HomeMy WebLinkAbout220 KNOX PL - Building Permits MF CITY OF COSTA MESA
}y, t, BUILDING DIVISION
ti -• fr ! DEVELOPMENT SERVICES DEPARTMENT / (�
_- PERMIT -.;; ERMIT NUMBER
�.a•^'`+ P99-00060
-
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
• PLUMBING PERMIT
' Job Address: 220 KNOX ST Status: ISSUED
Suite No A Applied: 02/03/1999
Issued: 02/03/1999
Vicinity:
Parcel Nunmber: 42533504
Applicant: NOCK, RON
Address: 11612 KNOTT ST
Phone: 714 895-1246
•
GARDEN GROVE ,CA Zip: 92841 •
Owner LUNDIE, TIMOTHY R -
Address. 220 KNOX ST .
• . COSTA MESA,CA Phone: . _
UNIT A Zip: 92626
Contractor. NOCK PLUMBING ,
Address: 11612.KNOTT ST - -
• Phone: 714 895-1246 -
GARDEN GROVE,CA - Zip: 92841
License: 707775
Arch/Eng:
• Address: .
Phone:
Zip:
License: • -
•
• ' 'SCOPE OF PERMIT
REPLACE DISHWASHER .
•
FEE SUMMARY
AMT QTY AMT QTY . AMT QTY
ISSUE FEE $22.00 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00. 0
Bathtub - $0.00 0 Pressure Regulator $0.00 0 Urinal • $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors - $0.00 0 Vacuum Brkr Bkflow(5+) ' $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 ' - Wash Basin $0.00 0
Dishwasher $8.75 1 Sewer Cap for Demo • $0.00 0 Wash Basin Set $0.00 0
Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 • Sink, bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink, commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink, kitchen - $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop - $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
• TOTAL CALCULATED FEES: $30.75
COMMENTS/SPECIAL CONDITIONS
•
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 \
DECLARATIONS C ) n
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,
[]/(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 carrier
nand
�policy number are: � �� 3 L(,l�
Carrier: eCO/� ` /Tee-e Policy Number:
(This section need not be completed it 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,and agree that it I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions. ^ C
Applicant Signature: \I 7c \ �- Date: Z — it
7 Q2
WARNING:FAILURE TO SECURE WORKE S'COMPENSATION COVERAGE IS 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 Proffss' ns Code,and my license is in full
force and effect.Lic.A ✓l(?7 7 l ) Class N C 5
Contractors Signature: C--7V1 Date: 2____ ' S
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).
Lenders 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 to a civil penalty 0f 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 driver's license. ❑Yes ❑No Drivers 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 Safely 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 Califomia 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? ❑Yes ❑No
(Section 25533 of the Califomia 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 appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes ❑No
(Section 65850.2 of the Califomia 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? 0 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 Califomia 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 to occupy or allow occupancy of any building authorized by this permit until final inspection.
!-- ignatigOf Legal Owner(s) v Det 5
L—�
And/Or Authorized Applicant Date
CODES INSPECmQNTYPE DATE MUD CODE I INSPECTION TYPE DATE DOIDALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical 4116/q1
I , /M
1266 Pool Spa Final 208 Final Plumbing 4f 6l%-1 I'/
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
2446.46
JA00RES UILNc: 220,- KNOX ,PL ' ' WIT: - CITY OF COSTA MESA BUILDING .PERMIT
CANNER,NAME IF KNOWN:MO RI ANA,. ROCCO A. - - — __ ._ .. _ _ _. _ SPERM NO: B 077087
ADD"Es`_*MORIANA, ANTHONY
.. 220 ,•KNOX PL PERMIT NO: B 077087 PLAN CHECK NO: N GOVT: N SUPP : .N
( .OT� � ,,CA __• 92.6276,42-5004"_., _ . , .,
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR _ .. PURPOSE: AEP . _
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION REPAIR TERMITE DAMGE TO ROOF SQ. FT.: .3, 000
ARCH.OR ENG.'S ADDRESS: UNC: '
CLAIM,.VALUE: 3, 000 . 00 CALC—VALUE: 3, 000 . 00GROUP-
OCC : R-3 ,/
CONTRACTOR'S NAME:KEN LANCASTER CONTRACTOR ( 714 ) 548-5261
COMPACTOR'S RAMS 1048 IRVINE. AV COMMENTS : REPAIR TERMITE DAMAGED ROOF STRUCTURE
ADDRESS:N.B . CA_ UCNO. 601329 ***********3 ****************************************se ****** '.3:. e TG OR
u352 Z ON ING REQUIREMENTS "'`92660 ,, .
