HomeMy WebLinkAbout624 KNOWELL PL - Building PermitsAPPLICATION FOR A BUILDING PERMIT
BUILDING PERMIT NO. Electriwi W
T�act Block � Lot Pormit No. �
Builtlin9 PlumDing , a
AtlEress 624 Know��l��l, ��aeee � �0 7 � � ��m�t N�. �
Cross �O � / Mechaniwl a
Area Street 9 Vermit No.
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o"'"eY Mr & Mrs Dan Lawrence TYpe ot Proiect: ❑ rvew ❑ ana. ❑ Atltlitlon
Atltlr¢55 624 Knowell Place ❑ Repab ❑ Gonvert ❑Demo ❑ OCCupdnCyPmt.
atv Costa Mesa Z�P P^O"e 548-01 SA'P� S�o�.A�•ea
Ar[hltect/ ' Zone Spl, Pmt No.
Des(gner llcen5¢ No.
Setbacks P/L Front C/L SL Street Witlth
Atltlress
VartlS Left igh edr
City ZIP Phone
ave ro�. e iq . .
En9ineer �icense No. -
� Parkin9 SPaces Requ re rov e overe
n AtlEress
m City 7ip Phone Struct No.ot No.ot
Helght Storfes Family
� I.ICENSED CONTRACTOR'S DECLARATION Park Fees ves Fee
m I hereby aftirm ihat I am licensetl untler provisians of Chapter 9 ReqUiretl No C.T. Recelpt
(cammencing with Section 7000 ot Division 3 of tha 8usinass and
t Zoning Apptovetl By: Date
w Professions Cotle antl my license is in tull torce and e�jt
3 LicenseClas ���- � LicenseNumbar ���/ 59
> Date _Convactor F'.312C1I1 [�^nat Tnc_ Misc. �
E Atltlrass 1�+� Pioposetl Use
�y, City and Zip H11T1t.. BC}l. Phone
891-198 ot str�cture
N CONSTRUCTION LENDING AGENCV
� I hereby affirm that there is a construction lentling agency for the
a performance af the work tor which this permit is issued (Sec. 3097, Occ. Type Cotle
' Civ. C.1. Clazs Gonst, vear
y Lender's Nama USE/OCCUPANCV SIZE SU. FT.
� Lentler's Atltlress �
� OWNER-BUILDER DECLARATION
y. 1.
1 hereby atfirm that i am exempt from the Contractor's License Law
tO for tha following reawn:
� ❑ I, as owner of tha property, or my employees with wages az their 2.
sole compensaiion, wili do the work, antl the structure is na[
�t„ intandod or oiteretl for salo. 3 .
� ❑ I, as owner ot [he prOperty, am exclusivEly controcting with
licensed contrattors to cOnrt�u[t the p�oject.
°1 ❑ I am axempt untler Sec , e&PC tor this reason 4�
N //
n DatA _Owner—
E WORKERS' COMPENSATION DECLARATION Total Valuation
� 1 hereby affirm that I have a certiticate of consent to zelf-inzure, Encroachment vermit ReQuiretl ❑ ves ❑ No
M or a cerxificaxe of Workers' Compansation Insurence, or a certified
C cOpy theraof. Gratling Pmt. Grading
� Policy No_Q�O��peny State COi[I�. FUIICI' qeqwred ❑Yes ❑No Pml.No.
�a ❑ Cariified copy is hereby furnished. Rough Gratling �
6 ❑ Certifietl coFY is tiled with O�enge County, EMA. Approvetl by: Dat¢ �
a Date Applicant— 3
CERTIFICATE OF EXEMPTION
FROM WORKERS'COMPENSATIONINSURANCE Z
(This section neetl not be completetl it perrnit is tor $100 ar less�. �
I certify that in Ne performance of the work tor which this permii is 3
issuetl, ! shall not employ any person in any manner so as to become �
zubject to the Workers' Compensation Laws ot Calitornia. PERMIT FEES
Data Applicant
NOTICE TO APPLICANT: If, after making this Cer[ificata of SVuctural $ Plan Che<k §
Exemption, you shouitl become subjett to the Workers' Compansation
provisions of the Lebor Cotle, you mus[ forthwith comply with such SPecial
Electrical E InvesO E
provisions o� this permit sl:all be tleemetl revoked.
