HomeMy WebLinkAbout620 KNOWELL PL - Building Permits�
�
PflDJECT R�DFE55: 6 2 O KNOWELL PL
OWNEN'S NAME: FLORES � CRUZ
auoeess: FLORES DOLORES �M
� 620 KNGWELL ST
,�
'+ COSTA MESA,CA
ABC�NGMEEfl: '
AUOPESS:
UNIT:
92627
NEG.NO.:
UNIT:
PENMITTEE: WEST COAST CUSTOM ROOMS ( 714 ) 594-7547
aooeess: -Jg6 PINE FALLS AV
WALNUT CA 91789
❑CENSEO CONTflPtTON OECLAHATION: I hereby ai�irm I�a� I am licensetl under O�ovisions ol Chapter 9(commencing with Sec�ion
7000� al Oivsion 3 al Ne Business ana Professions Cotle, antl my license is in Iuil forc ana e�fed.
ciTv uc.: q 40 5 srare uc.: 471619 `"
�ate: _�— Signature: — _ _ _ ��'
WOPNEFS' OMPENSpTION OECLAflATION: I hereGy aflirm thai I have cetlAicale consen� to self-insure or a cetli�icate of Workers'
Compensalion Insurance. or a cenifietl copy �hereo� (Seciion 3800. La�. C�. �
roucrNo.: 1004744 EXP.OATE: OSIOlI9Z
camraNv: STATE
� CetlilieA copy is �ere�y tumishetl. j� Cerii�ietl copY i,7de�w�R'Ih cily Builtlin Oivi on.
_..,e'. APPlicanC
EXEMP710N FNOM WOflNE S' CO ENS/1TION UECLABRTION: (This Set�i neeE no Ce cam il �he permit is lor one hunere� (3100) or less�.
I cetlity Ihai in I�e pedormance al the work for w�ich Ihis permii is iSsueQ I shall nol e oy any person in any manner 5o a5 �o become
sublec� to �he Workers' Compensa�ion Laws ol Galiforma.
Date: - Signature:
NOiItE: II, afler making Ihis declaralion. you shoul0 6ecome sublect to Ne Workers' Compensation pmvisians al ��e Labor
Cotle. You musl fonhwith comply wi�h such provisions or ��is permit s�all be deemea revoketl.
CONSTBIICTION LENOING AGENCY: I hereby a�hrm tha� there is a con5�mciion lentling agency for the Oetlormance at the work lor
which Ihis permi(is issuetl (Sec�ion 3097. Civ. C).
LENUEfl:
A�OflESS:
OWNEH BUILUEfl OECLi1NATI0N: I hereby atlirm thai I am exempl Irom the ConVac�ors' S�ate License Law �ar �he lollowing reason ,
(Seclion 7031.5 Busmess ana Pmfessional CoOe: Any ciry of counry which requi�es a permi�lo cons�mcl, al�er, imprave, demolish, ar
repart any slmciure. Drior �o i�s issuance. also requires Ihe applican� for such permi� [o file a signetl sia�emenl iha� helshe is licensetl
pursuanl Io Ihe pmvisions a� Ihe Convaciors' Slaie License Law (Chapter 9(commencing wilh Sec�ion 7000) ol �ivision 3 0� Ihe Business
and Pmlessions Code� or tha� he/s�e is ewempt there�mm and Ihe basis lor Ihe alleged exemption. My viola�ion oi Sec�ion 7031.5 by
any applicanlior a permit subjects �he applicant�o a civil penaliy ol not more ihan tive �untlred dollars (8500�.
I. as awner o� ��e OmDeriy or my employees wilh wages as their sole compensa�ion, will tlo the work. an0 �he
❑ s�mc�ure is nal imenaed or oltereA for sale (Sec�ion 7044, eusiness anA Pm�essional Cade: T�e Contractors' State License Law
Ooes nol apply lo an ownei o� a pmperty who builas or improves �hereon, anA who Ooes SucA work himSelVherself or ihmug�
his Or �er Own employ¢es. pmvitletl �hai SUCh impmv¢men�s are n0� in�¢ndeA or O��ere0 for Sale. I( however ihe builtling Or
impmvemen� is 5010 within one year o� c�m0�e�ion. Ihe owner will �ave ihe burtlen of pmving he/she ditl no� builtl or impmve
tor ihe purpose ol sale).
I, as owner ol the pmpeny. am excNsivety conUac�ing wi�� licensed mn[rac�ors to cons�mc� �he pmjeci (Sec�ion 7044, Busine55
❑� antl Pmiessions Gode: The ConVacmrs' Stale License Law Uoes not appty m an owner ot pmpeny w�o 6uilOs or impmves t�ereon
and who COnlraCls lor Suth O�oletls with a tonlrac�or(5) liCenSe OursUan� �o Ihe Conirat�ors' Siate'License Law�. I am aware
tha� prool oi �heir Worker'S Compen5aiion insurance should be pmvide0 �o me.
� I am eaemp� under Sec�ion'. B. 8 P. C.
