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Home My WebLink About1724 SAMAR DR - Building Permits it itt 4` 9 CITY OF COSTA MESA BUILDING DIVISION F ,. DEVELOPMENT SERVICES DEPARTMENT P RMIT NUMBER OPNII PERMIT B02-01822 %wagon. It (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.s.kusING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDJob Address: 1724 SAMAR DR Status: ISSUED Suite: Applied: 11/06/2002 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 11/06/2002 Parcel Number 13927210 Zoning: R1 R1 Applicant: MONTAGUE, KEVIN M ISSUED BY: a /a Address: 1724 SAMAR DR 40%2 Phone: 714-641-0705 COSTA MESA,CA Zip: 92626 Owner: MONTAGUE, KEVIN M Address 1724 SAMAR DR Phone: COSTA MESA,CA Zip: 92626 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF:T/O EXISTING ROCK ROOF; REPAIR/REPLACE SHTG AS NEEDED,2 LAYERS 15#FELT,APPLY"30-YEAR COMP SHINGLES." PITCH IS APPROX 2:12.2600 SQ FT FEE SUMMARY Plan Check: $0.00 Calc Valuation: $4,000.00 Permit: $97.25 Claim Valuation: $4,000.00 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 Existing: 0 . Required: 0 Proposed: 0 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(6106I DECLARATIONS ! b I�, y 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 carrier and policy number are: Carrier: Policy Number: (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,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 provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S100,000),IN AODmON 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 Professions Code,and my license is in full force and effect.Lic.k Class 4 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: 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 end the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subb' Is the applicant to a civil penalty of not more than five hundred dollars($500).): ��j 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 contractor icen'' Law does not apply to en owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to e Co •ors 'cense Laws.). ❑ I am exempt .•:r 5- Business and Professions Code for this reason: Signature: 4J �✓ate, Date: //—c' •- ' -- Owner ID verified by drivers license. /�■ Yes 0 No Drivers License No. !- Expires://(9, Verification of Ownership by(type of?rumen!.i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFBTY 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,talsework,or demolition or dismantling thereof,will be more then 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 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 appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Govemment 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 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 COMP D A .•-IZATION 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 m ' 'to -,s and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described ' art o /—, i • - . agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. // -e, Signature• 'egal Owner(s) Date And/ 'uthorized Applicant Date CODE INSPECTION TYPE PATE !EMU CODEC INSPECTION TYPE RATE R LS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof /2.-17-02- C✓$ 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 CITY OF COSTA MESA, CAL'^ORNIA ' � t ; { � '• • • DATE: `li1.U6 I%lr • OWNER'S NAME Wile? G , 4/0e74.,) ADDRESS OF STRUCPURE 172-V. SA.wae .n,emic • • I hereby acknowledge that I have been informed by the Building Safety Department that the soil in this area is of an expansive nature when water penetrates and that the Building Safety Department recommends slab re- inforcement. Mesh reinforcing is not considered adequate. I further agree to hold the City of Costa Mesa harmless in the event of any failure of slab or footing. • j 41 ;ins 4er ! E ' • I • i , ''1 I61. I j V • ' ti A11. 4 I ._ ; � + . p • U`WNrn MORGAN, HARRY L. DATE 6-13-66 /JOB ADDRESS 1724 Samar Drive BUILDING PERMIT NO. 25787 '��1{GENERAL CONTRACTOROwn- • .elder DESCRIPTION OF WORK cony. _ add :- , . o . : det AP No. 1 6-2 2-10 LOT TRACT FIRE ZONE VALUE $7 37: .00 INSPECTIONS Signature Date GROUP I&J TYPE V ZONER] Soil / -7-9,0 PERMITS ISSUED Gas a --�� SUBCONTRACTOR I Date I Number I Signature Water ', i p , Plumbing Rough Plumbing �• '� (�77�d 1�! c/ O Prop. Swr. Line Ei House Con. 0 i AI ii ' Sprinkling System — Miscellaneous _ Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring fiGra 7-'9.