HomeMy WebLinkAbout269 KNOX PL - Building Permits •
4`p •�96 CITY OF COSTA MESA
BUILDING DIVISION
•jOt Fla gabs ar DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
1te.. 1
fl •
• PERMIT
�', so B01-00900
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDIJob Address: 269 KNOX ST Status: ISSUED
Suite: Applied: 06/13/2001
Vicinity: FRONT OF RESIDENCE Issued: 06/13/2001
Parcel Number: 42516216 Zoning:
Applicant: AKERS, HENRY ISSUED BY:
Address: 269 KNOX ST
Phone: 949-646-5376
COSTA MESA, CA Zip: 92627
•
Address
s AKERS, HENRY � �, �'
Address 269 KNOX ST
Phone: ' 66
COSTA MESA,CA Zip: 92627 OA
Contractor:
Address:
Phone:
Zip: License:
Arch : - Eng: •
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
CUT A NEW WINDOW INTO FRONT OF RESIDENCE FOR ADDITIONAL LIGHT AND VENTILATION IN THE LIVING ROOM..
WINDOW WILL BE 4 X 8.
FEE SUMMARY • '
Plan Check: $0.00 - Calc Valuation: $275.00
Permit: $23.50 Claim Valuation: ,' $275.00
SMIP Res: $0.50 •
- -
SMIP Com: , $0.00
Other: $0.00
Inspection: $0.00 - •
•
Total: $24.00 •
PLANNING'S*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 Existing: 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
2446-46(6/00)
DECLARATIONS f tom-%
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 workers'compensation Insurance carder and policy number are:
Carrier: O_ ` Policy Number:
(This sec' need not be completed if the permit is valued at one hundred dollars($100)or less.)
certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provl 'o �� O/
Applicant Signature: (/"r Date: df$I
WARNING:FAILURE TO SECURE WORKERS'COM SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE Ti AND VIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(s100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTERE T,AND ATTORNEYS 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 Professions Code,and my license is in full
force and effect.Lic.# Class#
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
T X .J/.
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
usiness 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
bje he applicant to a 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 der sec. Business and Professions Code for this reason: // �/ k
gneDate:
Owner ID ID verified by driver's titans . ❑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,California 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 ❑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 0 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 Califomia 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 ermit for such construction or modification
0
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 Will 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? 0 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 occupy w occupancy of any building authorized by thisperm' until final Ap tion.
/
ignature Of Le I Owner(s) (0 !/UDD to C/Jr'
And/Or Authorized Applicant Date
CODE,/ JNSPECTION 7YPE PETE JNTRIALS CODE/ INSPECTION TYPE AT INTRIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 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
0 Fr _ _
4' .•
. . s'r-t- w,;,voa ,,,v
9 51- 7 FT- n EAPEa
i
CITY OF co';TA ,ESA
PLAMV 'G :-t11.
SUBJECT TO BLDG. DEPT. RE. 1 °(
BY DATE
CITY OF 1 TA MESA PROPERTY DETAILF PORT
269 Knox
Costa Mesa, CA 92627
Owner: Hunt, Michael + Hunt, Jill Stclair Phone:
Resident: Phone:
Site Address: 269 Knox Tax Address: 269 Knox St
City/Zip: Costa Mesa/92627 City/Zip: Costa Mesa/92627
Parcel Id: 425-162-16 Own. Occ.: Yes
Location: Costa Mesa City School District: Newport-Mesa Unified
Neighborhood: Unknown Census Tract:
Wealth Code: 7.0 Year Listed:
Legal Desc.: Newport Heights Lot 24 Sely 50 Ft Nwly 350.39 Ft Nely1/2 -Ex St
Zoning: Unknown
Subdivision: Newport Heights
Usage: 122: Single Family Residential
Style: Unknown
Construction: Unknown
Year Built: 1959 Ttl. Rooms: 4 Blktop Paving: Unk.
Stories: 1 Bsmt. Type: Unknown Concrt Paving: Unk.
Bdrms: 2 Bsmt. Fin.: Unknown Carport: No
-Baths: 1 Full Gar.Type: Unknown Deck: Unk.
Heating: Unknown Gar.-Cars: Patio: Unk.
_ Cooling: Unknown Gar. Sqft: Pole Barn: Unk.
Irr. Lot: Unknown Roof Mater.: Unknown Pool: No
Terrain: Unknown Roof Style: Unknown Fireplace: .