�0� IAiS �Ed50�:
oa�e: ow�e�:
I Oo nere�y cenily tha� I am aware af antl unaersland Ihe reQuiremenls o� Caldomia HeaVh anA Safely Code Sections 25505. 25533, an0
25534 antl I�aI I oranylu�ure bmlding occupaniwill/will no� (circle one) need lo comply with saitl s�a�e codes an0i�erequiremen�s�or a
permit for consimclian or modilicalion Iwm the Fu Ouabry Managemen� DiSVicL Resitlen�ial cons�mction applicalions are exempt trom
I�ese pmvlslans.
Date: Applicani'
I her¢by cenitythat I have rea0 �his applica�ion an0 siate
ortlinances antl 51aie laws relaling lo building consimc�ion
pmpetly �ar inspe �on purp ,es.
Oaie: ' 2 Signawre:
�river�s License or Sociai Securiry a:
inlormation is correcL I ree to compty with all cily and county
nee.�eD�esentativysoit scitytoenteru0ontheabove�mentionea
t6<La6 Whne—Bmltling�, Green—Gotle Enbrcemenf. Canary—ApplicanL
Galtlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05362 ,
�PERMIT NO: B 053629 PLAN CHECK NO: 03298-91 S GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE: OTH
JOH DESCRIPTION ; PATIO ENCLOSURE SQ FT: 22g
CLAIM VALUE: 3,500.00 CALC—VALUE: 8,299.20 GROUP OCC; R-3 /
COMMENTS: PATIO ENCLOSURE `�
x *�r��rr�**�r+��*��e***�**�**+�*�r�r+r***�r�rx�***�rx******************�rx��r**�r***�r***+�***�*+�*
Z O N I N G R E Q U I R E M'E N T S
S E T B A C K S
— f9AIN BUILDING — —
FRNT: 30 FT IN REAR: 20 FT
LEFT; 25 FT IN RGHT: 19 FT
PARKING RE • PROV:
PLANNING N TES> 228 SQ, FT. PATI
>
*�e*�**�r*�r�***�rx�*�*�r�****�r�r****�r
/
IN FRNT:
IDi LEFT;
D E V E L O P M E N T S E R V I C E S
20NING APPROVED BY .
HUILDING APPROVED BY :
APPLICATION ISSUED BY•
klFitiFkfEfElFif �FiF�kaE 1Eif �f IE1E1flEIE
k itiF M iF iF iE if kik ikfkfk 1k ak iEif iE iE iE if �f 3F �Elt iE iE if 1klF it �F 1f iE If 1Flf iF
LEGALIZATION:N F E E
HLDG PMT PLUMBING ECTRIC
---- ACCESSORY BUILDING ---------
FT IN REAR; FT -IN
FT IN RGHT: FT IN
119 ZNE: R1 REF NO:
AN EXISTING SFR,
3k �FMiflkiF iF 1F ik df iFif �E if if 3f 3E 1E M k it iF it iF �F k iF if �tiE aF IE it
' R E Q_ U I R. E M E N= T� S
� DATE: , P�—�1
DATE: _'��
� DATE: �=—S
ik�t ff if iE �k 1f� if iF �F��FiF�F if
if �E ik�f iE �f 3E �t aF �f iF if iF iE 1E iE iF iF iF ik M af iF �f �F if k 1f if �F *�F if
U M M A R Y STRUCTURAL SEGMENT;Y
MECHANIC FIRE SMIP/RES GRADING
PERMIT 108,00 .83
SMIP./NON—RES
PLAN 70.20
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS---=> 108,83 0.00 70.20 179,03 179,03 .00
REVENUE DIVISION TOTALS--> COLLECTED: 179.03 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
108.00 .83 70.20
M �F �F iE iE �E iE 1f IE iE iE if �f if if if �F iF IF fF M iF if k itlE if iE iE if iE iE iFif if if iE iF if if If iE �f 1f i! aF �f �f iE�E �E iF �Fik�F iE �f iE iF iFif iF iE±F �f iF if M iE jF if iE �F iE if �f iE If iE
I N D I V I D U A L F E E B;R E A K D O W N
TYPE QTY D E S C R I P T I O N UNZT COST TOTAL COST
SFR 228 RES—PATIO COVER—ENCLOSED PATIO 36.40 6,299.20
END OF FEES
C
a� o�cs5�3v-oao�sg�s T�E7
UATE: OE/23/91 Tifit: 1�e29
P
I �CONSTRUCTION AND PLANNING , - p001 oq '
APPROVALS Permit# Date Inspector qppROVALS Pennit# Date Inspector
- -A r
1: Temporary Electrical ServiQ�o�r�Pole,,� "� � 52. Pool & Equipment Location
2. Soil4�ipe-Undr rnd. `� o� 53. Steel Reinforcement -
�.- .-, �.
�3u�c��,��.ical Condu�t�,I�lity-L'�riilrgrnd�� • � 54. Forms ,
04�'7t8�ttfjcal Conduitr3l�rgrnd. ' 55." Electrica� Bonding --
n: :. •
F5" ${"� einforce �e�it � 56. Rough Plumbing & Pressure Test � f
s �� �`� :<
36G�tewQical UFE .�tnd. t� 57. APPROVAL TO COVER�GUNITE .�
.-..-.
