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Home My WebLink About227 KNOX PL - Building Permits `o Olio A Mks E CITY OF COSTA MESA BUILDING DIVISION F lt• DEVELOPMENT SERVICES DEPARTMENT PER T NUMBER M1`�gRURG1ER 94A PERMIT 00-01016 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 227 KNOX PL Status: ISSUED Suite: Applied: 07/06/2000 Vicinity: HOUSE&GARAGE Issued: 07/06/2000 Parcel Number: 42533318 Zoning: Applicant: KENNY MCCLURG ISSUED BY: Address: 9661 CAITHNESS CA Phone: (714)964-1762 HUNTINGTON BEACH Zip: 92660 Owner ROSE, ROBERT G TR Address 1005 PARK ST Phone: HUNTINGTON BEACH,CA Zip: 92648 Contractor: KENNY MCCLURG Address: 9661 CAITHNESS CA Phone: (714)964-1762 HUNTINGTON BEACH Zip: 92660 License: 356431 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF: STRIP OLD COMP&APPLY ELK PRESTIGE I SHINGLES WITH ONE LAYER OF 30#FELT TO HOUSE& ATTACHED GARAGE. 1800 SQ FT. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,073.00 Permit: $97.25 Claim Valuation: $3,073.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 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 Existln : 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 •f DECLARATIONS • .M 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 Code,for the performance of the work for which this permit is issued. My worker 'pomp natio rance mer and policy number are: Carder: � �t /�n� Policy Number: Alb/ir (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, :nd agree that if I should beecoysubject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provision 7 Applicant Signature: Date: ` — b WARNING:FAILURE TO SECURE WORKE T-COMPENSATION COVE'•r UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),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 Pr fe;sions Code,and my license is in full force and effect.Lic.A 72_27 Class tt Contractor's Signature:. x`�f" Date: 7 _ — "c CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a constntction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil 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 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 toe 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 apply to an owner of property 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: • Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires: 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,Califomia 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? 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? 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 permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Wilt any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 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 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 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 property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Le..I•- ner(s) _ Date .ear � — 6—Ut i And/Or Authoriz'Applicant Date d:OOE f LNSPECTION TYPE au INTRIAL$ pi: INSPECTION TYPE, BATF INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final /� (., ,�A�L 200 Final Plumbing 200 Final Re-Roof 7•(oi1 • o 9 iiit 210 Final Electrical 201 Final Bleck/Retaining Wall VVV 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 2448-46 ,I - OWNER POLKINGHORN CONSTRUCTION CO. DATE 1-25-56 JOB ADDRESS 227 Knox P1. BUILDING PERMIT NO. 2282 GENERAL CONTRACTOR Polkinghorn Const. Co. VALUE $ 9.852.00 , LOT lel BLOCK TRACT 2787 Resident w/att. gar. iGROUP I & J TYPE V ZONE RIJ FIRE DISTRICT 2303 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench ' >6 .2/O d Foundation Forms and Grade to Garage Rough Framing _ 10 - S6 Plumbing,Rough to Slab �=-r4G Plumbing, Rough Complete p tt/S i-7- iL T214 A7714- ,7-/o -S6 4/0 ell C... Pole l/ Wiring, Rough , -/.