HomeMy WebLinkAbout291 KNOX PL - Building Permits OWNER PURSELL, Marvin T. DATE 8_16--K7
—_
JOB ADDRESS 291 Knox Place BUILDING PERMIT NO. 5578 '
GENERAL CONTRACTOR Tri-Crown VALUE $ 7,296.00 _
Al'. No. LOT 311 TRACT FIRE ZONE DESCRIPTION OP WORK Residence & Att. Gararae
( iP I 8t J TYPE V ZONE Rh PLAN NO. cC87
PERMITS ISSUED
INSPECTIONS ?ATE
SUBCONTRACTOR DATE NUMBER
Trtnchcsi[//rForms Steel if or /J9
Floor Sys(em •
Steel Reinforce Chimney Re-Rod
Bond Beam
Frame-and Flashing �' - - //jo
Lathing, In /5,/JOut (a-t 7, $7� '
Plaster, brown'coat '� f Aa in I
Underground soilAQ#S W/G Pipe Tett
Top Out at-2S•S7 /h rS 4?-42-_a
Furnace Kg,. Y12, -c 9.-/2.-r7 U � i'l• i-.+,t/4th .f-22-57 J4`f Qf ✓ _
Gas Vents / 4 / p
Rough Plumbing r,�c 73 _e k/ 7-2.Z-57 /0$c 9/
Cesspool Septic Tank U
Prop. Swr. Line r House Cont.'- SOAK I i{I4's-2 I't.),11"-b le....,"•- (trg t 7 10 9 s-V -
Sprinkling System (!
Ir}}5. :2ig Final /Yl/R V?.-/7"37
Ft&. inq Fixtures, Final 41ff( /2.-/S -67
Final Gas Test /O'". M//-5 /1-CI- 7 (.!j ate-
. /5' - /t- 4 2 I"G
Construction Pole
—Underground Power
Rough Wiring ._ -. . - 71r Q Y_l- rt,, ii,, *.- • ..(-':J C. ✓
re-
Fixtures, Final t" 9`'^
OCCUPANCY �J r/J�7 2 _ ` -�-
Form 210—SM-1-57 t / 'rf ( �" / C • J /
5578,E
ADDRESS OF BUILDING: uxr:
291 KNOX PL CITY OF COSTA MESA BUILDING PERMIT
OWNERS NAMEIF mom CARMONA ED PERM NO; H 081219
MIME& 752 CENTER ST
COSTA MESA, CA 92626 PERMIT NO: B 081219 PLAN CHECK NO: N GOVT; N SUPP: N
low 631-8359
APPL.MIJUNO ADORES& CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR DUNES: UC.ND.: JOB DESCRIPTION : T/O & REROOF W/ASPHALT SHINGLES SQ FT ; 3, 250
ARCH.OR ENG'S ADDRESS: UPR:
CLAIM VALUE: 3, 250 . 00 CALC—VALUE: 3, 250. 00 GROUP OCC: R-3 /U-1
COIIIRACTORSNAME: FAIRWEATHER ROOFING ( 714 ) 832-5357
cDNTRACToaSMMUNG 3845 E CASSELLE AVE COMMENTS: REROOF 1400SF RESIDENCE W/ASPHALT SHINGLES
ADDRESs: ORANGE CA uc.No.: 515125 iE*+Air**+ESE*******************************************x*********x********x********
92669 MT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(mmmendng with Section 7000)of Division 3 d the Business and Professions Code,and my license u in fug force and effect.