Water: Unknown Attic Type: Unknown Gas: Unk.
Sewer: Unknown Condition: Unknown Electric: Unk.
Sqft 1st: Lot Dim: Units:
Sqft 2nd: Lot Size: .161 acres
Sqft Bsmt: Lot Sqft: 7013.16 sq.feet
Sqft Total: 906
Market Value: $74,773 Gross Tax Semi Ann.: $610.83
Assessed Land: $34,888 HB920 Credit Semi.:
Assessed Bldg: $39,885 RB Credit Semi Ann.:
Assessed Total: $74,773 RBA Credit Semi.:
Percent Improved: 53% Homestead Exemption:
Delinquent Taxes: Spec.Assmt. Semi.:
Tax Semi Ann.: $610.83
Sale Date: Aug-27-2001 Mortgage Date: Aug-27-2001
Sale Amt.: $425,000 Mortgage Amt.: $340,000
Deed Type: Survivorship Deed Mortgage Type: Conventional
Volume& Page: Volume& Page:
Seller: Akers Henry Lender: Sea Breeze Financial Services
Title Company: Mortgage Term: 2031
Multi-Parcel: No Mortgage Rate: Unk./Fixed
The information is deemed reliable but is not guaranteed. 2001-2002 Tax Year Copyright 2003 Haines Printed Jun-06-03
SOUTH ORANGE CA
ADDRESS OF BUILDING: 269 KNOX PL uNT: _ ___ _ -_-. _ _ - -_-_- . _-- CITY OF COSTA MESA =_ BUILDING. PERMIT. _
oimEWSNMEIPKCSf 269OCK, RICCHARD C - - PERM NO: B. . 079656
ADDRESS:
COSTA MESA CA 92627 PERMIT NO; B 079656 PLAN CHECK NO: N GOVT: N SUPP : N
• ( 714 ) 548-96190
. APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V-N • PERMIT TYPE: STR PURPOSE: OTH
'+ ARCHITECT ORB1NEER: UC.NO.: JOB DESCRIPTION : PARTIAL T/O,REROOF W/FIBERGLASS SHINGLES SQ FT: 400
ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: - 400 . 00 CALC-VALUE: 400 .00 GROUP OCC: R-3 /U-1
CONTRACTORS NAME • COMMENTS:. PARTIAL" REROOF (OVER ADDITION AREA ONLY)
CONTRACTOR'S MNUND *****************4********4***4*3E**4*44****1l**3E44**4******4E*3EIE4E4E***1E3E3E4E3E3E3E***IE**3F
ADDRESS UG NO:
U*T ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commenting with Section 7000)of Division 3 of the Business and Professions Code.and my license is In full force end Sled.
CITY LIC.NO.: LIC.CLASS: uc.No.: EXP: _MAIN BUILDING ACCESSORY BUILDING ----
• FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
j OWNER BUILDER DECLARATION:I hereby effnn under penaly of perjury that I am exempt from the Contractors License Law for the
following reason(Section 7031.5 Busi ess and Professions Code:Any ply«county which requires a permit to mn,lmn,alter,improve, PARKING REQ: P ROV; PARCEL: 42516315 Z N E: REF NO:
013 demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to fib a signed statement that he or She PLANNING N TES>
s licensed pursuant to the provisions o the Contractors License Law(Chapter 9(commenting with Seaton 7000)of Division 3 d the >
usiness and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation dSectionSen
7031.5 by any applicant foe permit subjects the applicant to a civil penalty of not more than Me hundred dollars IMOD. *4E4E4EiE4E4E4E4E4E4E4E1E*4E4E*4E*1E4E*4E*4E*1EiEiE**4E*iE4E4E**4E4E*4EiE*iE4E4E4E4E4E4E4E4E***4E4E4E**4E4E4E4E4E4E4E'3E4EiE4E4E4E4E4EiPiE4E
❑ I.as owner of the properly or my employees with wages as thei sole compensation,will do the work,and the structure is not intended D E V E"L O P M E N T SERVICES R E Q U I R E M E N';T S
or offered for sale(Section 7014,Business and Professions Code:The Contractors License Law does notappl loan Owner of property
who buids or improves thereon.and who does such work himself or herself or through his or her own employees.provided that such
improvements ere not intended«Geared for sale.If.however,the building«improvement is sold within one year ofeompl tion,the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). .7 • -
❑ I.as owner of the properly.ern exclusWely contracting with licensed contractors to construct the protect(Section 7014,Business and BUILDING APPROVED BY : DATE:
Professions C .The Contractors License Law does not an*to an°wow of Property who bWde or Mittman thereon and who I
contracts for such projects )Icemed pursuant to the Co /•'
yy�� w43p ' a�"`Ss Lt BY OWNER/N APPLICATION ISSUED BY: DATE: i'` 7-6
�J lam exempt under Section: / B.BP.0..for th' eaeon: iE 4E*4f i64E 4E 4E 4E*4E iF 4E 1E iE iE iE 4E iE iE*4E 4E 4E 4E *�E *0 iE 4E*iE* ***lE4E4E4E4E4E4E4E4E*** *** *4E
Dale: / —24-- qAM °""°nip, LEGALIZATION:N FE S U N\M A Y STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534,and that I or any future building occupant will/wil not(circle one)need to comply with said stale codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modifimlionfrom the Army.anagemenl Distrid.Residential construction applications are exempt from these s
Provision,. PERMIT 21 . 00 7 . 50
Dale: Applicant: PLAN SMIP/NON RES
-
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: ISSUE FEE.. -.