� 'o "Ja/c-eja-�-- �,��{{��// 3-9-, b c2 o ...� Heating,Rough4 a_7_S� s- , -Ate7-Ate-7a 3-r C C1.0--G/ c� Heating, Final (ji r C v - / cSewer,_ouse r�1 7-ewer,St. rc -/y.5'L`DO,,,s.,/re�'`1.c.nnra 3_/sf-,1 44(tf/ ` — Septic Tank or Cesspool Lathing, In OutX n 3-20 -..‘ Plastering , -s l dam�'-y' Plumbing,Final,Fixtures Co eteI St- 21,-32 (n' Plumbing,Final Gas Test bS G' 1/ 17tJ �'/ C - I — Wiring,Final (� ,--L3-,c Occupancy 4.-cij 1-'13.fl Form 21(1 C-FT 15(10 1-55 . 'Costa Mesa Bni ding Department {`' APPLICATION FOR PERMIT 111 EAST 20th STREET"ic COSTA MESA, CALIFORNIA 11 °• -�"-' . D Id G ~' FOR OFFICE USE ONLY FOR S PLICANT TO FILL IN5I' 1 Receipt No.- 1 Permit No. Building ,, 1...--g?...” .22 OOZ- Address v4 ? M r/� rir/ Costa Mesa, California Recel ed by I Date Reed. I Date Issued Nearest / 7' — a s-�lG .•/-a s -1 Cross St GC/,�_/*i/�yC./A�t � Address Owner POLKINCHORN CONSTRUCTION CO, Address Mail . Costa Mesa, California Address 41/2 da. ttL. ,4 ..t . Nearest Tel. Cross St. Ci /i No. ;,..44-271-1,... Zone,f, I No.of I Type .G%� ` Architect or tic. Pians r Engineer No. Approved by Date Address CORRECTIONS" ` City Lic 'Infractor _ No. Address LegalLot ✓ I 27.p Description I No. /Ir I Block Tract O,' -- (Attach Metes and Bounds) Size of Lot uSZ.S )c ISt I Now onL t No.of Bldgs. ll'yl0--ri�� 3II lit '.1 Use of I No.of I No.of 1.2-1 — R-`1' p Existing Bldg. Families Rooms - - - -� Setback Line from Ya .fled‘ Ie i n 11Ic one-r. Z Center of Street Side Yard/'p-y< 6 "' • . 'J U ft/J-1 D DESCRIPTION OF WORK r New Ix I Alteration I I Addition I l;ilY -OF IMSTIA M re•a- Repair I I Moving I I Demolish I Building f/ _ it No.of Size T S0 6 Rooms 0 Stories , 'rior Wall • I Roof — � /e.t 9.p ring Covering p� APPROVALS ' New �J Foundation Location Inspector Date Building g �2'4,'z &A'Gc� Forms,Materials, /tom//. Under-Pinning A2Z/7/-5 f. r,e Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath.Int with all City Ordinances and State Laws re rating building construction. Lath.Ext. Signature of D Permittee .f �[O_ if9'l�Lt/ Plaster, Int Authorized Agt. Plaster,Ext Valuation Permit Fee $ a Masonry Reinforced ene LA/ 9 Plan Check$ / Z- Bond Beam $ f/ L' Total /' - Fee $ 3 4, i FINAL FORM 204 5-BP 2M 0-55 .. -.-. .- . - : ' 1' ,. -. . -7 O • t .. . _. — J - -- - iii - • a. • . . _ _ .. _ - - - -- - _5 . COSTA ¢ _ .. . -._ JP.II 5 56PtiESA 399 7 r;:36;00 - - -- 7 - • PLOT PLAN - - - _ Show location and distances from . - , property line and between buildings. - .. . __ .. -- - -- . - . -. - \ - • - - • 1. '•__ _ . -c • - _u i-- . .iii. C -Jr.- 7337 . 4/24/79 • 68.74 T COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT - — P.O�BOX1200 C0STA MESA,CALIFORNia'92626 - RECEIVED BY 'PERMIT n 4 743 31. For Applicant to Fill in Completely - Use Ink Only BUILDING .227 1C-/DX /1G. A.P. NO//l__. / (13/S ADDRESS /' ./ .-,,h, �V Y OWNER OR JJ�U L /� / /v2 ^ //rJ ADDRESS BUILDING a aL� �� TENANT JJ/ T /r// Y/-7 7 - UNIT OR MAI LING /� SPACE NO. ADDRESS 10.57/6420//Zt!-E /JEWADD C / C� / LOT / q I ELK. //�� .✓/�, n //�� TE L.�/ 1� CITV(��Q,(J/Q �F` /y Q/L•p�( NO.�pALTER IRPAIR IMOVINGIDEMOLISH /CONSTRUCTIONLENDERBRANCH WNER GC.