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETH ACK S REQUIRED
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. '
CITY UC.NO. UC.CLASS: UC.NO.:
053803_ B • � 329 . /00 MAIN BUILDING ACCESSORY BUILDING
Date: 4/-13-9& Contractor _ _ ''-� 1 ° ' FT _.... IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT..- IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the
following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,alter,improve.
'emolish,or repel any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he or she PARKING REQ: _ P ROV: PARCEL : 42533411 Z NE: REF NO: •
licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>j'
iness and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section
'031.5 by any applicant for a permit subjects the applicant toe civil penalty of not 155
more than live hundred dollars 001). 7' 'T
❑ I.as owner of the propadYw my employees with wages astheir sole compensation,will do the work.and the structure end intended *******************************************************************************
or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not ambito an Owner of property DEVELOPMENT SERVICES REQUIREMENTS
who bolds or improves thereon,and who does such work Nmsei or hesef or through he or her own employees,provided that such
improvements are nd intended or offered for sale.Nd
,however,the building or improvement is sold within one year completion,the
owner-builder will have the burdenof proving he or she did not build or improve for the poryose of sale). ZONING APPROVED '..nmB Y, DATE:
❑ I,as owner of the property ant exclusively contracting with licensed contractors to construct the project(Section 7044,Business and
Professions Code:The Concretion License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : 2
DATE;
contracts for such protects with a contractor(s)licensed pursuant to the Contractors License Law).
❑ Iamexempt under Section: B.&P.C.,for this reason: APPLICATION ISSUED BY: DATE: 'i(.
Date: Owns: *********************************************** *-*************** *(ti? *******
LEGALIZATION:N F E E S U M M A R,-Y STRUCTURAL SEGMENT: Y
I do hereby certify that lam aware of and understand the requirements of California Health end Safety Code Sections 25505,25533,and r 7 .1
Pct'4,and that I or any future building occupant will 4 wit not(circle one)need to comply with said state codes and the requirements for 3'
-
a permit for construction or modification from the Ai iigTOMMagement District.Residential construction applications are exempt from se BLDG PMT PLUMBING ELECTRIC• MECHANIC'."' FIRE SMIP/RES GRADING
"°w ° '' PERMIT 54 . 00 — . 50
Date: Appticant: x 9 �� SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the fol/owing declarations: PLAN - - ,
❑ I have and wit maintain a certificate of consent to sef-insure for workers'compensation.as provided for by Section 3700 of the Labor
ISSUE FEE 0`
Cade.for the performance ofework for which this permiisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK; r TOTAL PAID DUE
❑ I have and wil maintain workers'compensation insurance.as required by Section 3700 of the Labor Cede,for the performance of the TOTALS----> 54 . 50 0 . 00 0 . 00' 54 ..50 54 . 50 . 00
work for which the permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier: CTDTW EXPIRES REVENUE DIVISION TOTALS--> , COLLECTED : ' 54 :50 OVER/SHORT: . 00
Pricy Number 128210 95 12/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE SM'IF/TOT GRADING PLAN—CHECK
us section need not be completed fthe acme is for one hundedd lam f001 or less) 54 ,00 , 1, I . . 50
j I certify that in the performance of the work for with this permit is issued,I shall not employ any person in any manner so as to j
become subject to the wert'compensation laws d California,and agree Mel f I should bacons eu.'.• to to . *************************************************************************
compensation ct to the
of Section 3700 of the Labor Code,I shell forth ;a h••ropy with those pro e .
Date 11-5' S'!v Applicant: INDIVIDUAL F E E B R E ASK iD 0 W N
Warning:Failure to secure wodnn'compwwgon covens*Is unlawful,and sell subject en employs,to crawl penalties and TYPE QTY D E S C R I P' T I O N ''t `(• UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($100,000).In addition to the cost of compensation,damages as provided for In i .1".