car uc.No.:047828 LIGcuAss: C 39 LIC.NO.: 515175 EXP: 07/97 MAIN BUILDING ACCESSORY BUILDING
q FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: I (J I cormOC ' % LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penely of perjury that I am exempt from the Contractors license Law for the
• 'orlon*reason(Section 7mt.5 Bailees and Prolessixis Code:Any thy cr county which requires a permit to construct.alter.improve. PARKING REG: PROV: PARCEL: 00000000 ZNE: REF NO:�
o licensedpursuant
puu�t to he prro iBice of°the ContractorsLicenseumnsee Lawres [Chapter for gtwiheSed signed000)statement
he that dihhee PLANNING N TES>
Business end Professions Code)or that he or she u exempt therefrom and the basis for the alleged exemption.My violation of Section > Y
7031.5 by any applicant for a permit subjects the applicant to a ofd penalty d not more thanfine hundred dollen LB5O0D. *******************************************************************************
❑ I.as owner of the propend or my employees wlth wages as their sole compensation.wed do the work.and We structure is not intended DEVELOPMENT SERVICESREQUIREMENTS• S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does nol applyto an cwnerof proper
who bolds or improves thereon,and who does such work Nmrotl or herself or through his or her own employes,provided that such
improvements are nth intended or offered for ser.If.however.the building or improvement is sold within one year of completion.the ZONING APPROVED BY DATE: C.
ownerbuiler will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY s• DATE: 7
Professions Code:The Contractors License Law does nth apply to an owner d property who builds or improves thereon and wins
contracts for suds projects with a contractor(s)licensed pursuant to the Contractors License Law),
❑ lamesemptud«sedan: B.BP.c..nrnnreason: APPLICATION ISSUED BY: DATE: '\ 1 OVl
************************************************* *****************************
Dater Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I ant aware d end understand the requirements of Caliomia Health and Safely Code Sections 25505,25533.and
25534,and that I or any run building occpant will I all nth(Cate one)need to comply will said mate codes and the requirements for
logDistrict. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 87. 25 >` . 50
Date Applicant: ei y SMIP/NON—RES
PLAN '
WORKER'S COMPENSATION DECLARATION:I hereby Miran under penally of perjury one ci the following d°daretf«a: ISSUE FEE .e'
1:11hawendwimaint°nacenJ'ratsdmmentto°eBkmunlagwark°n'comp°nWion.oProvidedf«byS°dion3TOOdtheLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL . , PAID DUE
cola.f«the pedomenadthe wakl«which tnnpemntstssued. TOTALS----> 87 . 75 . 0 . 00 0 .00 87. 75V -"2 87 . 75 .00
❑ I have and ail maintain workers'compensation Insurance.as required by Section 3700 or the Labor Code,for the performance of the I
work for which this permit is issued.My workers'compensation insurance carver and policy number are:
Cannier: REVENUE DIVISION TOTALS--> COLLECTED: 87. 75 OVER/SHORT: .00
Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT, GRADING PLAN—CHECK
(Thio non need not be completed I the penn is for brie hundred dollars($100/cc tessj 87 . 25 ':SO-
I certify that in the pMomance of the work for which this permit is Issued,I Mud!not employ any person in any manner so as to / •
became abject to the workers'compensation laws d California.and agree that 9I should become subject to the wM1 n' *******************************************************************************
corn are d Section 3700 d the Labor Code.I onhwhh complyJ� tiro»prossl«s. INDIVIDUAL F E E B R E A K D O=W N
Date: 7717 Applicant: v'/N
Warning:seams As"an womn'conp.a+Bon coverage Is unlawful,and shall subject an employer to r:nrr:nal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
rs 0100.000Acivil lines Up to one hundred thousand dollars is addltbn to thecost f of conversation,damages as provided ler In
Section 37O5 of 0nlabonCode•Interest,and chemo afeea SFR 3250 REROOF BY VALUE RESIDENTIAL NOZONE .-' 1!00 3, 250 . 00
. CONSTRUCTION LENDING AGENCY: I hereby affirm under penally Of peejusy that there is a construction lending agency for the END OF FEES
performance ci the work for which this panni is issued(Section 3097.Cb.C).