`�7?�Oo� gs �J� ^� 58. Electrical Conduit�Undrgrnd. �•
JB.�oundation Frj �' 59. Gas Pipe, O Undrgrnd., Test �`-�
9.aA/ater Pipe�UndFgr d. ' .� 60.� Backwash Lines, P�Trap, 0 Undrgrnd. .,
10. Structural Floo,r,�stem " � � 61. APPROVALTO DECK . �
11. Property Sewer�.ine'& Hocae�Conr7ection . ' 62. Backwash & Receptor-Final .
r� M .�
12. Seviei Cap -" � � 63. Heater & Vent-Fihal
:� ci ^ a.
13. Roof Drains �' , V�' . � 64. Plumbing System - Final ' ��
14. Rough Plumbiri,g� °' � 65. Electrical-Final '
15. Rough Elecirica�Conduii " 66. Solar System-Final
16. iiough Electri�iring 67. Fencing & Access AnProval
17. Rough Wiring Sjgn � 68. APPROVED FOR P�ASTERING
18. Rough Electric�l T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
S tr'ti�r� t;, .y [� �J
20.bRo h R3ctda Flieplace i x,r, ��-y :i: O D o'x � rqPPROVA'tl9���ermit # � S+ ';•
il7 x i M :1' �' e-1 "'� Y Y � n, F: �--� 2
�--i S: i F'-' :� �K t-� *. :r n7
21.�:Du�t�s, i�Strqctu_ �.... �...,,5 * S C ��x *'- 0. cideFgqey�d�Hy,�ro w
22. DuGB, V�t�intiAtin�s t :�S �i: �� S K'x. <-v. �, produc• �iAg C2J1yes �bi�
r i o r�� a �. -� H�,.. � c-, : p,
23.,{',afr,P�ip�-�' iot�h &"�Pst � tn,S ��,.� �, a O� M�Z• Undergfouryd Fly��
� ;-
t' t N
24.r�io Framing• G* i FF ^F x> O.^� u� z�3.RUndergm�Stora ank �Gas OOtY
�- ' n >.
25. Ro`f S"thin H* � N �s ['7 t+7 O Cu* x. �+ Hl-H� �
°�+ � 9 ;1= .q v :« d � Nx � �4.�)verh�ad i�-IydroO .r
V . I'. ✓ . .V .
26;tT�8,�r Ceiling (Sirtnaurall &,$}onecoat �n * u7 p!%7z :: 75.� ry CFremtical `7 :t �� G K
27.�reme�nc1 Flash �� � S m N
�� �7` w� �Kx �.r: tr' Y ta� � 76.�Y S�tan��e i-a7 a. i
c � -� � - � , ✓ i . • �-. � �
'28. Lathing�.& Sidingti:i� :�: '-]eG� tX� * � ••i ••� * 77.GFIXED S'W97EMU�7NALw � �
�'29. Insulati� ?'.,�* � S I ��. F M ' i � 78�FIRE PREV. Flf�l,k{. K� � O
��30. Drywall.�SlaiF�q X� �Ju�- a� I � MEALTH�EPT�G}EQUIRfMENT
.-.
•�' 1. Plaster &owljCoat' � ^ C" �' ` � ,z.79.�INAL IfS�EECTI�lJ �` � �' =
.# S I !T' P" K M . . * . .�... :X i,-0
:L v , .^ . ' ' � � r-� � r-i
:�2.�Electricgb Porder MqtGtdFinal �� r-, .:� N I .*,�:$O.rsF00D CEF�TIFI�RYE ISiiUED i
�
.J3.�in EI'ectric F ! ` r � i . `. `-riVo�s: � �y� � �
x r•s � 3r•7 � * '-i ^�m �'-� G;'1t*�
� 4,-f in Heatinyj& Air or�ditio�,r�g� ;jn * i y>; � „�-, tl;L * S �7 �
�
' 35:�'Finat Gas Pi�'i"e�Test* -'� 'yC � - t r ��' '•h� * �'" MO
� ••N � �-; x �, '�= o t7i- .r :_;�•
� rQ36�Ho�.d or CanoPY � p� ��ry n.iF �, {; I I �Lw +. E� i^-a � �x [rm �
+ .1 Y 1
I 7.�in51 Factory Fire(i1�al'A_ 1 S[r c� .w ['�1 ( �*' T �. ,-•t:1
a� .�: I i-+F �+F y' .�k :! t-�N
.. . , . wV 4 ~ �.�
��8<finpj Plumbin9 * `N � .. . � .+- � S �-! .r tn
:�(39-Waflh Service=Final� J � ti5" x � x C� 'vt*± x x
:L ct 1 x G . x -+ O: �y
� �40�Gas Service��nal x� a�.r� sx >. t*1 ��r Ca� oN x�
s731 rSolar pomestocFinal S C1 ���:V * pi I �?� ¢o r-� y: ^
� �: n: x tr �w m � x a
� i- co a'-: � a t » r-; � ,.