41
Section 3706 of the Labor coda,Interest,and attorneys fees. SFR 3000 ALTER BY VALUE RESIDENTIAL NOZONE' �'' • 1 .00 3, 000 . 00
CONSTRUCTION LENDING AGENCY: d hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES ' • h /1
performance of the work for',Mich the permit is issued(Section 3097,Civ.C). A•
LENDER'S NAME: '
LENDER'S ADDRESS:
It
I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property d
for inspection wrpweaKEN LANCAST - C OO'2O3CZ-1.— __C3�?i i_C'�- •
i DME: 31/07 '''r Tiiici OC:_-"
/__ _ �% Date: 17/-- 9-9h •
nature of Owm er/AgenvApM,anr•trade
'(5151.46.WP) White-Building&Safely:Green-File:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor -
•
-
CONSTRUCTION AND PLANNING POOL ?A
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil'Pipe-Undrgrnd. , % - . 53. Steel Reinforcement - ,
-3 Electrical Conduitfutility-Undrgrnd. 54. Forms • -•
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5.-Steel Reinforceme,ni 56. Rough Plumbing & Pressure Test
'6. Electrical UFER-Grnd. 57. APPROVAL TO COVER-GUNITE :- '
_ '7.`Footings z ' 58. Electrical Conduit-Undrgrnd. .
8. _Foundation - �j 59. Gas Pipe, Undrgrnd., Test - '
9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. - .
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & HouseConnection 62. Backwash & Receptor-Final I
12. Sewer Cap u - , 63. Heater & Vent-Final
13. Roof Drains - - - . 64. Plumbing System - Final ,
14. Rough Plumbing I 65. Electrical-Final j .
15. Rough Electrical-Conduit •• j .
9 66. Solar System-RI-jar ,
16. Rough Electric Wiring...,.., ' 67. Fencing & Access Approval
•
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING •
•
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating& Air Conditioning 1 ,- -_ FIRE-DEPT. REQUIREMENT _'