LENDER'S NAME: �'
LENDER'S ADDRESS: .7 r
I certify that I have read this application and stale that the above information is correct.I agree to comply with all thy and county ordinances
and stale taws relating to buiMilg construction and hereby authorize representative of this city to enter upon the above'mentioned property f('
for inspection purposes- 7
SCOTT ALLISON
PnmNdns 81-17-1997/RCPT#01-8# #8692
—7 , /'� /$87.75
Q Dam; t1/7/� 7 PERMIT:081219
" Signature d�o�e/Agent/AppYc°nt/Cmtrad«
(5151'45.WP) White-Ouidiva 8 Sdety Green-Re:Canary-AppN'em:Pink-Revenue;Goldenrod-Assessor
IF s-, -
CONSTRUCTION AND PLANNING PO i SPA
APPROVALS Permit# - Date Inspector APPROVALS - Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. c , 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. . 54. Forms
4'.•hlectrical ConduitntI Jrgrnd. - 55. Electrical Bonding _
5z: e
Stel Reinforcement^
,- 56. Rough Plumbing& Pressure Test
"' bj lectricalUFEl�Qrnd. I 57. APPROVAL TOCOVER•GUNITE ' L.
L .
'7. ~
Footings - 4058. Electrical Conduit-Undrgrnd.r
71 8. Foundation `y ., _ 59. Gas Pipe, 0 Undrgrnd., Test - '
9. Water Pipe-Undrgrnd. = - - • 60• . Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural FloorES tem 61. APPROVAL TO DECK
11. Property Sewer Line^& House-Connection 62.- Backwash & Receptor-Final '
12. Sewer Cap T 1 63. Heater & Vent-Final
r✓.
•
13. Roof Drains 64. Plumbing System • Final
14. Rough Plumbing . M65. Electrical-Final •
15. Rough Electrical Conduit r - - 66. Solar System-Final - 1
16. Rough Electric Wiring _ 4 67. Fencing & Access Approval ,
17. Rough Wiring Sign -- . 68. APPROVED FOR PLASTERING
18. Rough Electrical=T Bar Ceili g 69. POOL/SPA SYSTEMS FINAL
19: Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
J _ T 7*-rro:. a I-, '
20 ',Rough FSctory Fireplace V' <"? x 7 =i* r APPROVAI;SJC Permit # "
-r 7- cr -*< Mk-' ,: t= 7,. C a' a;:.:-.r.. z
21. Ructs,in.5trt1Yuturtt?n t ,
•.-(•••• �-� x g j r,c .- 70.A n�rgrotsrrtd Hydro
22. Ducts, Ventilating- f. r , C.- a 71. Product-Pipingi7Gas OOil
23.f as Pipe• ough &'T`Tst r- s;: :, 1:. F' 72. Underground Fl r]r •}, `
24. floof_'Framing- ^- {,• I-. -E - ' 0 r �' 5 7g1 Undergrrrd.Storrat]PTank OGas 0-Oil
25. RoofSheething - ': - r " '*1' '� +=' S r d ". -,
< y . :, tt „X 7,�.cOverhead Hydro
-r r.•.
26.T-Ba-Ceiling IStructuray & SMonocoat % _ -V .' 75'. Dry Chemical _ * -•
27. 'Frame and Flashing' _ x _ y ren 7.6. 'Dry Sta Elpipe^`y' : c '
y28. Lat•hing &Siding ' > ��} * S ° 74'. FIXEDSYSTEM:FINAL rr
-29. Insulation • 7.t `- • `' 78. FIRE PREY. FINAL _ r
30. Drywall Nailing n is _ * I : 1--4 r-HEALT1i DEPTrREQUIREMENT
.431. Plaster BiRwn.Coj$..,.' s ,,,r r, t `za 79: FINAL1'1SPECTTON '' -
47- x
�.i 32. Electrical Power MeterFinal • ut t W i ,. - 80; FOOD CERTIFICATE ISSUED
_ 33.:Pina1Ele-tric' v r ' C ;,`. 1.71 ' .I ` Notes: ..�' - r'
�-.` X t-
".:
... .t
-34. Final.HeIaling"& A-iirrtanditionini_:. it 't o; S t,:- S C::
35. Finat•Gas•PipT-TeR'r -'t - r' ;y1_ MS •44 r SG
_- 36.'Hood or Canopy _ o < �. , r. z r i' ..