� 42.�ackflow Preventer;; N �S * � f I?� * k �� • * C7 f+
43. Backflow Ir ✓ation'� 45S � � Y� xi-+�+ i. Q (o
��: - tu .�X +: 7 CJ � M il
,�,�14. Landsc�pe �P�igatio�a Systerrym� rx� � py p G C7,!� � t; N N -+ 'xL'J :� N c
� �-�R:F C� t� H F F�.x :1 t-? ri Cc� tt'.rP x.' '
I� Say5.CSound Atte�ation
: � � •. x c�1 m.v. � EJ a C �C • F•d w �
� 6�;'�iandi� Re�ulatio�is ti � x � � � � * �; � S C7c...• :5 :t �
II �47�1 AL STRddCTUI�E & BUJ'hDING , * '7 !'�� � >.
I � r- i :« � C .R ;�
48�1l�L PLA1t1NiN�: t [r[* � � � r . �. �
1 L-i-- r lJ x l� .h �L "r. E- �-a
c49ofleqtric Release to �Edison i x � �». E iz i + , cn
�. y: � �c .r;I� x :r
c;f »� �: S v O � .r + i a�
,�50.�Gas�el2�se to Sou�em Cali�q[{�i� Gas Co ;; i �. ,* F. F.: G• oM • x O •
�51. CE�TIFICATE OF;:OCCUPA� v x w r .^., n;o :=c = i-• o
No. Date
i'
�
Pfl0.1ECT AODflESS: 6'1O KNOWELL PL
OWNEN'SNAME: FLORES� CRUZ
aoosEss: FLORES DOLORES M
; 620 KNGWELL ST
� � COSTA MESA,CA
AHC�ENCINEEN:
AOOPESS:
UNIT:
92627
NEG.NO.:
UNIT:
PEflMITTEE: WEST COAST CUSTOM ROOMS ( 714 ) 594-7547
aooeess: -Jg6 PINE FALLS AV
WA�,NUT CA 91789
LICENSEO CONTNACTOH OE LAflFT10N: I here�y af�rtm ��at I am licensetl untler pmvi5ion5 ol apter 9(commencing wiih Section
7000� ol Division 3 0l t�e Business and Pmiessions CoUe. and my license is in �ull �oae and el ct.
CITV LIC.: STFTE LIC.: 1A55:
440 5 471619 H
�aie'. ' - SignaNre: _ _
WOFNEflS LOMPENS TION OECLAHATION: I OeB�y al�irm that I ha a Ceh tat¢ ot Sen� IO 5elbin5ure or a cetlihcate o� Work¢r5'
Compensation Insurance, or a cetlibee copy ��ereo� (Seciion 3800. Lab. C�.
POLICVNO.: lOO4'�4q E%P. �ATE: OS / 1�97
camraxv: STATE
� Certifietl wpy is hereb fumisned. � Certified cop ' ile4+ in the ciry B iding � ision.
.,a�e'. ApPlicant
E%EMPTION FHOM WOHRE S'COMPENSATION OECLAflATION: (This ction noibe OleteOil�he permitisloronehundre4�5100�orleu�.
I certity Ihat in Ihe peAormance ol lhe work lor wh¢� Ihis permii is i55ueA. I shall no mploy any person in any manner so a5 �0 6ecome
sublec� Io ihe Workers' ComDensation Laws oi Califomia. ,
Da�e: Signamre:
NO710E: If, after makmg this aeclaration, you should become sublect m ihe Workers' Compensation pmvisions of the La6or
CoOe. you must fotlhwith compty with such provisions or ihis permit shalt Oe tleemed revoketl.
CONSTqUCTION LENOING AGENCY: I �ereby aftirm Ihai Ihere is a coretmc�ion IenOing agency for the Oe�ormance a� the work for
whlc� I�ls permn is lssuetl (5ection 3097. Civ. C�.
LENOEP:
AOOqESS: ' � - '
OWNEfl BUIL�EB DECIABRTION: I �ereby ailirm Iha� I am eKemp� �mm �he Comrac�ors' Staie License law br �he �ollowing reason
(Sectmn 7031.5 Business antl Pmfessional Cotle: Any ciiy of counry whic� repuires a permi� to constmci, alier, impmve, demolis�, or
re0air any slmciure, prior lo R5 issuance, alsa requires ��e applican� lor such permit �o file a signetl s�a�ement �ha� he/she is licensed
pursuant to Ihe pmvisions ol the Caniracmrs' Slate License Law (C�apter 91�ommencing wilh Seclion 7000) of Oivision 3 of t�e Business
an0 Prote55ions Cotle) or �hal he/she is e�emp� �heretrom antl Ihe basis �or Ihe allege0 eeemplion. Any viola�ion ot Sec�ion 7031.5 hy
any applicani lor a permit sublec�s ��e applican� to z civil penalry of not more t�an five huntlre0 Oollars (5500).