o Ihave and wiimaintaiacertificate dmwaken'compensation., idmo
iproedforbySeon3700theLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the performance of the work for which this permit is issued. TOTALS----> - 21 . 50 0 .00 0 . 00 21 . 50 21 . 50 . 00
❑ I have and suit maintain workers compensation insurance.as required by Section 3700 of the Labor Code,for the performance of the
«
workfwhidithispermitisissued.Mywo w
kers'compensationinsurancederadpolcynumberare: REVENUE DIVISION TOTALS--> COLLECTED : 21 . 50 OVER/SHORT: . 00
Carrier BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
' Polity Number:
(This section need not be completed y the panne.is for one hundred dollars/$100)or less.) 21 .00 50
•
-
K.Icertify that in the performance of the wok for which that penin is issued,I.bat not employ any person in any manner eeeeto ************MMM4E4E**M 1E1E1E4E4E4E4E4ElE4EiE4E4E4E4E4E4E4E1EiE4E4E4EiE4E4(-IE4E4E**MiE***4EiE4ElE1E1E4ElE4E4E#1E4EiE4E4E4E4E4E{E**M
become subject to the workers'
compensation laws of California, and agree Thal B 1 should become subject to the workers'
compensation provisions of Section700 of the Labor Code.1 shall f it yon roan e.
INDIVIDUAL ' F E E BREAKDOWN
Done: r-- ,,z,- ..- fapeAppka l:
TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Warning:Failure to secure workers'compensation coverage/s unlawful,and shall atb)ect an employer to criminal penalties and
chef on 3T06 to one M1wbCos,lnt interest,
and (SrneVsfees.0A In dltbnbfM cost of ronAowsatfon,damages as provided for In SFR 400 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 400 . 00
Sectionfin s106 of the Labored thousand
Iusreat,al ra($5O OO leu.
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application end stale that the above information is coned.I agree to comply with all oft end county ordinances
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above.mentioned properly
f«inap°di°n"nrPoe°s RICHARD C. NOACK
tint Name /
01 00213739-00215740 TOT 21.50
-.--1 1,+ 4.4.� g s�� Date: qi�(� - 9(0 ! DATE: 09/26/95 TIME: .11:51
'• Signature of Own°dAgenVAp�. anconad« `"
(5151-46.WP) White-Building 8 Safety;Gree-RIe:Ca nary-Appicant:Pink-Revenue Goldenrod-Assessor
i
i i
i
CONSTRUCTION AND PLANNING - _ POO. SPA - -
Date •Inspector Date Inspector
APPROVALS Permit # - - APPROVALS Permii#
1. Temporary Electrical Service or Pole o'er 52. Pool & Equipment Location-iii
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . ' •
3:.Electrical Conduit Utility-Undrgrnd. - ' 54. Forms 1 - - '_1
ra
4:_Exectrical Conduit-Undrgrnd. . to 55. Electrical Bonding f• _i. • _
•:5. Steel Reinforcement i _ `i 56. Rough Plumbing & Pressure Test `'
- _ '6:`Electrical UFER Grnd. 4 57. APPROVAL TO COVER-GUNITE ri ,+a,
72-7. Footings '58. Electrical Conduit-Undrgrnd. .!"
