HomeMy WebLinkAbout1242 CONWAY AVE - Building Permits ADDRESS op SlnL01N3: 1242 CONWAY AV - 0N1` CITY OF COSTA MESA — BUILDING PERMIT
MEWS NAME IKNOW
KROGH HELEN V • PERM NO: B 08423`.
BROBERT J KROGH
177—F RIVERSIDE AVE PERMIT NO: B 084235 PLAN CHECK NO: N GOVT: N SUPP: N
i NEWPORT BEACH,CA 92663
APPL.MMLmc ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
` ARCHITECT ORENGNEER: UC.NO.: JOB DESCRIPTION : REROOF TEAR OFF EXST INSTAL COMP SHING SQ FT: 6, 000
t► ARCH OR ENG.'S ADDRESS: PET:
CLAIM VALUE: 6, 000 . 00 CALC—VALUE: 6, 000. 00 GROUP OCC: R-3 /U-1
CONTRACTOR'S NAME: ATKINS ROOFING ( 714 ) 898-1169 '
CONTRACTORS MNWIO 30251 GOLDNE LANTERN COMMENTS : REROOF
ADDRESS: LAGUNA NIGUEL CA uGNO.: 361441 *******************Dt+titatit***at**at* tit*icat*****St*****x****************stat*at**********
92677 Mr E361 Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions or Chapter 9 SE TB ACK S
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force end effect.
CMT(UC.NO.: LI CLASS: LIC.NO
037677n . C 39 3 441,,����E : 05/98 MAIN BUILDING ACCESSORY BUILDING --
0: . S'/Y ' I Contractor: Y�f�'' FRNT: 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 aloe under penaly o m perjury that I eexempt from the License Law for the '
following reason(Section 7031.5 Business and Professors Code:Any city or county which requires a permit to oonewd,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 PARKING RE Q: y P RO V: PARCEL: 14115205 Z N E: REF NO:
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of DW®ion 3 of tad PLANNING NOTES'', f `
ip sines,end Professions Code(or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >1 _ _...
11.5 by any applicant for a permit subjects the applicant lo a chit penalty of not more than fire hundred dollars($5001). **********************************************************************.*********
J I,as owner of the property or my employees with wages a(heir sole compensation,sill do the work,and the structure S not intended
or offered for sale(Section 7044,Business and Professions Code:The Camradors License Law does notepplyto an Owner of propeny D EV Est OP MEN T S ER VICES R E Q U I R E M E N_'.T-,S
who bulls or improves thereon. ndsuch awho does work himself or
herself or through his or her own employees,provided that such /j•,
improvements are non intended o offered for sale.I,however,the building or inprovemeM is sold within one year of oompletion,IM ZONING APPROVED' BY • DATE: 'n"
owner-builder will have the burden of proving he or she did not build or improve fa the purpose of sale). •
❑ I.as owner of the properly,am exduseey contracting with licensed contractors to construct the project(Section 7044,Business and
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: -
contracts for such projects with a contracta(s)licensed pursuant to the Contractors License Law).
J.
(�
❑ I am exempt under Section: B.AP.C..for this reason: APPLICATION ISSUED BY: •0 �/ DATE:
Deter Owner: **************4t**************** ************************** **
I do hereby certify that I am aware ofunderstandd
andtherequiremauscdHealth
taniaandSafetyCodeSecandions25505.25533. LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
25534i cand toonnerructionnor any future building frthheAir-U ant will/wil 11134 agem`rdo Dist)needrict. d�adccoonhstwi°napplvv°eiiasaree ptfmrn°wese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 112 . 25 . 60
Date: Applicant: SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the Idfowbg ddarat'as: PLAN
❑ I have and wit maiden a certificate of consent I0 self-insure for workers'compensation,as provided for by Section 3700 of the Labs ISSUE FEE
Code.for theperformancedtheworkfowhichthispermiisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
• ❑ I have and wil maiMan workem•compensation insurance,as required by Section 3700 of the Labor Code.for the performance cl the TOTALS----> 112 . 85 0 . 00 0 . 00 112 . 85 112 . 85 . 00
work for which this permit is issued.My woken'compensation insurance canter and policy number are:
Caller: REVENUE DIVISION TOTALS--> COLLECTED: 112. 85 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed t the permit is for one hundred dollars 151001 or less.) 112 . 25 . 60
• I certify that in the performance o the work for which this permit a issued,I shall nd employ any person in any manner so as to
become subject to the workers'compensation laws of California, and agree that t I should become subject to the workers' ******************************************************************************* •
co pen on provisions of Section 3700 of the Labor Code,XI ah I forth h with those p,q,wo,s.
