sec. 3097, Civil Code).
Lentlefs Name: Lender's Address:
Sipnature: Date:
OWNER-BUILDER DECLARA710NS:
I hereby aifirm that under penelry of perjury that � em EXEMPT FROM THE CONTRACTOHS LICENSE LAW for the following reamn (Sec. 7031.5, Business entl Professions
Code: My ciry or counry whiih�requires e pertni� to wnstruq, atler, improve, demolish, or repair any strucNre, prior to its issuance, also requires the appliwnt for such pertnit
to flle e slgned statement thet he'or she Is Iicensed pursuem ro the provisbns of the Contracbrs License Law (Chapter 9(commendng with Section 7000) of Division 3 of the
Business and Professions Codepoi-lhat he bi'she;is,exempt Iherefrom and the basis for the alleged exemption. Any violetion of Sectlon 7031.5 by any epplicant for e pertnit
s �ects Ihe epplicant to e civil penalry ol iiofmore jhan frve hundred dollars ($500)J:
-��F.t C�
� I s owner of the properry, or my employeas with_wages as their sde compensation, WILL DO THE WORK, antl the structura is not intendetl or otteretl for sale (Sec.
7044, Business and Protessions Code: ThB Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himsetl or herseN or through �is ar her owri employees, provided that such improvemenis ara not iNentletl or oflered for sale. If, however, ihe building or impmvement Is
soltl within ona yeer ol completion, tha ownei-builder will have the burden of proving ihat he or she did not builtl or improve for purpose ot sale.).
❑ I, es owner ol the property, am E%CLUSIVELY CONTAACTING WITH LICENSED CONTRACTORS to construct the projeci (Sec. 7044, Business end ProfeulOns
Code: The contractors License Law tloes not apply ta an owner ot property w�o hullds or impmves Ihereon, and who coniracts for such pmject with a contractor(s)
license pursuant to ihe Comractors License �-ews.).
❑ I em exe�!f �t un e�sec. Busin ss an�
Signature:""�W
�Owner'ID v`enfieC by tlnveYs license. ❑ Ves ❑ No
Vedficetlon ot Ownerehip by (type af document, i.e. - properry tex bill or dead):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIfICATION:
tor�hi5 reasan:
Date:
❑ I hereby certify iha� no excevation five (5) o� more feei in tlepih inio which e person is required to descenQ will be made in wnnection with work authodzed by t�is
permi�, antl Ihat no building structure, scaHWding, falsework, or demdition or dismantling Ihereof, will be more then thirty-si: (36) teet high. (Chap. 32, Grp 2, An 2, Sec.
341, Title e, Califomia Adminisirative Code).
❑ As owner-builtler, I will not employ enyone to do work which would require e parmit irom ihe Division ot Industnal Safery, es noted ebove, unless such person has e
pertnit to tlo such work irom Ihe division.
Signature: Date:
Division ot Intlustrial Safery Pertnit Number:
CERTIFlCATE OF COMPUANCE AND AUTHORWnON OF ENTRY: I certity under penalry of perjury Ihat I have read this apD�ication and state t�at Ihe infortnation given is
wrrect. I egree to comply with all state laws end ciry ordinances relating to building consttuction, end authorize representatives of t�e Ciry ot Costa Mesa to enter upon Ihe
ebove-descnbed proper�y tor inspection rpose8. I e ree not to occupy or allow occupency ot any building euthorized by this pertnit until final inspection.
�G �2t�-D� -
SlgneNre�r )'-'T Da�
Antl/Or Authonzed APPlicant Date
COOE I. INSPECTIONTYPE
7818 FIxeO SySiem Final Fire Prevention
1286 Pool Spa Finel
200 Final Re-Roof
201 Flnal BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
20a Final Demolition
PAIE 1t�dL$
��ir, s�
COOE I INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Finel Elecirical
212 Flnal Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final BuilAing/Occupancy
D1TE L�NE4H
ME
. . .... _ .. .. . � . . .. .. . ,,.. , � ... . . . ._... ..,� .. . . ...._—. _�„ .. �.... . . �
OWNER ROGERSi K. K. � ' DATE S–l�i-7I1 '
be3
JOB ADDRESS -�ge Knowell Place BUILDING PERMIT NO. (y%(
GENERALCONTRACTOR
VALUE
LOT 22 BLOCK TRACT 2168 nwellin� & Garage
GROUP 1 TVPE V ZONE +uy FIREDISTRICT #486
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR '
DATE � �NUMBER
Trench �
�ion Forms and Grade to
to 91ab-- '� � �%� I�
,.___�_._ n � � _
Pole
I_athi
FixturesComulete �fa��V2-6
Wiring, Final
Ponn 21J GH 1M 12-68
'` C�sta Mesa Building Department ��� APPLICATION FOR PERMIT
�' � 111 EAST 20th STREET , 6 u' � D �� N G '
�^ COSTA MESA. CALIFORNIA '