I, as owner ol Ihe pmperty or my employees wilh wages as Iheir sole compensation, will tlo the work, antl �he
❑ s�mdure is nal imenaetl or ofieretl lor sale (Section 70aa. Business anA Pm�essional CoOe: T�e Contractors' Sta�e License Law
does nol apply to an owner o� a propetly w�o builas or impmves therean, an0 who does suc� work himself/hersell or thwugh
his or her own emploYees, pmvitlea �ha� such impmvemen�s are not iniended or ofler¢tl lor sale. Ii, however ihe builtling or
impmvement is 5o10 wilhm one year ol comple�ion. �h¢ owner will have Ihe burden of pmving he/she tlitl no� builtl or impmve
, br Ihe purpose of sale�.
❑ I, as owner o� Ne pmpeny. am exclusively camracting with licensetl conVac�ors �o canstmc� �he pmjec� (Sec�ion 7044, Business
antl Pro�essions Cotle: The ConVac�ors' S�a�e License Law does noi apply to an owner ol pmpeny who 6uilas or imPmves Ihereon
antl who conlracis br such pwie��s with a coniractor(s)license pursuanl to Ihe Coniracto¢' Sta�e Litense �aw�. I am aware
�hai pmol o� Iheir Worker'S ComOensation insurance shoultl be pmvitletl �o me.
� I am exemp� untler Seclion: � B. 8 P. C.
for �his reasan:
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: E 053630 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYpE: ELE
JOH DESCRIPTION : PATIO ENCLOSURE
CLAZM VALUE: CALC—VALUE:
PERM NO: E 05363
GOVT: N ,SUPP: N
PURPOSE; OTH
SQ FT;
GROUP OCC: R-3 /
COMMENTS: REF B53629
*�t�r****�t�t******�r�t* ****�t*�r�r**�tx�********�t**�t�t�r*�tx�*�t�t�*�r*+�*+r*�t****�t�t�t�****ir***�t***
Z O N I N GS EATEH�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING'--=------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL; 42213119 ZNE: REF NO;
PLANNING Nt51'ES>
)
iF iF �f iF 3f it if iF if it �f iFiF IE 3t 3F k 1F iF �k if iF M 1Fik it if iElt �t j! k if 1f iF if 1Flk 1flf �t �f 3k 1f af 3f �f 3t �f it �f M3flf M 1f 3FlF if if ±F if if k iF 1f it it iF iF if if �if iE if �F�f �F iF
D E V E L O P M E N T S"E.R,.V I C E S R E Q U I R E M E N T S
ZONING APPROVED HY � �:: '• DATE:
BUILDING APPROVED BY ;
APPLICATION ISSUED BY;
iF lkff If iF If If jf if �f iE �FiF iF iE iE iEiFiE iEiE 3f�f
iF iFiF M iF 1F iF iE iE it �E �E iE 1f k 3E 3E1kik 1F IE �F 3E
LEGALIZATION:N
,y" ,
F .E E
DATE:
if if iF 1F MlFif IF �f iF �f if if �f k if IF�k �t ik IFiF iF iFif if �k±f iE 1kiF iF ik iE iF 1F if iF
M M A R Y STRUCTURAL SEGNENT:N
BLDG PMT. PLUMBING - ELEC IC MECHANIC FIRE SMIP/RES GRADING
PERMIT 2 25
S`Ot SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSFJE PLAN—CHECK TOTAL' PAID DUE
TOTALS----> 2.25 15.00 0.00 17.25 17.25 .00
REVENUE DIVISION TOTALS--> / COLLECTED; 17.25 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
% 1 % , 2 5
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-- I N D I V I D U A L F E E B R E A K D O W N
TYPE
Dale'. � Ownec I
I no hereby certify tnat I am awzre of ana unders�and ine requiremen�s of Califomia Healtn ana Safery Coae Sections 25505, 25533, ana ELE
2553A antl that I m any Wmre builtlmg occupant will/will no� �circle one) neee �o comply wi�h saitl state wAes antl Ihe requiremen�s lor a ELE
permit Im conslmclion or modification �mm the Air Ouality Managemen� �istricl. Resitlential canstmc�ian apDlicalions are exem0� �mm
IIICS¢ prOvi5i0n5. -
�ate: ApPlicant: _
I �ere�y cer�itythat Ihave reatl�Ais apPlicalian and s�ale ih
or4mance5an�5lalelawSB Iingtobuildingconslmdionyil
properry tor in ection pu oses. .
Oa�e'. SignaW e
�nver's �icense or Socwl Secunry x;
i6<t�a6 Whne—Bwltling�, Green—Cotle Enbrcemenl;
I agree.�o compty wi�h all ci�y and counly,
ihis ciiy lo enler upon ��e abave�mentianed
Goltlenmtl—Assessor
QTY D E S C R I P T I O N
2 RECEPT/OUTLET 1 ST 20
1 RECEPT/SWITCH 1 ST 20
END OF FEES
UNIT COST TOTAL COST
E�1. .%5 1.%S
V'
�J? 04+09593?—�G09593i �e=1 i 1� o?;
DATE: D3/28/91 TI�1E: f��'s0
CONSTRUCTION AND PLANNING � POOL 'A _ �
APQRO}!y4LS Permit # Date Inspector AppROVALS Permit # Date Inspector
t
1. Temporary Electrical Servi� or Po� �c, 52. �Pool & Equipment Location . ,
2. Soil�Pipe•Undrgrnd. �� o� . 53. Steel Reinforcement �
v �
„�� ��ca� Condy�a�l�IitY��drgrndy"� 54. Forms . � �
o4q:EettAcat Cond iui.� rgrnd. � ' � ' 55." Electrical Bonding ,�
nv..- ..
