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Home My WebLink About1824 SAMAR DR - Building Permits illolb CITY OF COSTA MESA S tom`` BUILDING DIVISION oy' A`. F r I� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4656 www.ci.costa-mesa.ca.us II. FOR INSPECTIONS CALL:(714)754-5626 PERMIT NUMBE B07-00935 PERMIT TYPE B ROOF2 STATUS: ISSUED DATE ISSUED: 09/18/2007 ISSUED BY: RMD • JOB ADDRESS: 1824 SAMAR DR CM Suite/Unit: Vicinity: BALCONY ONLY Squares: 300 • Valuation: $2,500.00 SCOPE OF WORK: REROOF BALCONY ONLY.WORK TO INCLUDE:TEAR OFF(E)ROOF MATERIALS, INSTALL TORCH DOWN MODIFIED SYSTEM,APPROX 300SF. OWNER: FOSTER,RICHARD W JR Address: 1824 SAMAR DR Unit: PHONE: City/State/Zip: COSTA MESA,CA . APPLICANT: MOLLISE,DANIELLE Address: 1653 1/2 SUPERIOR AVE Unit: : PHONE: 949-642-7222 City/State/Zip: COSTA MESA,CA CONTRACTOR: LEE ROOFING OF COSTA MESA License No. 349686 Address: 1653 1/2 SUPERIOR AVEUniti PHONE: 949-642-7222 City/State/Zip: COSTA MESA,CA 92627 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 i Reroof Permit Fee: $83.25 ;?` Reinspection Fee: $0.00 ..1, �` TOTAL FEES $83.25 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. SODS t INSPECTION TYPE 01¢, INTMALE CODE I INSPEcnoN npE pZg INTENTS 1816 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final208 Final Plumbing /� 200 Final Re-Roof F Z -07 210 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 WORKERS^COMPENSATION DECLARATION: Owner ID verified by driv nse. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed): 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet h depth into which a number are: L �� person is required to descend,will be made in connection with work authorized G'�'a T`Y\6 by this permit,and that no building structure,scaffolding.falsework,or demolition �Cartier: JJ or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp frnis sector needled ha completed/the permrt is valued at one hundred donors 15100)or cess.) 2,Art 2,Sec.341,Title B,California Administrative Code). PolicyNumber: ,. oO3) 0 As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date the Labor Code.I shall forthwith comply with these pprrovisions. `/i SILO/ • Division of Industrial Safety Permit Number: AAod cant'sw1B SiSignature � HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one lime during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. ^ o, a registration form for acutely hazardous materials? ❑Yes 0 No Lic p.. '1)1/4-A91 OVA 0 Class# ( — 1 (Section 25533 of the California Health and Safety Code, with some ci /Ie/07 exceptions, requires registration with the Costa Mesa Fire Department by ( each business which at any one time has on hand a quantity of acutely contrauorssignatyre Dame hazardous materials equal to or greater than a weight of 500 pounds, or a c--- volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). O I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance.also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications fa non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the Califomia Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or.her own 8. (If yes".attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If. however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of safe.). information given above is correct. I agree to comply with all state fawn and ❑ I, as owner of the property,am EXCLUSIVELY-CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of Signature Dame property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractors)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. • Signature of Legal Owners) Date Signature Date .Q - `�y�BOUI 305746(3/07) 1 'Andlor Authorized Applicant Dale lira="11111"1"... — COMPACTION SPECIALISTS ALLIED TESTING LAB 1561 WEST COMMONWEALTH, FULLERTON, CALIF. LAmbert 6-3378 9022 HAZARD AVENUE, WESTMINSTER, CALIF. TWinoaks 7-4069 REPORT ON COMPRESSIVE STRENGTH GUNITE Job No. 61-188 Date: October 11, 1961 Job Name: Ken W. Pother Job Location: 1824 Samar Drive Coate Mess, California Contractor: Anthony Pool, Inc. • Date of Pour: 8/2/61 . Nis Designation: Cement 1 Sand 4.5 Location in Structure: . Bottom center of pool Inspector: J. Henley • Designated Strength (p.a.i.): 2000 ' . • • Laboratory No.: 00007 00008 00009 Date Received: 8/7/61 8/7/61 8/7/61 Age of Cylinders (Days): 7 28 Hold Diameter: 6.00 6.00 Area, Sq.in.: 28.27 28.27 Date Tested: 8/9/61 9/30/61 Ultimate Load: 70600 81000 Compressive Strength (p.e.i.) 2495- 2865 Respectfully submitted. ALLIED TESTING LAB • �'®• t- �e„-, a ea �� Ey: Charles E. Eydei t! CER/b 1 f -, OCcO1 %,OQG B fsf, t9 Pp��d TESTING TO A.S.T.M., A.A.S.H.O. AND STATE HIGHWAY SPECIFICATION%rFtiILAB OWNER FETHER, KEN W. DATv n...