HomeMy WebLinkAbout1727 SAMAR DR - Building Permits 1 /L / 6AMAK UK CITY OF COSTA MESA — BUILDING PERMIT
SCHUTZ, EDWIN F
rDR
uNT: PERMNO: P 0 /691 /
ITSMANEIEWIADDRESS: SCHUTZ, JEANETTE R
1727 SAMAR DRPERMIT NO: P 076917 PLAN CHECK NO: N GOVT: N SUPP : N
TA MESA, CA 92626549 1708
APPL.RARING ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : WATER HEATER C/O SQ FT:
ARCHITECT OR ENGINEER: UC.NO.: Q
ARCH.OR ENG.'S ADDRESS: UMT: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /
CONTRACTORS NUE: NOCK PLUMBING ( 714 ) 895-1246
CONTRACTORS MARINO11610 SEABOARD CIR COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
STANTON CA 707775 *************+E****SEE* *****EE******* ******M ************** ********EE+E**********
ADDRESS: 90680 uc fa` ZO N I N G R E
WIT: U I R EMEN TS
SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I em licensed under provisions of Chapter 9
(commencing cel (�^i• • of Dhisbn 3 o the n d Professions i nee b Invziend
CRY UC.NO.:� "" ' e UC.CLASS: LIC.No.: ��� 15 /97 MAIN BUILDING ACCESSORY BUILDING
` FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
On: ' 27—/-A contractor: I�, PLDM/Y/fiCe, 1 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I em exempt from the Contractor,License Lawlor the PARKINGRE : PROV: PARCEL: 13927310 ZNE: REF NO:
following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct alter,Improve. Q
demolish,or repair any structure,prior to M issuance,also requires the applicant for such perm*to file a signed statement that he or she PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing wih Sector,7000)of DN.kM 3 of the > • _
Business and Professions Codsj or that he or she le exempt therefrom and the basis for the alleged exemption.My vbWbnci Satlbn *******************************************************************************
7031.5 by any applicant fora permit subjects the applicant to a dvt penally of not more than Ire hundred dollars MON).
❑ I,es owner of the property or my employees with wages as their Bole compensation,will do the work,and the smwdure I not intended DEVELOPMENT SERVICES: REQUIR EMENT S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to en owner of property
who builds or improves thereon,endwho does such work Nmset or herself or through he or her ownemployaes,provided that such ZONING APPROVED BY
improvements are not intended or offered for sale.R,however,the building or improvement is sold within one year of completion,the DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of Bale). • ,
❑ I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who y r,
contracts for such projects with acomrector(a)licensed pursuant o the Contractors License Law). APPLICATION ISSUED BY: /// \ N-- s DATE: 3 ® / 0
❑ I am exempt under Section: B.A P.C..for this reason: ************************************ /y d ***.********************* **
Date: owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N
I do hereby candy that I em aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534,and that)or any future building occupant will/will no(drcle one)need to complywih said date codesand the requirements far PERMIT BLDG PMT PLUMBINGNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
ed
a permit faconstruction or modification from the Aiauaatty ananm
ageent District.Residential constructions appfcatioare exemptIran Inthese
provisions. 25* _ SMIP/NON—RES
Date: Applicant: PLAN G� .
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 20 . 00
o Ihave and wiimaintain a certificate oconsent toserf-insure for workeraaompenemon.asprowi
idedforSection oft
bySion3700heLao BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for theperfomnnceofPrewakforwhichthispermilslssued. TOTALS----> 7 . 00 20 . 00 ;,} 1 0 . 00 27 . 00 27 . 00 .00
] I have and wise maiman workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance of the
work for which this permit biaued,MyworkeraetytteneNaurgptpkgafrgfped policy number are: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 27 .00 OVER/SHORT: . 00
Caff1er P1WC32113100 09/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Policy Number: 27 . 00 "•�
(This section need nor be completed il the permit is for one hundred dollars[POO]or lea)
•
o I candy that in the performance o the work la which this permit b issued.]shall net employ any person in any manner so as to *******************************************************************************
became subject to the workers'compensation laws of California, agree that should become subject to the workers I N D I V I D U A L� jF E E B R E A K D O W N
compensation provisions cf Section 3700 of the labor Code, corn*h cam 'h provisos.