.e, / II— / _� Applicant. /ve. INDIVIDUAL F E E BREAKDOWN
ng:Failure to secure workers'compensation coverage la unlawht,and shall subject an empio to ctrl 1penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
dig fines up to one hundred thousand dollars(Sipe,COCA In addition to the coat of compensation, mergese
previdest for in
Section 3706 of the Labor Code,Intsnal and attorney'•less. SFR 6000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 000 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction landing agency for the END OF FEES
performance of the work for which this permit is Sued(Section 3097,Cit.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and state That the above information is coned.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-men and properly
for inspection purposes.
a DANNY AT INS \ 08-14-1997/10:49 AN/$112.85
'
Pd 'OF.
al —��Tfr��� .�!1 epi/ GERNIT:084235
re of'.—,../Agan's"�%'tContmda �I�
15151 de.WP) White-Buildirg&Safety:Green-Fla;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
s
CONSTRUCTION AND PLANNING POOL & ,,. A
Date Inspector - Gate Inspector
APPROVALS Permit# APPROVALS - •Permit#
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location. ' .
2. Soil Pipe•Undrgrnd. , 53. Steel Reinforcement ,
' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms -
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement - . - 56. Rough Plumbing & Pressure Test
-6./ElectricalUFER.Grnd. 57. APPROVAL TO COVER-GUNITE • •
7. Footings - 58, Electrical Conduit-Undrgrnd. •
8. Foundation59. Gas Pipe, 0 Undrgrnd., Test , •
9. Water Pipe-Undrgrrid. • 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System _ - 61-. APPROVAL TO DECK = 'r "
11. Property Sewer Line & House Connection . 62. Backwash & Receptor-Final .
12. Sewer Cap • 63. Heater & Vent-Finl
13. Roof Drains . . . I 64. Plumbing System -.Final
14. Rough Plumbing - • . ' _ -'.65. Electrical-Final '
15. Rough Electrical-Conduit - ' - - , ' 66. Solar System-Final '
.
16. Rough Electric Wiring - ' 67. Fencing & Access Apprdval
17. Rough Wiring Sign - • - ' - • 68. APPROVED FOR PLASTERING '
18. Rough Electrical-T Bar Ceiling • - ' 69. POOL/SPA SYSTEMS FINAL “ •
19. Rough Heating& Ail Conditioning - FIRE DEPT -
. REQUIREMENT
20. Rough Factory'Fireplace - APPROVALS Permit#
21. Ducts,in Structure, - ergrouHydro
- - - 70. Undnd •
22. Ducts, Ventilating- I - ; _ - 71. Product Piping ❑Gas D.011
23. Gas Pipe-Rough & Test • . 72. Underground Flush
24. Roof Framing ' - - . .. • 73. Undergrnd.StorayeTank`❑Gas 0 Oil
25. Roof Sheathing _ 7S /- t_c17 6.wv 74: Overhead Hydro -
26. T-Bar Ceiling (Structural) & Monocoat Y ` �,, L t_ _ 75. Dry Chemical
27. Frame and Flashing :
76. Dry Standpipe .- :. -
28. Lathing &Siding 4 - • •' ••1 77_,; FIXED SYSTEM'FINAIL z
'29, Insulation. . ' - -- . 78: FIRE PREV. FINAL •-.,:
30. Drywall Nailing •HEALTH'DEPT. REQUIREMENT
31. Plaster Brown Coat , r . . 79. FINAL INSPECTION ,•
32. Electrical Power Meter-Final • . 'BO:, FOOD CERTIFICATE ISSUED {
33. Final Electric • ' Notes: - - j ,
34. Final,_Heating & Air Conditioning- +
35, Final Gas Pipe:Test - • '
36. Hood or Canopy •
37. Final,Factory Fireplace _ r
38. Final Plumbing '
39. Water Service-Final -
40. Gas Service-Final -r • - - 1
41. Solar Domestic-Final • - • •
•
42. Backflow Preventer , •
-
•
- 43. Backflow Irrigation : - ,
44. Landscape Irrigation-System - - - 1
45. Sound Attenuation ' - - - ,
46. Handicap Regulations ''r/r� . /'
47•, FINAL STRUCTURE & BUILDING p�/�(!