20. Rough Factor Fireplace : ` - . ,APPROVALS Permit# • r"
21. Duos; in Structure: - t-i 'r ^; 4, j70, Undergroprid Hydro '
22. Ducts, Ventilating _• -; < p` q
r.-:.1: l'..71. Product-Pim Gas 0 Oil
23. Gas Pipe-I:ough&Test - • 72. Underground Faith : -
24. Roof Framing f r - "0{ 73 Undergrnd.Storage Tank'0 Gas 0 Oil
25. Roof Sheathing _ l .1 - 74. Overhead Hydro-2:- -
26. T-Bar Ceiling (Structural) & MonoEoat _ C 75. Dry Chemical ;.-'•
27. Frame andnFlashinm 76. Dry Standpipe 4
-28. Lathing &csiding = ' - - - m 77.J FIXED SYSTEM'FINAL _
-29. Insulation' - -- 4 t 787 FIRE PREY. FINAL - -,
30. Drywall Nailing .' ' F. :HEALTH DEPT. REQUIREMENT
K31. Plaster Browncoat_ , ' 79. FINAL INSPECTION - -
32. ElectricalPower Meter-Final • 80._FOOD CERTIFICATE ISSUED- -,_
1
33. Fina1.61ectric _ -, Notes: -
34. Final Heating & Air Conditioning , ti.-GY`p.‘'-. ,� _5`// ir
35. Final Gas,Pipe-TesiJ R - i r. - _( l T / ,r _ - a �j
Hood-or .a -a U
• :te_36. Hod- Cl
_37. Final Factory Fireplace -- ,. .. : ,. Y -"4 Gtie51` - . j -
_T38. Final.Plumbing - . I T
39. Water Service-Final "1-1(-476--- ,�4),/; e_ • .
0- cede-
40. Gas Service-Final • - _ r - ( ^ .' C. •---
6 Y �V`
141. Solar Domestic:Final, `�. �--L - - -~
42. Backflow Preventer • , _ .
43. Backflow Irrigation r - .
44. Landscape Irrigation System _ _ - T
45. Sound Attenuation ., .. .
46. Handicap Regulations • _ ._: . . , -
47. FINAL STRUCTURE.& BUILDINGC'`f= ‘144,/ . . _
48. FINAL•PLANNING, ,. • • • * 'tom I ;: 7 �• •
49. Electric Release to Edison_`_
50. Gas Release to Soutliern Californi&Gas Co -
•
51. CERTIFICATE OF OCCUPANCY -
No. Date •
OWNER COPPENCFRR-P?R & NIRS J R DATE 3-25-60
JOB ADDRESS 220 Knox Pl. A & B BUILDING PERMIT NO. 11579
GENERAL CONTRACTOROwner/Bldr. VALUE $ 17,028.00
AP.No. 117-1/tLt-2G LOT TRACT _ FIRE ZONE DESCRIPTION OF WORKDup. w/Det. Gar,
INSPECTIONS l/�/)-6Pp DATE I GROUP I & J TYPE V ZONE R-b
Underground Soil /4-/5U.G. Water PERMITS ISSUED
Underground Gas 44145y/a * SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas n Lc („..,L,✓ :7-61t-- J--/S-6.0 2,./-/tr'7 l
Rough Heating .c3-0
- Jete, 4: t-e-cr,-,--rv ��G! 3
'. -'_ </-- •2-d, ..2A,SI
Rough Plumbing _ /1'� ,(_-C.•,_,_,G-„cli'-v /%moi 4=-d-‘, ... 383g ----- , 11°1
Miscellaneous lea o� .2-,.a7.-,.✓ 't,t z.,C•�ti �- s1- -6, .�37.9 ,i .U' /
Prop. Swr. Ltne-/ZHoug/Con./ St. S . pine) y i t< q of (6 u 2..4 d til..” i\ /I I
Sprinkling System /✓" d
Heating, Final , - • • _ .` I'
Plumbing Fixtures ) i. _ ( -/n '1/`
Final Gas Test / I /U///'I /r 0 W Y
Construction Pole
Underground Power
Rough Wiring .L..-- ":::rte i '/-zc-1-, /2-00//
Trenches ✓ Form '--Ste01-4.an_ -7- ,- "1101111111r- 4a e. -g- - a
Floor System 0, } c- 4L — /.,--— gl Z
Steel Reinforce Chimney Re-Rod
Bond Beam '
Sheathing 9'rld'A :
13.579
1 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT 4/3-11, 0 vu
P. O. BOX 917 COSTA MESA. CALIFORNIA
FINANCE DEPT.
For Applicant to Fill In Completely APPLICATIONSFORliFPERMIT
TYPE OR PRINT BUILDING
ADILDING _/J �//) ` i(4 /
ADDRESS/it / GZ.GvY� "1.9.Z
COST
IJEp/S)A.. CALIFORNIA� �� /��..� For Office Use Only
OWNER ( 1•Vil ry\'�(Jp-'lIJ-y"'�" j� I RECEIPT NO. PERMIT NO.
MAIL d �J ly\,�, I� ^',^ RE Y DATE RECEIVE TE�Q]�'/!
ADOReSS��� \ 2, M_hatry�l[ , U /j{� � .3-/J:'a0 I • 7 O
CITY WYI ` Q TNO.1 I�i RV BUILDING �T ///�np �
/q�)) ADDRESS, ✓.0/l/a-z j -/a f8
ARCHITECT TEL. �Abd1 COSTA MESA. CALIFORNIA
OR ENGINEER NO. nn
FIRE 4
ADDRESS (/'(�'�) ZONE TYPEt GROU /!
CONTRACTOR \y UAj�97s.f \APPROVED �� TES/ ` �(/
ADDRESS �NING ��//1� C1
ZONE//�''")� / NO.OF UBE OF NEW!-t� A-/�•/9.-
CITY 'CL I PLAT I BUILDING
r ` ,
Q R {(� V LEGAL [ // /I
LIC.TNO.1 U� \ NO. • •- '`�V q DEBCRIPTI0e624(-./4 ^ A/.s i
SIZE X/ » NO. OF BLOCS. / ,/// /� ".,(�
OF LOT /� "(��- NOW ON LOT ® \ A.P.NO. // 7-- 1 �]— ,- y
USE OF YARDS EVES
EXISTING BLDG. _ APPROVED ALLOWED
SETBACK LINE FROM In/ i (CENTER LINE ST.) ji / 1/�',.
CENTER OF STREET REAR YARD ON FRONT lFT. 'n it J
a ,
/�Y
SIDE YARD I LEFT I RIGHT R.SIDE 0 FT. I� IN.
DESCRIPTION OF WORK L.SIDE A/19-FT. 0 1/P' IN.
NEW I x II ALTERATION I II ADDITION I REAR .I� ^K FT. IN.
REPAIR I II MOVING I DEMOLISH APPROVED ♦„ ( W/ E 7.45:-.