J5'St`�'�ieintorce�e�t ,,. 56. Rough Plumbing & Pressure Test E
v� iv< < . ...
3�'�lenttical UFER,�iSnd. t� 57. APPROVAL TO COVER-GUNITE �'
�7?�pstf gs �"•^ y 58. Electrical Conduit�Undrgmd. a
�8. i�oundation -t�.,,-j °j � 59. �Gas Pipe, O Undrgrnd., Test �"�
9. AOater Pipe�Undhjr d. ,_ , 60. Backwash Lines, P-Trap, � Undrgrnd. - �
10. Structural FIooCSystem � � 61. APPROVALTO DECK •
1 7. Property Sewer�ine-& House'Conn¢tion ' 62. Backwash & Receptor�Final
•o � •,
12. Sewei Cap � � , � ; 63. Heater & Vent-Final ' .',
13. Roof Drains � y � 64. Plumbing System - Final
14. Rough Plumbiri� �' 65. Electrical-Final
15. Rough Electrica�.Conduit 66. So�ar System-Final :
16. Rough Elettric�Viring 67. Fencing & Access ApProval
17, Rough Wiring ��n . 68. APPROVED FOR PLASTERING
18. Rough Electric��1•T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � �� FIRE DEPT. REQUIREMENT �
-� b`rtC;� tC ac F �
20..�Rou�h F.a�ctd Ffieplace i::m �4'; * O D o'* r: [APPROVA'tlS���ernsit # _ '
:� tC t > Mc I� r - .k :-1 . C% *. JI--� '� x r
21.iM' uq[5, iq�Stryctuf$� � FH hS w; �+ �'� �.�L Is? :v �
S d r-iY: X 0. � dergqo�jd:Hy�ra .r.
22. DuG1,�E, �lentiAtin�++ i CJS * S `� �- 7. ProducdP�ir4g C�s QOiI
23.', as�Pi e- o h&�T'�est � a ��' S '"i* :t ` �
f� � P,� �+`~9, a RfS Y� M °T d 4* * i-72. Underg�ovfl� Flus�j k �„
24.��Roo� Fr6mirig• Mx t FF •-F M: O�' r� �� �3.'=Undergm�Stora ' ank �P] Gas ❑ 0'rP
25. Roo�Sh�thing �k � �� '`' M `-� � �'� � �j4.`�' verhead �ydroF'H �'
C:� eG v :K O > iJM :r l"� O x.
26.r�T�Ba7 Ceiling (Stcuctural) &,$Oe��vcoat �� } m C tah. a� 75. - ry Chemical '7 :i: N C �
[ 'l
27 �'Frame a� Flashr�`q�* ^� * 's '� �� 76.FDr Stan�e �� '� 'S �'' `�=
��� � ^✓UCcK fi C � G7r: t. Y F41 .� i*].•
' �28. Lathing, Siding � � Fsy x :K �: ••�xF. x 77,v'FIXED S``Yi�TElbT?�NAL� � !-•y
�29. �nsulatiaii ' a ~' ��'� � � m �'�' 78:""FIRE PREV. FI *' �''
:Y S �I :k � �R� Y: � bC a3
V .i ...� .
t�30. Drywall�lailing :'r' ?�� �.+� N k4EALTF�hJEPTxR�EQl11R ENT
� � . , .-,.... n
�31. Plaster �,own,Coat� S i Crt^ * � v �,79 �INAL It�l��ECTI�J; a-'-' �`"x
>;
�-32.nElectricghPov¢er MetenFinal i � N �: � ,�$O.�.fOOD CERTIFIC�Y•61SEUED �
N �
N33.�in� Elc�tri�y � !i7 � e+C /N, � � t'� '� " ^s: ,�� ,.,..y7'�Ti * �, � .
O t�;
R';34: -Fin� Heatingy& Ai �ondition� n `- * � •;� .� �j`x .R • S G
�35.".ffna�GasPipt?-Test� x '"� ��,H �'a:�„ nN`° o^ t*+S x!T� � O
�c 7i-+ � Nn:t••
T [-� •• X T
�36 " Hogd Or CanOpy � �:..- n :;: ;� x � y- ��o � r � �r
.� 7.`-Fin�i Factory Firep ac'� I SC^ �' y�. [� -. k Cy :x oop7
� ?: I !-+.-� -+ .� 1 � 1X CV
L. :6 . I.. .. �l k� W � '
;.38. Fing� Plum6in9 X N � ��-. x. .? S �-+ r.:�
C,39. WateY Service-Final� , � y F� i i �: Y `�' V�� y�
[T.' l�7
�40. Gas Service�Final �,� `y�,.t• S z. �.i � ��x Ot� oiN x -•
"?11. Solar Oomestic�Fina1 S i'� � •• +' � � a: ��+ H i
� i� t*' �7rv tr x :�
�42:�ackflow Prevente�` - ro .F ;� � x r+ i . �
� 03 x � .•. � , f-� �K C i�
43. Backflow Irr�ation.r v �s5 y� �� , aE y. O�
n
aR4. Landscage ly�igatioj� Systerttb�jr t� ��n �:� ps y iv p� �.cCJ : .� Nt�v
1A5.�;-Sound rttefiLatio * "'�`" �T' * E F !- i-�+ �: �� �� s-+ rrcr �rL s. ~ .