_ 8:"Foundation 59. Gas Pipe, 0 Undrgrnd.,Test '�,:
• . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. - 41
10. Structural Floor System 61, APPROVAL TO DECK
t
11. Property Sewer Line & House Connectionri 62. Backwash & Receptor-Fina,
12.'Sewer Cap 63. Heater & Vent-Final '
13.`Roof Drains - T. 64. Plumbing System - Final
14. Rough Plumbing �' 65. Electrical-Final . /rr
15. Rough Electrical-Conduit _. t!
66. Solar System-Final
• 16. Rough Electric Wiring = A
_ � 67. Fencing & Access Approval.- •,
17. Rough Wiring Sign F 't 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL . !('
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.. Rou h Factory Fireplace ' -- q-; , ' -• ..- r• ' �SC Permitf; w
g j mr, APPROVBcL�C• #t
21rDucts, inStrcure' • •• -• - •- r - -t ' ` `^ me
rd :k_ _+ �,, -. 70,..Un7e{groundydro
r
22. Ducts, Ventilating r _ * S - " Cl 71. ProduccPipin'gDGas Oil
23 Gas'Pipee Rough &'Test r. r -. 4 ti 72. Underground;T;Trost), • F
a- 'a •
24-,Roof Framing _. - 7 r C. 7_3. Undergrnd.Storage Tank 0 Gas f]-Oil
25. Roof Sheathing - - 74` Overhead Hydro-c-
- �1z3 � Y
26.:T-Bar Ceiling (Structural) &•Monocoat s. _ `• r x 7.5. •Dry Chemical j tr-
27:-Frameand Flashing . o' i. 7 ? 'T'•_ -'t r S r: T
9 _ _ ,r .ry �, y r 76: Dry Standpipe__ •TI
-- 28. Lathing& Siding-„ _ \:• g ".•> 77. FIXED-SYSTEM FINAL ,•
29. Insulation ' "' a j i it 718. FIRE PREY. F(NAL a ; m
30. Drywall Nailing _ F ` ' J I I HEALTH DEPL.,REOUIREMENT
31. Plaster Brown Coat, . a„ r lb. FINAL' INSPECIION 1: ^'
32:Electrical PowerVeter-Final _ x •- ; I -- r, 80. FOOD CE-RTIFICATEZSSUED `
33nFinal Electric r - t R Notes: 7 ^Ji X 'r
• 34. Final Heatirt`§& !{iLCoaditioning: 4.
y - Q Q� C. A
35 Final Gas Pipe-Test° r1 ' ' tC = ''
- .. - 'k ,z '1 _O '.-r. A f-H cr'
367Hood or',Cano -. 1 i - iii ••f' - - -
- 3T.:Final Factory Fireplace-_ a -5' Gy :_ ' * ---1-r.
- I Tls ger, s tr
- 38. Final Plumbing _„ " CJ _ r .1.\ - t s.
39. Water Service-Final ' • `r _. ::i7 r C
F ? .-
Lr 1: 'tit t-u< • Cr'
_ 40. Gas Service-Final ° T _ 2- T:-t,, r
ii 41. Solar Domestic-Final'- i r _ 1 * •s^A - - - j
427Backflow Prevente; ` ..
s
43. Backflow Irrigation' ' x=-•c
44. Landscape Irrigation System-- - ' r• v ,k -
.' J �J - Ji' \i. ti tea_ - .
45.:Sound Attenuation • - - - - - 'L
46._Handicap Regulations - •,- = _`' - 4.- r..•-
47: FINAL STRUCTUFIE & BUILDING s
4B'`Ft(VALPLANNING �. r• n, .5 n ;, , ,',
-49-Electric Release toEdison _ i, i •- i. - a
50_Gas.Release.to Southern California Gas Co -,•t. : • _ `
.