//�ADDRESSVALUEARCHITECTT ! E ' Gr— $ OR ENGINEER + (lY /4r NO7s /tr , ADDRESS de/ZONA cA8L daft eoc . ZONE t T PE _14-GROUP t 9 CONTRACTOR �C/ALr6/L 421/e.4-65-3 BY DAT -"„„..5 i7j ADDRESS U0/(o.v.O dIFL /LIaOIL ' TEL., CITY C •D+� + ND.67sO/Z`I i /. F STATE CITY APPROVED SETBACKS / \ LIC.NO. LIC.NO. SIZE NO.OF SLOGS. (FROM C/L STfl EET)`�/! L OF LOT r5 Sx/.5O NOW ON LOT / FROM' /y FT.F ( — ale/-6)427 Q USE OF T l f / ////��-(/ 4 EXISTING BLDG. daiG(.L/.U6 R.SIOF FT. ( fn - r S / / / FSeparate permits are required for L.SIDE , FT.! O electric,plumbing and heating work: REAR. 1FT.[�// // [W,,, USE OF BUILDING ANO WORK TO BE PERFORMED PLANNING ACTION Q CI /• .] CCU S�2 t.CT �J/ll�[C/.(7F� l�/L- 7,-,_c/ �/ DATE I APPROVED /' 9 APPR Ity IILp f >+ _BY L .� /L._ ATEJ� -S 7 a a aw rx r�--� 4' I hereby acknowledge that I have read this application and state o' that the above information is correct and agree to comply with finL11 PAIt_,4PFf I4t.-gtvu C 0. all laws regulating building construction, and I shall not employ "/ Z any person in violation of the workman's compensation laws of u ,�,� the State of California. /� �� Cr') I hereby certify that I am properly licensed as a contractor under / SO. FT.(...... . T.( r the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER ATION IS FOR ginG- Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: n am exempt from the prow ns of the State of California Business VALUATION PERMIT FEE '0`-� and Professions Code,Di on 3,Chapter 9. $ / Signature of C%r?,7`G%?C L.= PLAN CHECK $ d. ^ Permittee $ Ott L 1 ' IP�V. TAX $ a.� or f r Coe, ^ U Authorized Agent Date • Z� I r TOTAL PAID $� O 7- / 753 rh, I ',-1I33.00 TL COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION F�R STRUCTURAL PERMIT•-- • • - P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ' RECEIVED BY PLy /��r "U 00 IL- For Applicant to Fill in Completely — Use Ink Only i • 777/r` • • BUILDIADDRESS Z-2 %r �CNO,X /-C A.P. No.4 ///��t BUILDING �jj�I�j OWNER N OR �jfuG / J ADDRESS / `V/^�L �, TENANT //Yv / v� /L ! _ UNIT OR MAILING /',, SPACE NO. ADDRESS slang f t /2DP� TR.NO. LOT 4BLK. /' �I��t TEL. y 1 CITY `Q�Q CO/204/4 /�[Iy✓Ivy N06�J-Y7ar NEW ADD ALTER REPAIR MOVINGI DEMOLISH CONSTRUCTION .;�., LENDER BRANCH 4-4'` /7 /'/ //C DHy OWNER ADDRESS ^T • ARCHITECTf/qj� y� �/ n t� r VALUE OR ENGINEER�Ln�✓� /2A- �tNOL 7 7-i2 USE of _� $ ADDRESS t 00-71 p_ 20N-linT P GROUP — �/ CONTRACTOR��/7 sr :4'- i ,•/I _ S APPROVED /7_ DATE (a-S ��/ ADDRESS T,r2L COM: Na _f • J— CITY l.: TEL. 2 _ F i�2/r7Tio ,�c. /�I,OZ ND.G7S arty i—iSTATE CITY APPROVED SETBACKS gLIC. NO. LIC.NO. SIZE (_� I NO.OF BLDGS. (FROM C/1_STREET) CW OF LOT O /� NOW ON LOT / FRONT FT. . USE OF ... FT EXISTING BLDG. !)&ICQL/Nr 11._SIDE FT. v7 FSeparate permits are required for L.SIDE FT. • G electric,plumbing and heating work: REAR FT. , USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION a 0 Dem//Vli r DATE APPROVED APPROVED } -Y DAZE .•1 C4 R7 0• • a. I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with O. all laws regulating building construction, and I shall not employ i Z any person In violation of the workman's compensation laws of E Zthe State of California. .: I hereby certify that I am properly licensed as a contractor under SQ. FT. _ N" the State of Californl zusiness and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that- its licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ur am exempt from - • • ovisions of the State of California Businessa VALUATION PERMIT FEE $/ v, �J] and Professions C. Division 3,Chapter 9. ♦(/f/ r' Signature of if , PLAN CHECK $ 0 0 Permittee $ TAX $ LL Or U Authorized Agent Date TOTAL PAID $