, .. .. .
!r, [-� r: -�: cr Cr' �• F d M
�-. n t G � a� r, . . ..a : i i r,:,
�6.;Fiandicap,Regylatidps �..,� p Y N: �: ,� ;� S Cn! S t:
47 �flfd�lL STPo�7CTURE & BUfL.DING ,� � _�"� N S a � F
rt48::,f1�1LPLARINING� t[r� :r: .. , J
� N. *: N Y+7 [r1 � 'R H
c49.:,Electric Release to Edison i r: ! .�^ tX i %�. '-±
.� � x {t: * . •;l :Y.
`,:50:�Ga�ielease to Souj�ern CaliiqthyGasCo X; � I #K y F .� C• ot� .r. O~• -
:51. CE�71FtCATE OFhOCCUPqNCY �: r. r i'; no X t: F• or�
No. Date
. � ._ .. .
OWNER• � ROGERS, K. K. • DATE 7—�G-7µ
JOBADDRESB 6o2J �-3 Knozaell Place BUILDINGPERMITNO, µ27
GENERALCONTRACTOR OWC32I� VALUE $ 9�j'ZQ�00
i
LOT 2 BLOCK TRACT ZZC�B
.INSPECTIONS I DATE I SUBCONTRACTOR I DATE PIRMITSINS,UNEgD'
Foundation Forms and Grade
Rough Framing
Plumbing, Rough to Slab „_.
Plumbing, Rough Complete�
Temporary Pole
Wiring, Rough r�
Heating, Rough
Heating, Final
Sewer �
Septic Tank or Cesspool
Lathing 1
Plastering
Plumbing, Fimal, Fixtures Con
Plumbing, Final GasTest
Wiring. Final
OccupanCy
Form 21J GH 1M 12-68
Costa Mesa Building Department
�
„^�, �, 111 EAST 20th STREET A�
�'�� COSTA MESA, CALIFORNIA a}�
'FOR PLICANT TO + IN
Building
Address n-C � �'
COS�d.' � &� CiLllf �`d
Nearest �
Cross St. / � � �
Owner ! �!" .. -def'�-
Contractor
Size of
Use ot
New
Exterior
- Lic.
LIC.
APPLICATION FOR PERMIT
" BU .D NG '�
FOR OFFICE USE ONLY
_ _ ceipt �Permit N
Od 5�a s
:ceived by Date Rec'd. Date Issu�
7�J L -.
Address _�,'�� �iy�.��
Costa Mesa, Califori
Nearest �� ��
Cross St.%��yi. �f )
Zone �'` No. of��'� �ype
R T I PlansS�/y'��� �
Approv
by
CORRECTIONS
/ No. of Bldgs.
��'�j` Now on Lot
No.of No.of
Fam(Ilee Room
� RearYard i �
3ide Vard
�. ox oF woRg
IAlteration I I Addition I �� • �
Moving I I Demolish I ��
�; No. ot --
Rooms � Stories
Roof
Covering n APpROVALS
� —� . Foundation Location Inspecto��,
Forms, Materials,
� Under-Pinning
Frame: Ff re Stops,
Bracing, Bolts
I hereby acknowledge that have read tlils Application Lath. Int.
and state that th above ' cqm and ee to comply � Lath. Ext.
with all City in s a s regulating
building mnst .
Signatureof � ��
Plaster, Inl.
Permittee
Plaster, Ext.
Authorized` gt. � `
Masonry Reinforoed
Valuation d Permit Fee $ �_ gond Beam
$ � ��Q � Pian Check $
Tota I
Fee $ � FINAL
FORM 204 G-H 2M 5-54 �
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� property line and between buildings ' - � . _ +
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Final
or
Custom
LK1L 7-�I-�/
BUILDING PERMIT NO.
RK BBdx'OOttl & � B�
CE ZONli VALUE
GROUP I TYPE
SUBCONTRACTOR
" 24735
COSTA MESA BUILDING-SAFEfY DEPARTMENT
P.O. BOX 12J0 � COSTA MESA, CALIFORNIA 92826
For App/icanl }o Fill /n Complataly
TYPE OR PRINT
BUILDINO s
ADDRESS Li (I�%"G+'LL �
COSTA MESA, CALIFORNIA
owNea C- /,� /L� ..��"C •7 ZJI,� R a.7
ADURB98 ��G �'-��LG4'�C.ILGL. S�%
c�n c�'.3 i�. �/�t' No "
ARCHITEGT i7 . CCV'Tti "� . TlL,i'. ...�.
woonsas ! �.3 ' r3 cl
c�rr � i.s'?z- �i� � !"'!�- < .