� "Cr �
BUILDINGS ^ �7 'NO. OF# n /(n W , C
SIZE Z�X 1 O ROOMS/�n,11'STORIES I ... 7 S ' AIL-- y-ab -,i!
EXTERIOR WALL 1 ROOF
COVERING COVERING anion./ j
'
USE OF B DING AND WORK TO BE PERFORMED �/ •
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A !�!-�1I/ ..-7-.=.---.
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW UNDER VALUATION IB FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTA LISHING A PERMIT FEE ONLY.
PLY WITH A4y CITY O-•!RANGES AND STATE LAWS REGULATING
BUILDING C• ;TRU jN.oi
VALUATION
SIGNATURE •-k` • `A P
ie N
PERMIT FEE 5.517 -
PERMITTEF V 'tri i•;O n_
$// .._
1 oarPLAN CHECK $
AUTHORIZED AGENT 0 C
... ..... .: ... r.. �: n . .. ....., _ .. TOTAL FEE
YO MORA AGONY DATE 10-2.9-69
1BUIL>s JOB ADDRESS 220-B Knox Place
DING PERMIT NO. 31046
`{ GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Patio Slab
AP No. 117-144-34 LOT (Por) 43 TRACTNpt.HRts FIRE ZONE VALUE $ 284.00
INSPECTIONS Signature . Date GROUP J TYPE III ZONE R-2
501E SUBCONTRACTOR PERMITS ISS ED
GAS Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. n
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING /' Heating and Vent.
TRENCHES El FORMS n STEEL REINF. LI 1nn'- "(/�.Z'.
FLOOR SYSTEM
BOND BEAM El STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric _-
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL ((-i9--t1
31046
OCT 29-69rNSA001170 al*****5.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
4
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
p i� / / RECEI ED BY DATE
REECj�(IVE/D DAT IISSSU�/pD
BUILDING #2 O..NI hive X' /,LnnCt /6 —'�F�-`�� /b 'j T
ADDRESS q(, T
/� p RMI NO
OWNERq/YThoNy iloRi4 AIA A.P. NO. — 3 /�y�7I aJ . ..
MAIL
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ADDRESS 7--T° N K/YcX / L'1 « ADDRESS �( ry/Y/2�f/
ce
dU CITY C061'! /-/c-61 N0SYSIy573 -41y,/ , OT 3 BLOCK
ZZ p VY
< CONSTRUCTION NEW ADD ALTS REPAIR MO INS DEMOLISH
d m LENDER
X
JV) BRANCH (1� C Y2 MzIr2 .r)
OWNER
J m ADDRESS .(n sL VALUE D9r
(Pettit)
r/ I'l/
Q ARCHITECT NEL USE $/�
!n OR ENGINEER NO. '
U Q FIRE
W DC ADDRESS ZONE L-5TYPE ' GROUP
d WCONTRACTOR ANER BY ,APPROVED n SATE/� LIWZ
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if Z
J IL ADDRESS
W W TEL. ZONE ''j NO.OF USE OF NE /
O= CITY NO.
_ O( PLANS BUILDING .444 .. /
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WO STATE CITY - YARDS APPROVED YARDS APPROVED
co cc LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D O ,/ /� (FROM C L STRF,FT�
SIZE I NO.OF BLOTS. •
OFSOj —1/
LOT O/t J NOW ON LOT FRONT// ..,/ TAz �2_,J i FT.
USE OF / /
EXISTING BLDG. _R,SIDE l 0 FT.T FT. -
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE -J FT. L� FT.
✓ COVERING COTERI N WALL I COCOVERING REAR FT.
Q U 6' 4 i FT.
_
J USE OF BUILDING AND WORK TO BE PERFORMED ,
DISTANCE BET. BET.MAIN&
CCL L MAIN BLDGS. ACCESS.BLDGS.
pP47-i 0' 61- 4 6 y✓/T{} J Z% i -t C.U.P.# APPROVED
rral
V) /C I NG j �APPRv1/ `! I!ac r ." DATE( 'y0 y
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UI hereby acknowledge that have read this application and state 4t.chat the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employany person in violation of the workman's compensation laws ofthe State of California. co
I hereby certify that I am properly licensed as a contractor under SO. FT. O
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: b
am exempt from the provisions of the State of California Business cc
VALUATION
and Professions Code,Division 3,Chapter 9. X /1/1 N
PERMIT FEE $ �-J V 0
Signature of ` m
Permittee tA/[r l(�'r'y� �C.� f Toi009 PLAN CHECK $ c__-w E
Authorized Agentu.