��I
4811. FINAL PLANNING
49. Electric Release to Edison "
I
50. Gas Release to Southern California Gas Co j ,
51. CERTIFICATE OF OCCUPANCY •
-
No. Date
•
OWNER COLLEGE--MESA COMPANY DATE 2-14_57
JOB ADDRESS 12)12 Cnnwny -Avenue BUILDING PERMIT NO. #Lt336
GENERAL CONTRACTOR The Hale Company_ VALUE $ 1O,20,OO
LOT 1211 BLOCK TRACT 2671 Single resew/att. gar.
GROUP I & J TYPE V ZONE FIRE DISTRICT 111112
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR- DATE NUMBER
Footing Trench £-1-t 3 _7—S 7
Foundation Forms and Grade to Garage 3—ax— r Y
Rough Framing
Plumbing, Rough to Slab Loi-2/4 c-5 t.f1/4/7 raininMitlin.,- - . - $`0/0 ✓
Plumbing,Rough Complete /0 HS ' --/-
Temporary Pole �f� .� /7'
Wiring, Rough • APR 2 9 1957 VI /1 r :.....) 3` SM- 7 7 7 Co Ve
Heating,Rough ' o ' ,-r - P /o-/7-cy I/ 3 2 r AlinHeating, Final Alin '0 -10-S7
S Sewer, House C)/Y Sewer,St. A-1A3 7-17-57 -.r-J. htt.1,,L,'; (t . 7-/)- 57 07/9-
_
Septic Tank or Cesspool c( v
Lathing, Inx Out K _ c �/e)
Plastering f, >; 6—d -.r'
Plumbing,Final,Fixtures Complete/We-5 /o-/U-37
Plumbing,Final Gas Test w/ /17,95 4, /Q- (1 " - % +w ---",-4'? -/ ro -'7 ;_.z- -,----/Wiring,Final �Ml C—J— /i
)7 I ,cam p „-4-,--- /0 -to -5,2_ ,
Occupancy 'Ai c C 10 7-0
FORM 210 3M 10.55
Costa Mesa Building Department APPLICATION FOR PERMIT
,e- P. O. Box 317 BUILDING
COSTA MESA, CALIFORNIA 4412
FOR OFFICE USE ONLY
, FOR APPLICANT TO FILL IN Receipt No. 1 Permit No.
Address 1242 Conway Avenue 4.3G
Costa Mesa, California Received by Date Recd. Date Issued
Nearest Fairview St 7O a -/..3-d---7 FEB 1 4 1957
Cross St. Building -
Address
Owner College Mesa Company Costa Mesa, California
Mail 1777 W. Lincoln Avenue
Address Nearest
Tel. ' Cross St.
Anaheim KE, 3-3161
City No. Zone I No.of I Type Groyq
Architect or Lic. Plans [/'/
e Engineer Quigley & Clark No, 08884 : Approved
by Date ,
Address 1323 No. Broadway, Santa Ana CORRECTIONS
The Hale CompanycLk..
Contractor No.ty L 3422'
Address 1777 W. Lincoln Ave. , Anaheim -
Le al Lot
Description I No. 124 ' mock I Tract 2671
(Attach Metes and Bounds)
Size of Lot 63 X 98 I No.of Bidgs. None
Now on Lot O
Use of I No.of I No.of 70
Existing Bldg. Families Rooms 5
Setback Line from t Rear Yard 33' Z
Center of Street 50 Side Yard 6' y
DESCRIPTION OF WORK r
New I X I Alteration I Addition I
T
Repair I I Moving I I Demolish I r—n
Building No,of N.I.
Size 1181 Rooms 5 - Stories 1 a
Exterior Wall Stucco I Roof Shake
Covering Covering APPROVALS
I
Use of New Foundation Location Inspector - Date
Building Single family dwelling with Forms,Materials,
attached garage. Under-Pinning .
Frame: Fire Stops, 43
Bracing,Bolts .42,
I hereby acknowledge that I have read this Application O
and state that the above is correct and agree to comply Lath.Int. G
with all City Ordinances and State Laws regulating 11-
building construction. Lath.Ext.