LICTNO. f, N[L.� / "}/�
SIZH I NO.OP�LOO�.
OF LOT G HOW N
USE OF
rxier�r�nw�nn. '�GA,��ia�.s C� '
YCTB�CK LIN[ PROY /
carvieq o� eirt[si ,� )� RGR
blD6YARDI L[RT � RI�HT
DESCRIPTIOfd OF WORK
H9 EXTERIOR
�1 H6P60Y ACRI
wno sr�n Tx
PLY WITH ALL
BUILOINO CONI
� AUTHORIZiD AG[NT
��
xAV[ RrtAD TX10 APPLICIITION
CORRRR�AND AORE[ M COM•
AND iTAT{ UWY R[OY{ATlqi
CITY OF C �S i�i� fi�
c
SEP 27 1965
for OHlce Use Only
n[c[irt no.
NO.
�r
� ZONING
�1 NO.O� YYtORN[W
_ .u�. ��,e���o��a �.
�::�:,..,,,.. L o �' � � �' � 16 �
RP:
YARDB MPROV ED
MAIN BUILDINO
-���- ��
�NO BHALL BE LE88 THAN
<U.B.C.REQUIRHMENT',
�YARDSAPPROVED
ACCE880RY BUILDINO
DATE
81' � � � �!} � FJ
a
w
�
�B ^t so. Rr. �
0
TH8 AMOVHT BXOWN UNEHR VALVATON IB POp TX6 j
�URPOOi O! �DiAlLICXINO A P6PMIT !t6 ONLY, y
vw��wr�oN � �� Od �
PERMIT FEE
$.�,-�G�a , 7 � v w
rorw� Fee S �� �
OWNER $'j'ODDARD CARL DATE 3-11-E)6 - --
JOB ADDRESS 620 Knowell. Place BUILDING PERMIT NO. 25,376
GENERAL CONTRACTOR Star Construction DESCRIPTION OF WORK (' Block Wa�l
�AP No. l l S-ql l-1 �__ LOT TRACT FIRE ZONE VALUE S 7f1f1 _ M
or
SUBCONTRACTOR I Date
and
' '• 25376
. COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO%91] CO$Tp Mggp� CALIFORNIA �
For Applicanf fo Fill In Completely
TYPE OR PRINT
.ADDRE53 (p�Q /'7LC!�%C��" V.�aG`.e
COSTA MESA, CpLIFORNIA
OWNER� Y� .�O Ll!'c
MAIL / E
AODRESS �U �10WG��' �^CA-� � �
` � F
r.iTv �it2'L�"A YN .P S�C.. mn�"'TUX� �r 1/ 2
�� d� �e n S�tu ��i e h�
ciTv J a 'T r7 �t-
LIC. NO.� � r 7� rT,E`." 5 3/-3 3 i.;
OF LOT O S 6 I No. Ov Blcae.
NOW ON LOT
EXIST� NG BLD6. �� O G I� ll,Ii /� ��
DESCRIPTION OF WORK
�ITYO�' C�5T� �,9E�A
APPLL£A�Q�J�F�,�ERMR
IYI/i �� 00
For Office Use Only
' ZONING r
I ( NO. OF UeE OR NCW /_
�� � PlAN6 % �qLILDINO l-��x
t�
�y/ c
CRIPTI N �'Y �i� /� —� //'�
,. No. `OT 2— � a-�� �
fE: NO EAVE OVERHAN6 SNALL B8 LESBTHAN
' TO SIDE B REAR p. L. .
'ES .
,OWED <U. B. C. REQUIREMENT
YAROSAPPROVED YARDSAPPROVED
MAIN BUILDING ACCESSORY BUILDIN6
tOMC/L6TREET) , '
I/
REPAIR I' II.MOVINO� � I IIDEMOLIBH I .
BUILDIN6 ' NO.OP � VAR..}k DATE � � ,
SIZE ' RbOMB BTORIEB C. . P. APPROVEO -
EXTERIOR WALL ROOF � �� � � —"� �
CO ING COVERIN6 ' � BY � i DATE '
US FBUIL�IfJCANDWORKTOBEPERFORMED• � �
� a?-f �� '6'8"'.t ir �+'� � .i
�' `` -
,� . l/�;(iz. y"
- . �
s6. Fr. • m
I HEREBY �CKNOWLEDOE THAT 1 ryAVB R6A0 TXIB APPLIC�TION THB AMOUNT BNOWN UN�ER VALUATION IB FOp THe � S
ArvD eTATE THAi THE ABOVE 18 CORRECT AND AOqEfi TO COM• PUHP09E OP EBiABL18XIN0 A PERMIT FEE ONLY. ' p
PLY WITH ALL CITY OR�INANCH` ANO BTATH LAWB REOULGTINO �//�LUATIOI'l�. ��
BU�LOINO CONeTRUCTION. � '� OO PERMIT FEE $ J n
SIGNATUREOF �`fqr ���� � m
PERMITTE .�Q �
$ f
� 0
AUTHORI2EOAGENT�� ��.P . `' �`
� T TAI.FEE � v