4 .meemi TOTAL FEE $551 ir;e0
OWNER MORIANA, A. DATE 7-16-73
vJOB ADDRESS 220 Knox Place BUILDING PERMIT NO. 37016
GENERAL CONTRACTOR D. W. McFerran DESCRIPTION of WORK Patio Cover
AP No. 117-144-34 LOT Por 43 TRACT N-Dt Hts FIRE ZONE VALUE $ 600.00
• INSPECTIONS Signature Date GROUP J TYPE ZONE P2
"SOIL SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
WATER Plumbing
ROUGH PLUMBING
I\` PROP. SWR. LINE Q HOUSE CON. ❑
\.,)PRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING Heatinq and Vent.
TRENCHES 0 FORMS ❑ STEEL REINF. n
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN in OUT n
PLASTER, BROWN COAT • _
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL /1 l �j�? , .20•73
CPFrIAI RFnIIIRFMFNTS •
I • .370I 6 IIIL 17-73�ISGOO2067* *****5.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in/Completely /'/n/ RECEIVED BY DATE RECEIVE/}Q DATEISSUED
BUILDINGDRE6.2 D �Q V f �J'4 " 7-/''-7` ' �J / ��//
ADDRESS /l / " /
A/ )� _ / ' /// J '�ERMIIFN
OWNER ry[/ A.P.NOP?... /K7 ! /
BUILDING /
MAIL AD DR E5S��f/ .--4. (((///...��XCCCC.('�
Z ADDRESS
Wa U TEL. "act
c NO. CT ,/_ LOT 9IT BLOCK
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Q CONSTRUCTION 6 ' NEW ADD ALTER REPAIR MOVING DEMOLISH
O w LENDER �/�-�( /
0- m /J�
J 7 BRANCH //II�� ,� '� �
_i(/) OWNER Q ' vwG��ti�/
mJ 01 ADDRESS • /\^/ VALUE J
C371 ' ARCHITECT TEL.// i/�. ,. . SE -/ l/�' -d $ / / Sar
U N OR ENGINEER 1--f -A N• �C✓ . . i
FIRE
W 2 ADORES. 0_ _ `-��- i _ ZONE . VPE .GROUP /
�^/ /� APPROVED /
W / Vr/Z CONTRACTOR PliC �,_1 BY DATE pC /�J 3
J Q
mZ7x90 _ y
-J ADDRESS
W WTEL. ZONE, PLO. OF USE OF BUILDING E A.
Z F CITY / . NO. • /4k y � I/���e C.O:
WQ STATE '7 .�/ .CITV ' YARDS APPROVED YARDS APPROVED
NCC LIC.NO. / y'�'�yLI LIC. NO. 3eig6 MAIN BUILDING ACCESSORY BUILDING
7O (FROM C/L TREET)
SIZE • ANO.OFe�
OF COT NOW ON LOT FRONT/2Z edark-/ FT.
USE OF
EXISTING BLDG. S�,y Q R SIDE 0 FT. FT.
I— SIZE OF /J/. Of NO.OF
Z NEW BLDG. Off,' �/ ROOMS STORIES L.SIDE •-.57T. FT.
UEXTERIOR WALL ROOF —
_ COVERING COVERING REAR ._' rT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
O. MAIN BLDGS. ACCESS.BLDGS.
Q 412/7 / an(
VAR.# DATE
C.U.P.# APPROVED0
F �J /� -5
�„ /LJ_ /CO - _ABPPROVED / 1/ )/tT DATF7 I/ —&7
Z
_O
~ I hereby acknowledge that I have read this application and state SIAM.
Dthat the above information is correct and agree to comply with _ '
CC all laws regulating building construction, and I shall not employ
I . any person in violation of the workman's compensation laws of
CO the State of California. co
to
Z I hereby certify that I am properly licensed as a contractor under SO. FT. 1A o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
ir
am exempt from the provisions of the State of California Business
VALUATION m
and Professions Cod ivision 3,Chapter 9. ` PERMIT FEE $ / 0-d B
• Signature of (`�('// y//�� (Jto
Permittee -`®/,t/'!e �L� �i $�D� PLAN CHECK $ E
czZt 2--ciri4t o
d LL
Authorized Agent
TOTAL FEE $