Data: �"in
--9C Applicant: i C g r
TYPE QTY D E S C R I P T I O'+N " UNIT COST TOTAL COST
Warning:Failure to secure workers'compensation coverage Is unlawful,end shell subject en employer to criminal penalties and L
civil fines up to one hundred thousand dollars(S100,,000),In addition to the cost of compensation,damages as provided for In
Section 3706°'the Labor Code,Interest,end attoey'fees- PLU 1 WATER HEATER AND/OR-VENT 7 . 00 7 . 00
END—OF FEES
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the .-1
performance of the work for which the permit is issued(Section 3097,Civ.C), , f
•
i LENDER'S NAME: Ie.
LENDER'S ADDRESS: •
I certify that I have read this application and mate that the above information is correct.I agree to comply with all ply and county ordinances
and state laws reotkg to buildimg construction end hereby authorize representatives of this ply to enter upon the above-mentioned property le
foninepenimmpurposes. RON NOCK
�/ mss/ n Name /)Cyl•T�: _
�( �i Date:)y7E /� ^I . .. i
Signature d Ow.e APpYcant/Contredor �'fls
(5151-46.WP) White-Building&Safety:Green-Ede:Canary-App*rant;Pink-Revenue:Goldenrod- xsessor 1`/i/ I
CONSTRUCTION AND PLANNING POOL & SPA
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 Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. • 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test (.
6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9.'Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, fa Undrgrnd.
10.,Structural Floor System 61. APPROVAL TO DECK . '
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 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 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 FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure • 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing • 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Mon6coat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding - 77. FIXED SYSTEM FINAL
29. Insulation • 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: 9 J atmilar 7- a
34. Final Heating & Air Conditioning �!_UA5g _ C 6
4 --23'9 6 ‘.,ez a
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing 1-Z3_/� I •
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation .
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING
48. FINAL PLANNING •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
1128 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. VLI
FOR APPLICANT TO FILL IN COMPLETELY APP&EkPiarTeDIOEISiRMIT
TYPE OR PRINT BUILDING
BUILDING 1727 Samar Drive
ADDRESS rA
COSTA MESA, CALIFORNIA FOR OFF/CE USE ONLY
RECEIPT NO. PEON T NA.
OWNER Kenkol Development Co.,Inc � �;Yr3 0
AMAIL
DDRESS 1555 Placentia Avenue RECEIV D Y I DAT RECEIV5DO DATE ISSUED
Newport Beach TEL. MI BUILDING -k ',JOU
CITY NO. b-322 / ADDRESS
ARCHITECT LIC.
OR ENGINEER NO. COSTA MESA, CALIFORNIA •
/�
FIRE o u/�
ADDRESS ZONE TYPE GROUP �4 r
CONTRACTOR K.W. Koll LIC.NO. 61195 BYPROVED DATE
ADDRESS 1555 Placentia, Newport Bc ZONING
LEGAL LOT I I 3529 ZONE(q/ NO.OF USE OF NEW
DESCRIPTION NO. ' 2 BLOCK TRACT V� I PLANS 2- I BU ILDINGAU y . T/
APPROVED / /' / / CM�,q /
A.P.NO. BY ( ,(/ �` DATE / -,2-/-6.161
SIZE F LOT. 72 .4x99 irreg I NOW ON LOTS /"E
NO.OF 0. YARDS 6VES
REQUIRED ALLOWED
USE OF (CENTER LINE ST.) �
EXISTING BLDG. none FRONT .'"J},V FT. IN.
SETCENTER OFACK INE STREETTM 50 ' REAR YARD 301
R.SIDE +( FT. IN.
I 0 1 V,l
SIDE YARD LEFT 1a RIGHT 8 L.SIDE / FT. IN.
DESCRIPTION OF WORK REAR 7 LFT. IN.
NEW I XII ALTERATION II ADDITION
REPAIR III MOVING II DEMOLISH I
BUILDING ZIE DING 1800 sq "R'OOMS 6
WOO STORIES 1
EXTERIOR W/Sttucco ROOF
Shingle
COVERING COVERING g
USE OF BUILDING ND WORK-f BE PERFO ED
Single-Family Residence
and Attached Garage .
I HEREBY ACK LEDGE THAI HAVE READ THIS APPLICATION
AND STATE T AT E ABOVE TiE .41/4-
- AGREE TO COM-
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
�. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITHNA L CITY ION. ATE/-` REGULATING
BUILDING C NSTRN ION.
I VALUATION
pL SIGNATURE F I / ^ PERMIT FEE $ 3 17,--
PERM
/
PERMITTEE /V q�]5._
i ) J
\ J $ J PLAN CHECK S /'�/9/
"HORIZED AGENT TOTAL FEE $ /
(;