51. CERTIFICATE OF OCCUPANCY _ _ c
No _ Date
•
•
OWNER BOLKINGHORN CONSTRUCTTON en_ DATE 1_25_56
JOB ADDRESS 269 Knox Pl. - • -- BUILDING PERMIT NO. 2291
GENERAL CONTRACTOR Polkinghorn Construction CO. - VALUE $ - 9,852.00
LOT 23 BLOCK TRACT 2787 Residence Watt gar
GROUP I & J TYPE V ZONE RI1 FIRE DISTRICT 2312
PERMITS ISSUED •
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Footing Trench 2-`27 Sy
Foundation Forms and Grade to Garage,((��A!•
Rough Framing U "3 Si
Plumbing,Rough to Sla co .-tiyj :41.57:
Plumbing,Rough Complete '71--c--.616 .._.4- G. 7/ CJ Ap6.fi,Ca-. ,d-e-.S6 4/O 4 IV
Temporary Pole (/
Wiring, Rough -• • fl-. ,-Yer--uJPw2e_.- 3- 9-66 d/O 04V
Heating,Rough CG/_,S 309.3 14 U 6/ /
Heati ., . s , -dYS!t.cu-:r449-/.a?-. /-J S&7s✓
Sewe fr.?, se, Sewer,St. 7 /
Septic Tank or Cesspool
Lathing, In OutV Vii_ 3 ay-.s;
Plastering 7 a /9 //„.2.41-.4
Plumbing,Final,Fixtures Complete.'.t?._ ��(.:4Z
Plumbing,Final Gas Test ✓f 49,e e ?„...a (7p_/ ea, .Z,i 2- /-r(Z_ - -'-r'---'
qt.
Wiring,Final • ,a-L G i /, 7/ A ' /v'^7._./
Occupancy ,49. e t° 1.-0)-6---0
Vnrm 210 f;-ii 15001-55
Rasta esa Building Department APPLICATION FOR PERMIT
111 EAST 20th STREET '� o BU LD NG 1
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN 1 Receipt No. Permit No.
Address ,U9 JO&.C1CIX„ P( ' I ? 7/
Costa Mesa, California Received by Date Rec'd. I Date Issued
Nearest q --NA-r--') ) —02,5 _4-6 /" .2 5C,-� 6
Cross Sta ItQ�4-41.9,1242,41- 57 .1.) Building
Owner POLKINGHORN CONSTRUCTION CO. Address
Mail - Costa Mesa, California
Address / Y 2•n,A -4,AJL&ta Nearest
,Q � Tel.
Cross St.
City Gz/Ls£� ,u/ No.fc y Zone�T I No.of I Type 2..../
Grot'd- J
Architect or Lie. T Plans ..�
Engineer No. Approved
by Date
Address CORRECTIONS
City Lie. L
tractor No. oO
Address
LegalLot I7'7
Description I No. Y3 I Block I Tract
(Attach Metes and Bounds) , _�
`.
I No.of Bldgs. . ,
Size of Lot 7,'irk. 13c• Now on Lot 0 1 t ! /(j9 \. LIX I i; M t1
0
Use ofNo.of No.of ' '_-J' 73
Existing Bldg. I Families I I,�/Rooms ----- - - --
Setback Line from i Rear Yard %nine%' I 9 h i-n i -
Center of Street .SC7 Side Yard,'y+,p/Q�) -- - - - Z
DESCRIPTIONIIOF WORK r
New I /i Alteration I I Addition I LY II U1. UUM I.H. Cdrnf1 -
Repair I I Moving I I Demolish I
Building „A, No.of
Size 70 X.b66." Rooms .S Stories /
prior Wall n/ Roof
ring , r[t,EyOr I Covering . mss APPROVALS
of New Building Foundation Location Inspector Date
g ��^'�"'�"` 'fcP� Forms,Materials,
C /q/ d..keo 40_,..." Under-Pinning -
l! pCA0 /.d 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 on y Ordinances and Smote Laws regulating
building construction Lath.Ext.
eceArSignature of /� �/'
Permittee 66 c.c�. Plaster, Int.
Authorized Agt Plaster,Ext.
Valuation Permit Fee $ a Y - Masonry Reinforced
q 7 L Plan Check$ / :2Bond Beam
$ L' Total /
Fee $ '3 '-ens FINAL
FORM 204 S-BP 2M 6-55
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- . Street ..-
L
• - PLOT PLAN
Show location and distances from _!
property line and between buildings. -
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OWNER NOAK, RICHARD C. DATE AUG S 1963
JOB ADDRESS 269 Knox Place BUILDING PERMIT NO.20381 .....
GENERAL CONTRACTOR C & C Construction VALUE $ 1h 800.00
AP No, 117-182-09 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Add Fern.&terv.
INSPECTIONS Signature DATE GROUP I TYPE V ZONE R2 Iii.toRes
Soil _ /S PERMITS ISSUED
Gas ._..r_____
,,p c SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
l Rough Heating 774/L�4_ y%7y-/Z ea-t_ r,<-✓ 9- .a 3-c3 a 3 >ea" /
Rough Plumbing ��f _ cVA i--7-c•6, 1. -P-✓ P-/Se-a.? 39/ 3!