I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE p�umbin9 $
THAT THE AEOVE INFORMATION IS CORRECT. I AGREE TO
CUMPLY WITH ALl COUNTV OFDINANCES AND STATE LAWS
RELATING TO BUIL�ING CONSTRUCTION, AND HEREBV AUTH- Mechanical 5
ORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON
THE {�BQVE MEN ONED PROPERTV FOR�INSPECTION PUR- Pre-Gratle
POSE3' / �� p Inspection $
(�L � �d`a U 7 /�5'U vre-Grade Pe�mi[
$�)ignature o1�t Appl ca o� Agent Dat Rec. No. $ Issue $
(-/�I I-rf-I ZU-'�7
Print ApplicanYs/AgenYs Name
All spaces within this 6ox mus[ be completed to process P�an Issuan<e
Check By: Approvetl:
•,mr osao-wo �o�-ce� mv. o�eo
OWNER Lqy,I12FiN�E� Tgt � T7RS, DATE 10/7/80
JOB ADDRE55 624 }'viowell Place BUILDING PERMIT N0. Sn74n
INSPECTIONS
soi�
G�5
WATER
ROUGM PLUMBING
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEr1TING ANO AIR CON�ITIONING
UNOERGROUNO � POWER
ROUGM WIRING
�' ___.. _' _
'-1 BONO BEPM [] STEEL FE
� SHERTHING
7FRAME AND FLASHING
�LRTHING - IN n OUT �
"i PLr15TER. 6ROW N COPT
PLUMBING, FINAL ANO GAS T
ELECTRIC. FINAL
BIIILOING. FIN4L
E VALUE
SUBCONTRACTOR
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STA MESA BUILDING-SAFETV DEPARTMEN
.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
aoo ess fn:2�(. iGiJu W�L Q� A-C
OWNER OR y �
TENANT M� F� MES L�.{.l! �ZL?/C�C�
MAILING /�� I/�O`�'``� ��
ADDRE55 C7 `
TEL. j
CITV �'"OS Iwi V�L i r�i� C'/'i NO. S'F� C
CANSTRUCTION
BRANCH
AODRESS
ARCHITECT
CONTRACTOR
ADDRESS 1 �
CITV �� V �V
STATE
LIC. NO. � �
SIZE
OF LOT
USE OF
TEL.
CITV
LIC. NO.
INO. OF LB�DGS.
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work:
USE OF BUIIDING AND WORK TO BE PERFOR�
/
1 hareby acknowletlge that I have read this application and s[ate
that the above information Is corract antl apree to,comply with
all laws regulating builtling consttuction, antl I shall not employ
any person in violation of the workman's compensation laws of
tha State of Calitornia.
I hereby certify thet I am properly licansetl as a coniracto� unde�
the State of California B�sineu and P�ofeulons Cotle, Division 3,
Chapter 9, antl that such licenses are in full forca and effect, or I
em exempt trom the provisions of the Stata of California Business
antl Professions Code, � ion 3, Chapter -9. /
Signaiure of ��G // �// ���
Permittee � v tr
or ' i� /.� / f�._
Ag¢nt Date
pjQ7!! 10/07/80 ' 23e0Q TU
�;�;:; � . , . . . .. . _ _..
JFORSTRUCTURALPERMIT
A.P. NO. ��j�
BUILD�NG
ADORE55 �p ��
UNIT OR
SPACE NO.
T N . LOT
NEW ADD ALTE
OWNER � �
USE {—��j'/ p r
APPROVEDSETBACKS
PLANNI
>AIR MOVING DEMOlISF
/�.C.O+
VA E
� � s � ��%�C
/'
� GROUP T /
DATE ��/Z/� J
"t
DATE
APPROVED
�
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a
m
SQ. FT. N
7
THE AMOUNTSHOWN UNDER VALUATION IS FOR m
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: �
VALVATION PERMITFEE E S�DO v+
PLAN CHECK $ O '^
0
$ � .�BD TAx a . So �
U
TOTAL PAID S� � ��
OWNER ROGERS, K. K. � � ��� p�DATE %-20-5� /
6 a-�!
JOBADDRESS 6� Knowell Place BUILDINGPERMITNO. Ll�
t GENERALCONTRACTOR Owner-Builder VAWE $ ��rjQQ.QQ
�oT One s�ocK TRACT 2168 Residence
GROUP I TVPE V ZONE R.Il FIRE DISTRICT J�L120
PERMITS ISSUED
IINSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Footing Trench �Z. Z%�.5. •
Foundation Forms and Grade to Garage
____.... __-__'__ _rzi . —C���Z
Plumbing, Rough to Slab
Plumbing, Rough Comple�
Temporary Pole -
Wirinp, Rough
Heating, Rough
Heating, Final
Sewer ��.tp/
Septic Tank or Ceupool
Lathing
Plastering
Plumbinq, Finai, Fixtures
Plumbing, Final GasTest�
Wiring,Final �
Occupancy
Rorm '110 G-H 1M 12-63
Address �
Contractor
Address
Size of Ldt
Use of
New
sa Building Department j APPLICATION FOR PEfltME� •
N EAST 20th STREET � g� � L D,� N G .. "`�� ��S
STA MESA, CALIFORNIA �
� �'OR OI+'Y+"ICE iJS�+ ONLY
; APPLICANT TO P� Yd�Y� IN _ rte�ipt Jyp. _ Pe •mit No. .