-49 Heating and Vent. Trenches 0 Forms 0 Steel Reinf. p .0%;fft- (Y,.:/GF- Floor System Bond Beam 0 Steel Reinforce 0 Sheathing 444- J/i9/Gc Frame and Flashipg,L-rb--fr t 4,49 7/r/4e• Lathing— In airOut ❑ -/r- Plaster, Brown Coat d,}," t iGNak 3_/fr- 627 Structural, Final Electric _ Heating, Vent., Refrig. and A.C., Final _CU>t � cew 'J_/?-1 AIA'62/t _ Plumbing, Final and Gas Test CYYhc ca,O e c /2 Q/�i Electric, Final (?gyp a,-/F-',R. Building, Final "2", r,---.7-oY -` CITY OF COSTA MESA 25787 COSTA MESA BUILDING-SAFETY DEPARTMENT JUN 13 1966 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 For Applicant to' Fill In Completely APPLI)I Bim",,FSR ED' IT TYPE OR PRINT —BUILDING For Office Use Only • BUILDING //72L? Sit"MI_ OPIUe'- ADDRHSS RECEIPT NO. PER"IT COSTA MESA, CALIFORNIA �.7 / lJ 7 RICEn(17 DATA RECE ID TE IB UED OWNER iii.e., L. 4✓ln<7a,� Z'.? &,4 683/66 MAIL /7 / /y, ADDRESS #724 �JgAAA2. >e. ADDRESS I'(2 v 54M4-r- aP.'ur ADD r^ CITY I c;cT4 //lf�S� TO-. 5515gocj ONE _,/�y)TYPE GROUP ARCHITECT TEL APPROVED �✓ DATE r��_� OR ENGINEER NO. '/ '✓ ) ZONING ADDRESS m NO.OF USEOFN PLANS 2 X41 I CONTRACTOR OGJA/�.C_'��'/�G�f-,L_ / f /T //�I� LEGAL /�/1 �'.' ' • ADDflSS I0zv SMiZ'4 , Oe/liG DucRlmox�/ ��('7c.o. 7>^��'7�. ! CITY Cts•�n MC'7/P A.P.NO. / �/ � /� _�c NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TELSOS TO SIDE 61 REAR p.L LIC.NO. NO. ' SIZE OF LOT NO.OF 111-0011.NOW ON LOT I ALLOWED (Q�B.C.REQUIREMENT/ �{ �Q )A JS S I /Y_ASI USE OF /� YARDS APPROVED YARDS APPROVED EXISTING BLDG. IC ES 10EA1C e� MAIN BUILDING�� J�. ACCESSORY BUILDING - (� FROM C/ STRIt7CU'Y t SETBACK LINE FROM FROTYr U CENTER OF STREET REAR YARD / P�' /•"' �� SIDS YARD I LEFT RIGHT R.SIDR lb FT. I FT. DESCRIPTION OF WORK L.SIDE -r /P/ �/ ))//_�i ��.�/ NEW ALTERATION i/ ADDITION /� REAR /t!/ PT. (.A�C..�•' � A ✓ — DISTANCE BET. BET.MAIN Q REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDGB. BUILDING NO.OF VAR.JC DATE SIZE ROOMS STORIES C.U.P.* APPROVED EXTERIOR WALL ROOF AFPR9V , <-G / /� COVERING I COVERING SY !✓, / . .u�J DATE[n/AV, 6 USE OF BUILDING AND WORK TO BE PERFORMED 00 / 0. kiln 0.4(-Pr E on4- etc)i- - 97 COU PE e-1- AAM -szacercestikro r- VI S'rr I i7� 6:714e.411 . A-1-119ADO Mew �oeA94 -4 BQ.FT. 3 SO e I HEREBY ACKNOWLEDGE TMAT.I NAVE RIND THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE D AND STATE THAT THE ABOVE,IE CORRECT AND AGREE TO COIL. PURPOSE OF ESTABLISHING A PERMIT IEE ONLY. PLY WITH ALL CITY OR NAMES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCT] OO . SIGNATURE OF// PERMIT FEE f 27 Op PERMITTEE ./� Own L�A1 �'7 iT ,3U•v G S / ✓G PLAN CHECK S f' AUTHORIZED AGENT / 40 Se';. ..r^;.,...' _:...,... .... �... ....•r_..., .. ., -..... TOTAL PES f MI '1 FEE RECEIVED 11374 Cul :1-3- a COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO fill IN COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING 1724 Samar Drive ADDRESS • COSTA MESA, CALIFORNIA fOR MICE USE ONLY RECEIPT NO. PERMIT NO. oWNERKenprof Development Co. , Inc. I I 9 !Z Y i MAIL 1555 Placentia RECEIVED BYDATE RECEIVED OATS,1''ISSUED ADDRESS MI A2- I .2-/.-Go I FIB3 1560 CITY Newport Beach TN 0.116-3227 ADDRESS ARCHITECT LIC. COSTA MESA, CALIFORNIA OR ENGINEER NO. FIRE l ADDRESS ZONEIRTYPE ✓/ GROUP �71 CONTRACTOR K.W. Koll LIC.NTO. 61195 BYPROVED DATE • 1555 Placentia ZONING ADDRESS I�ci ort Beach LEGAL I LOT3529 ZONE NO.OF USE OF NEW/240 , 'Iii---1' DESCRIPTION NO. 54 I BLOCK I / PLANS /J I BUILDING_`L/ A.P.NO. APPROVED/,, /n�I- dJ 9A / T7 BY (.V T L�' I /DATE / �6 SIZEOF LOT !0X100 irreg NO.OF BLDGS. 0 YARDS �'EV ES {� rvow ory Loi REQUIRED ALLOWED USE OF (CENTER LINE ST.) EXISTING BLDG. None FRONT ,ej0 FT. IN. SETBACK LINE FROM 50 1 28* CENTER OF STREET o REAR YARD r� v R.SIDE /A/FT. IN. SIDE YARD LEFT 81 I RIGHT 12* T L.SIDE /J�-/ FT. IN. DESCRIPTION OF WORK - pZ (/ r-r.f IN. REAR 7 NEW I XII ALTERATION I II ADDITION I REPAIR pI -- IMOVING II DEMOLISH I 'IQ-DING 1040 sf ROOMS (_ n STORIES 1 COV • EXTERIERINORG LII. VVEWAJLUCOO ICORING Rock USE OF BUILDING AND WORK TO BE PERFORMED Single-Family Residence and Attached Garage — c 64 . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT E ABOVE CORRECT A D AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL RDINA AWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CON- • ION. VALUATION `y •; SIGNATURE • 1[,-QAA PERMIT FEE S 3 J --- PERMITTEE {�III 01 o, 0(/ e(�i S /'/tr/j-' PLAN CHECK S //CC,B' — AUTHORIZED AGENT TOTAL FEES %J.-7 w