Miscellaneous 41-d,-- 6-•-GG-e^ / (oma-,, ,?-a E-c-3 5 9 2C-,/
Prop. Swr. Line❑ Hose Con. 0 St. Swr. 0
Sprinkling System &fi"
Construction Pole —v_,,,-, c,Cc.c . 9-,3-c0 _,.- c 9 u7;-frlN
Underground 0 Power 0
Rough Wiring , i7 4 •4•.(4 • , -, o._' Qom. 49-3o-c3 07�G-
Trenches 0 Forms 0 Steel Reinf. 0 ,� e ci '- /3 — 6 3
Floor System C g'- /r- CO
Bond Beam 0 Steel Reinforce 0
Sheathing f7] e y- G — c 3
Frame and Flashing9- ?
Lathing - In ❑ Out a.-9 _ F',3
Plaster, brown coat e-- ./p —� !/ 3
Refrig. 0 Air Con. 0 Final
Heating, Final
Plumbing Fixtures, Final _ G �
Feit 7 •
Electric Fixtures, Final
Building, Final , ' //-j- -
OCCUPANCY
Form BU4--5M-3-63—S-B P 20181
I
.. f ��.�R , FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT AUG d 1963 _\
P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE1 �DEPM�1��.�cb`" ,
For Applicant to Fill In Completely . I�CAfIc71Y"POR"PEXMIT
.TYKE OR PRINT - • BUILDING 4
BUILDING Knox. For Office Use Only
ADDRESS 4:744 /I MO0_06..e._ RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA ac 3 ,p/
yARg tee:-. Rr IVn rTteEa—UED4
s
OWNER ?ICII/WO Cie /NO4GK J , /�'_ �
MAIL. �T /' BUILDING �6
ADDRESS//']2h9 p^!ox .4CC ADDRESS
l� MES ' TEL ZONE GROUP f
CITYFIRE
OSTA f R
APPROVEARCH -. W ppp���
OR ENGINEERC u 06 R NO BY DAiE
ZONING //777
AI i3 ZOSI �. NO.OP A I USE OF NEW _ .UC NI
1 /n' 1 PLANE /i BUILDING ` /r lT'Pl•
CONTRACTOR .: e CONS r-gv,,ion¢ \
ADDRESS / J n ).-� 1 1
�y Ave
���LLEwl 31I E. (,NRPn1nn A ✓//�E. DESCRIPTION
7 19
CITY Q/Q.O�:%1( V/2O Ur
L7 I
STATE qq (/ TEL. SONOTTO SOEAVE IDE&REAR OVERHANG =HALL BE LESS THAN
LIC.NO. c22O v�ap NO(.L 631-s,�J-7
f3. DSX /3oIo2 I NOWONLOT / .L
EAVES
SIZE No.OP BLDGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. ,._ . ACA. G ,
/' X11' / (FROM C/L STREET) ��n
CENTER OF STREETSETBACK LINE M ��S / REAR YARD P�yT b IF FRONT FT. C .X-S FT.
SIDE YARD I LEFT 5 / I RIGHT ✓ /✓ V R.SIDE j FT. 1/ FT.
DESCRIPTION OF WORK �/ L.SIDE �3)..FT. / FT.
Nr _ ALTERATION 'ADDITION /�+ REAR 1 y'FT. (C FT.
DISTANCE ET. BET.MAIN
R. MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
VAR.# DATE
BUILDING )�// NO.OF
SIZE / /L 3O ROOMS ,< STORIES / C.U.P.# APPROVED
EXTERIOR WALL 7-t ROOF /�� APPROVED ..i
COVERING J/�K� COVERING/"IA KALr Si{/NLr BY / ATE 3
USE OF BUILDING AND WORK TO BE PERFORMED j1•j�'�Y/
flmic�� oorti fj SEgi(cr=R-OoL-I
N.
SQ.FT. m
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 7.Y',
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• • PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING •�
BUILDING CONSTRU N.
VALUATION N =.
SSIGNATURE ERMITTEE 0ai
/ •
Ar PERMIT FEE $ /r s 0�--
• $�jr(///J PLAN CHECK S / ^! o
AUTHORIZED AGENT yea
^` L
TOTAL FEE $47 Y