(11 JOB ADDRESS J 82/1 Samar T)ri VP BUI .JG PERMIT NO. 1 JIR31 GENERAL CONTRACTOR Anthony Poni s VALUE $ AP.No. LOT CR TRACT 118 FIRE ZONE DESCRIPTION OF WORK put spool INSPECTIONS DATE I ,•�GROUP TYPE ZONE R-1 Underground SoilFy14 U.G. Water 7-M-6/ _ PERMITS ISSUED Underground Gas SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating Rough PlumbingroppnA y, -n 7-l4•—(/ ✓ Miscellaneous F;Ot .r, . Prop. Swr. Line Hop e Con. St. Swr. / ' r Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring r.L f9n1 .; '7-Io-6l IJ-349 I/ Trenches Forms Steel7J7( "7-AY-6f Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat _ Plumbing Fixtures, Final �,� '''��/// Building,Fixtures, Final fig. f �� Building, Final '�}'�Yr�1 OCCUPANCY Form 210-5M-11-59 S-B P 11U831 I LsIn IIimpvsob. -- JUL• '' 14831- r FINANCE t�.?T. �yCOSTA MESA BUILDING-SAFETY DEPARTMENT CITY OF COSTA MESA P. O. BOX 317 COSTA MESA. CALIFORNIA •F,or Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING 1824 SAMAR DR BUILDING ADDRESS COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. PERMIT NO. OWNER KEN TI FETHFA AMAIL DDRESS 214 VIA ITHACA F "ED BY 17-%DRE nI 1"I. I^EH6DI NEWPORT BEACH TEL. BUILDING 1824 SAMAR CITY NO. ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. FIRE /////////��} /y1 ADDRESS ZONE TYPE ) GROgU�j'na..� CONTRACTOR ANTHONY POOLS APPROVED 11�-'DATE / 1-1) o-4 ADDRESS 5871 FIRESTONE BLVD.. ZONING CITY SOUTH GATE, CALIF. ZONE NE-g./ I PLANS L I BUILDING EW� DOL.._ STATE TEL.LIC.NO. NO. LEGAL /`O']'- C Q riY/d/.r siso DESCRIPTION 1 V 8 /I en SIZE I NO. OF SLOGS. OF LOT NOW ON LOT A.P.NO. USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) �'''/ CENTER OF STREET REAR YARD FRONT ,/' { FT. IN. SIDE YARD I LEFT I RIGHT R.SIDE /I FT. 3 IN. DESCRIPTION OF WORK L.SIDE 3 FT. IN. NEW I X II ALTERATION I II ADDITION I REAR y�y +/ REPAIR II MOVING 1 II DEMOLISH APPROVED�I L 1A, DATE 7L 404/N SIZE 573 RNO. OF OOMS STORIES VVV"`"""'lam EXTERIOR WALL ROOF COVERING !ROOF USE OF BUILDING AND WORK TO BE PERFORMED i SWIM POOL PRIVATE yl HEREBY ACKNO OH THAT 1 HAVE READ THIS APPLJWTION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND BTATe T THE ALIO IB CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH CITY O INANCES AND STATE GULLYING BUILDIN CONSTRUCTION. VALUATION SIGN URE ' � PERMIT FEE $ /� J PER TTE �� jn C��i/-RL�T[YPLAN CHECK $ �'� 'M' AUTHORIZED AGENT 2800.00 / �� o TOTAL FEE $ y, r NT-EAR ,r' 14003 FEFR ECr1V;3 COSTA MESA BUILDING-SAFETY DEPARTMENT IN�P'CE DEPT. P. O. BOX 3I7 COSTA MESA. CALIFORNIA y For Applicant to Fill In Completely FOR CITY OF COSTA MESA PP P y APPLICATION PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 1821L Samar Drive COSTAMESA. CALIFORNIA For Office Use Only RECEIPT NO. PERMIT NO. OWNER _ _ _ _ _ I 1 oI t.. MAIL RECEIVEDEE_ EBY DATE RECEIVED DATE ISSUED ADDRESS PO BnY 783, /�"_ /' I 3 - 20- 6/I 1139 n i0R1 BUILDING CITY n(181:8 MARE ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER Tly.Lcvtina 0 NDEr37010 ADDRESS 4. Oy1P t ,1. 11 h FIRE V 0 Q J 3432 Via L( OrtO lIDO •BBflCtI ZONE TYPE GROUP v �!//J,� CONTRACTORatrnct-Inn (1 APPROVED CarriaE Cor BY DATE ADDRESS 119 Cabri 110 St . ZONING rr ZONE NO.OF USE OP NSW �.ng1 19.II9 CITY /(109t8 Mesa ,Cal if. R-1 I PLANS 2 I BUILDING W/ att gar STATE TEL. LIC.NO. 185126, NO. T,i 8-7783 LEGAL 1 / DESCRIPTION Lot 58, Tract 3380 SIZEI NO. OF BLOCS. OF LOT 76.87wr98.561 gh . NOW ON LOT -- A.P.NO. none USE OF YARDS EVES EXISTING BLDG. _ APPROVED ALLOWED SETBACK LINE FROM , (CENTER LINE ST.1 CENTER OP STREET Q T REAR YARD 410' FRONT 5-0 FT. IN. SIDE YARD I LEFT 5, 1 ty I RIGHT 5, / R.SIDE r FT. IN. DESCRIPTION OF WORK L.SIDE C Fr. / IN. NEW I a)ALTERATION I II ADDITION I REAR FT. IN. REPAIR MOVING I VI DEMOLISH I APPROVED ��'7 W. L. D. DATE 3-20-61 BUILDING NO. OF r SIZE 2432 Q ft ROOMS 31 STORIES 2 EXTERIOR WALL ROOF . COVERING (COVERING USE OF BUILDING AND WORK TO BE PERFORMED 83 IP Z a 598 1 ft. - • J////�/ I Hgae rageNO - 58 THATHAVE READ TI8 AP TION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE • AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT PEE-ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. n ♦ C VALUATION //(� SIGNAITUR OF Cm iage r }18truction ,• PERMIT FEE $ T J o PLAN CHECK $ p7 Z F$24842.00, AUTHORIZED AGENT Wi.a♦ E TOTAL FEE 6 OE