F _' � � � - ;� �3
Ci05ta M098�� Ca�OPll18� Received by_ Date R�—Data Issued �
. . '� �„p �. `�!
� ' � �P Buildin ' ' '
Address – ��yc.� �
"� Costa Mesa, California
� C,' p �y Nearest ' -
Tel. � � /1 Cross St.
No.
sr� 1t S:
IVQ, I Block I Tract���
unds)
No. of Bldga .`
C/O¢ Now on Lot /Y 6 N
INo.of No.of
Famil(es Rooms
�� / Rear Vard _
Demolish
Ilfl :I�II.Vl,��.d �.
, i
coveriny � �U � I coverin9 /� o cK'• APPRUYALS
Use of New ' Foundatfon Location Ins ecto
Buflding %� V1%C ��/l�fC�� Forms,Materials, P
Under-Pinning
� Frame:FireStops,
Bracing; Bolts
I hereby acknowledge that I have read this Application Lath. Int. -�
and state that the abme is rnrrect and agree to comply Lath. Ext.
with all City inan�a and State Laws regulating
building cons err
� Plaster, Int.
�Signature u, _
Permitte
, - Plaster, Ext.
Valwatio� J � '�
S. �s 7iv
cnou �na r.-w �u s-sa
Total y�j
Fee $ �' / FINAL
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Show• locatfon and' -dlsWnees irom`=' _ n. : . � : � � � � - •, � _ .. '-�
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, property Ifne and between huildings. . I ,� ., . , �; ., . ,
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OWNER �qy���. �. � � DATE 10/7/80
JOB ADDRESS 624 Knowell Place BUILDING PERMIT N0. 5�791
AP No. 4�.�-1 i1 -1 RLOT
GAS
ROUGH PLUMBIHG
PFOP. SWR. LINE n MOUSE CON,
MISCELLANEOUS ��
ROUGM MEATING AND AI
UNOERGROUNO L I POWER U
ROUGM WIRING
TRENCNES FORMS STEEL REINF.
� FLOOR SVSTEM
� BON� BEnm � STEEL REINFORCE I�
roSHERTHING
' FRAME ANO FLASHI IG , �_ '�
C LATHING - IN S UT
'� PL45TER,BROWN COAT
V) STRUCTpRqL, PINAL
� NEATING. VENT., REFRIG. AN� R.C., FINRI
a PWMBING, FINAL ANO Gl5 TEST rJ
SUBCONTRACTOR
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For Applicant to Fill in Completely — Use Ink
ADIDRESS 624 Know�.7.IPlace
OWNER OR
TENANT jv�' & N]Y'S Laurence �
MAI LI NG
ADDRE55 624 Knowell Place
TEL.
CITY (�`OSta Mesa (.'.�i ND-5�
CONSiRUCTION
BRANCH
CONTRACTOR
ADDFESS 1
cirv Hunt
STATE
LIC. NO. 'z C,(�
SIZE
OF LOT
�
�; . ^.�r�
APPLICATION'F�'6T1��1JG�1'Yli�4L PERMIT 48, 52 TI� :
A.P.
UNIT OR
SPACE NO.
X
OWNER
USE \
APPROV
TEL. •
No. 891-198
CITV AFPROVED
UC. NO.
NO.OF BLOGS. (FROM C/L
NOW ON LOT 1 FRONT /
uat t�r
EXISfiNG BIDG. '�� •
Separate permits are required for
electric, plumbing and hea[ing work:
USE OF BUILDING AN� WORK TO BE PERFORMED
I haraby acknowleCge that I have reatl this application anG state
that the above intormation is corract and agree to comply with
all laws regulating builtling consttuction, antl I shall not emplay
any perwn in violation of the workman's compensation lews of
the Staie of California.
1 �ereby cartity thai l em properly licensed as a contractor untler
tha State of California Business antl Professions Cotle, Division 3,
Chaptar 9, antl ffiax such licenses are in full forca antl affect, or I
am exempt trom the provisions ot the Staie of California Business
and Professions Cotle Division 3, Chapter 9.
Signature of ��) _/�` �� ��
Permittee ! '� f"'�p
or ���.��iL2)
Authorizetl ABent Date
�� VALUE
�C C.'�1.7 E. � �
//
DATE �O
DATE
APPROVED
�J�
P
�
i
m
�� m
! SQ. FT. N
J
THE AMOUNTSHOWN UNDER VALUAT�ON IS FOR m
THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: �
VALUA710N PERMIT FEE E Z� �0 N
/�— PLAN CHECK S �0p o
$ / y�.\ / / TAX $ O.�]L V
! [ v V
� TOTALPAID $ ��SZ,