37. Fina}-Factory Firepl'de',J _ " `' ' F '.' ''•
t
38. Final•Pluritbing r_ •C. A r • - --
._ -. . ,- + _
r_
39. Water.Service-Finai o : - ,e, n :-::1 4. ,x C
I. - a • ..
40. Gas Service-Fiinal;:2' ; „t - 4; m ; _.�� e
-
•
41. Solar Domestic-Final " * 4Lt- .-•
-. 42. Backflow Preventer, x ` r 14.-49.-.77 *-:i. e/C-.,
43. Backflow Irrigation+, i s _ to 17 .;(e- ba_.
- rY-Y
k
94. Landscape Irrigatioq.System,^ ;. 7 c 7t _ - • - o
::. := 7 • .. C, - -
745. Sound Attenuationx •�'i-+ t
X V
46. Handicap,-Regulatior}s A. ,� p _ _ -
47. FINAL STRUCTURE & BUILDING /-22,...7/7 a._ /L- r' - -
48. .FINAL PLANNING•. •_ [ ,c ""/ r -
49. 'Electric Release to Edison r z - •
50. Gas Release t4,Southern California.Gas Cv -• , - rn
51. CERTIFICATE OF OCCUPANCY :. .: _ _,_ . - _
No. Date
.558'7 FEE RECEIVED
COSTA MESA BUILDING DEPARTMENT 3 lit/
P.O. BOX 317 FINANCE DEPT.
COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BDDRESSUILDING �9/ rsis, ftntoK p4 BUILDING
A
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
'Avoid
,(� /JL RECEIPT NO. ..PFfMIITT
OWNER Pu SS — 5 3 / +l
MAIL
ADDRESS •n„,�Z. a 3 Cc (0-- . s / �1 !/L2�j' RECEIVED Dg,T_RECEIVED-CS q� gy
cbeO L A AL fl/7. 2 TND.L1 '6-13. SAD SS dr-y,
/{ S J
CITY t!
ORE :E LIC.
ARE NEER NO.
COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
/ C(lt�2'J ZONE) / IND.OF ITypE �/ GROUP
CONTRACTOR}evet-{�Iroo:J. Iv NO. �/ f''� /+��/ PLnNs
ADDRESS /�� W V•/ sq,TNO. /V /- .S/)/a BYPROVED•'7\ DATE �/` /�'
LEGAL LOT 4, I CORRECTIONS i
DESCRIPTION NO. ']'W- BLOCK TRACT /
/� �' / 1y/ //)t7•--� �r/r.z-t.7d r�,.-4• :4...:••••••.a,$
A.P.NO. �4 3 y . r,?? /t.i.Th,
'SIZE NO. ON LOT . w�/ APPROVED
SI LOT NOW ON LOT ((J
USE OF
EXISTING BLDG. CITY OF Pte P a f TA MESA
{�
SETBACK LINE FROM y /, PLANNI DLI'T.
CENTER OF STREET REAR YARD !�
SUR IFCT O 8L DEPT. R G.
SIDE YARD RIGHT 5 LEFT J / / c'/
f Y
DESCRIPTION OF WORK BY DATE . [l
PLA T_CH. /
NEV. X ALTERATION ADDITION
REPAIR MOVING DEMOLISH • +
SIZE N y / Mgrs
,
SIZE �`) 74 K35'ROOMS ,7 STORIES /
EXTERIOR WALL cam- wn�� ROOF 3OarYT
COVERING 57-itaco'n�COVERING eacK,.gtppGy/iM T.p alXQ ' "' ^/
USE OF N
BUILDING E.=Alc Tti L.'s I !0/'r
v
I HEREBY ACKNOWLEDGE THAT I HAVE REA THIS APPLICATION AND r
STATE THAT THE ABOVE IS CORRECT AND AG EE TO COMPLY WITH ALL ,
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING LONSTRUC-
TION' /� `�/� VALUATION
SIGNATURE OF / Q .l) I��_ PERMIT FEE $ a,0 •^
PERMITTEE' /[eJ� e(a.(• .W.V�/ti..� VVV......
S / PLAN CHECK $
AUTHORIZED AGENT TOTAL FEE $ 50 -- veer