Signature of_TH.. HALE COMPANY ,Plaster, Int.
Authorize. y��/0j//, .,t����jj� Plaster, Ext11.11
Valuation Permit Fee $ 26.00 Masonry Reinforced ,
Plan Check $ 13.00
10 248.00Bond Beam
$ � Total 39.00 CD
Fee $ FINAL p
-. FORM 204 10-$5 D. P.&S.
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PLOT PLAN
Show location and distances from
i^. property line and between buildings. •
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•
OWNER CATS, Michael DATE 10-19-71
JOB ADDRESS ]242 Conway Avenue BUILDING PERMIT NO. 33743
GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Screened-in Patio
' AP No. 141-152-06 LOT TRACT FIRE ZONE VALUE $1,000.00
INSPECTIONS Signature Date GROUP J TYPE IV ZONE R-1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR
Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. ❑' .
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR ROLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING - earHeating and Vent.
TRENCHE4...erFORMS []bTEEL REINF. /\ /Q. ?"
FLOOR SYSTEM G
BOND BEAM ❑ STEEL REINFORCE D
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT in _
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric r _
HEATING, VENT., REFRIG. AND A.C., FINAL I _
PLUMBING, FINAL AND GAS TEST In IT-
ELECTRIC, FINAL /I9 "/—
I.e.. - -, .
4
33743 - PP.!LI
' OCT 19-71 —,I ;MO 956 ',;I'r*'..,,101C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 .
•
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVEDB DATE RECEIVED DATE ISSUED.
• BUILDING
a1 /0 ,--/4- 7/ /D —In7
ADDRESS i 7/f6INWAj
N /S2� / PERMIT NO.
OWNER - `�/LNArL 0./9/:-2--
MAIL
f9/ C A-P,DIN ,p �j
/ BUILDI G/�'/jl / '"�
'Z
ADDRESS f LJ �. SUN !V/9/ ADDRESS dT�a((
F Z CITY (a rT/g vii EEA ND'.Sri�. --,JTB
T RACT�6�/ LOT BLOCK
Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMO/ISH
—1— LENDER �/
O. D �\
J 7 BRANCH .
J OWNS
ip
m J ADDRESS — nslj r VALUE µy,,
-CO ARCHITECT TEL. USE V $ / ' , V\
Q OR ENGINEER N . /
Z(/) FIRE may/
W cc ADDRESS ZONE . TYPE GROUP
0- W APPROVED �I Jr--
Z
Yfff"' lP/)
WZ CONTRACTOR Q(,V`v CK BY /]Y yl ,/ TE/Q/U/y-7)
CO—I 0 Z l/J/
J 2 ADDRESS
W W • ZON • NO.OF USE OF NE " s
Z= _ TEL. / PLANS BUILDING /J /t J
F, CITY NO. �>•9�/fGR�L ..o--
•
uJ STATE CITY YARDS APPROVED YARDS APPROVED
N lr. LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
7
SIZE NO.OF BLDGS. ( ���'' / l r'
OF LOT 6� x �� I NOW ON LOT � FT.
USE OF
EXISTING BLDG. OL./F.e./r/"/ R.SIDE /t FT. FT.
Z NEW BLDG. .20X 20 / ROOMS / STORIES L.SIDE G FT. FT.
EXTERIOR WALL ROOFq ///
V_ COVERING L7Mf, //✓wee COVERING ,g464I/For' REAR /^ FT.CI' FT.
—I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1 ft RFe"NF/> //" /'ntro MAIN BLDGS. ACCESS. BLDGS.
Q / r VAR.# DATE
o 2(j A 20 C.U.P-# / //)
U) D/! f/ APPROVED
r "APPROVE ////// /�}—1/9—.77�—.7i
.�J, V
O /
UI hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ .
F any person in violation of the workman's compensation laws of
N the State of California. m
• '9
ZI hereby certify that I am properly licensed as a contractor under SQ. 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: 2
am exempt from the provisions of the State of California Business
and Professions Code, Division 3,Chapter 9. VALUATION /�/ co
PERMIT FEE $/(/
D
Signature ofat
Permittee .es✓l s/ /•.pir \ PLAN CHECK $ E
y `o
Authorized Agent $// Dr f� LL
TOTAL FEE