HomeMy WebLinkAbout1834 SAMAR DR - Building Permits £ �DDREss: 1834 SAMAR DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT
OWNER'S NAME: PERM NO: B 048757
owxEWILLIAM COLE
ADDRESS: SAME PERMIT NO: B 048757 PLAN CHECK NO: N GOVT: N SUPP : N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: ALT
ARCH/ENGINEER: REO.NO.:
ADDRESS: UNIT: ; SQ JOB DESCRIPTION REROOF COMP 0/ SHAKES FT: 5, 000
PERMITTEE: CLAIM VALUE: 5, 000 . 00 CALC—VALUE: 5, 000 . 00 GROUP OCC : R-3 /
ADDRESS: LEE ROOFING ( 714 ) 642-7223
1653 SUPERIOR COMMENTS : REROOF COMP 0/ SHAKES
(('`�NT *******************************************************************************
LICENSED CONTMCPS1CLARATION: I hereby affirm that I am licensed under Dr o ter 9(commencing with Section Z O N I N G R E Q U I R E M E N T S
7000)of Dh Sion 3 of the Business and Professions Code,and my license is in full force and effect.
CITY sac.: 02 RY51 STATE sac.:3 4 9 6 8 ucss:
0� •
� SETBACKS
�•Date: �yLSignature:
MAIN BUILDING ACCESSORY BUILDING
1RKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-Insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
npensatimInsurance.oracertified copy thereof(Section 3aoo.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT : FT IN
.ducY NO.: 4005162894 EMP.DATE: 06/30/91
COMPANY: USF&G CO. C3 PARKING REQ: PROV: PARCEL : 13925320 ZNE: REF NO:
❑ Certified copy Is hereby furnished. SY Certified copy is feed vdth the coy Building Division. PLANNING NOTES>
--- /Date- kit le/ 70 Applicant M > y
*********************************************************-*`
*******
EMEMPDON FROM WORKERS'COMPENSATION DECLARATION: (Thus sectidl need not be completed if the permit is fa are hundred(S1C0)or less). DEVELOPMENT SERVICES R E Q U I R E M E N _-i S
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. ZONING APPROVED BY •
•• DATE: e;^
Date: ' Signature:
NOTICE:if,after making this declaration,you should become supject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: 1.=
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. ,Q1�
CONSTRUCTION(ENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED ' �rZ y /G
DATE:
which this permit is issued(Section 3097.Civ.C). ********aL.********y6**** A,",...,x 0 *'L••.. av ......************.****
LENDER: ****************************** *ic*****4�****************************************
ADDRESS: LEGALIZATION:N FEE ., U M M A R Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELEC .RIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 7 2 , 0 0
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 50
pursuant to the provisions a1 the Contractors'State License Law(Chapter 9(commencing with Section 7100)of Division 3 of the Business SMIP/NON—RES
and Professions Code)or that he/she Is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN
v applicant for a permit subjects the applicant to a cMI penalty of not more than five hundred dollars($500). ISSUE FEE
I as owner of the property or my employees with wades as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
J structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors State License Law TOTALS————> 72 . 50 0 . 00 0 , 00 72 . 50 72 . 50 . 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himselfinerself 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 wit have the burden of proving he/she did not build or Improve REVENUE DIVISION TOTALS——> COLLECTED • 72 . 50 OVER/SHORT: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 72 , 00 . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contractsfor suchprojectsgth acontractor(s)license pursuant to the Contractors'State License Law).I am aware ,*,*******************************************************:*.**********************
that proof of their Worker's Compens¢tlon insurance should Pe provided to me.
o I am exempt under Section: B.S P.C. INDIVIDUAL F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date: Owmer:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 5000 REROOF BY VALUE RE S I D E N IAL NO Z ON E 1 . 00 5, 000 , 00
25534 and that I or any future building occupant will/Will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ,
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above Information is correct.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-mentioned
property for inspection purposes. 01 00068413-30068414 TOT 72.50
Date:TZV 0 signature DATE: 03/24/90 TIME: 16:02
Driver's License or Social Security
184146 White—Building;Green—Code Enforcement;Canary—APPticant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNI,..i OOL & SPA
`
APPROVALS Permit# • Date Inspector APPROVALS Permit # Date Inspector
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 UFER 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, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House-Connection. 62. Backwash & Receptor-Final
ll
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) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. 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:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
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 Vrigfr
47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING vv. ,
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PE MIT NO.(� / TRACT NO. LOT NO. BLDG.NO. - -
CONSTRUCTION PERMIT Pc-5-9 `o •
Project Ad!dpress i%34 S Ae_ ' -•e ' TYPE OF CONSTRUCTION •
,�s'� . . ��w' I2�3L]/;ji_ ea Cu -IL
•
Owner (�p`e �c . Phone 0 NEW 0 ADD 0 ALTERATION' • //.t ""
Address `$•j.q a A J.. t, . 0 REPAIR 0 CONVERSION ❑DEMOLISH �/�
ZONING REGULATIONS
Arch/Eng. License No. 0 OTHER - _
DESCRIPTION OF WORK A'P'
Address • - ZONE PLNG. REF.*
-
4% Contractor—PRC` ;1q =NSA 4 IIC..L. Phone $39--i-no TYPE OF PERMIT - BUILDING - TOBUILDING
\
/s �{ SETBACK CIL ST. PROPERTY LINE
Address '1S4 k 1.t h Ot�1 kv,Q . )C0 CO . 0 GRADING 0 FOUNDATIOZNG
STRUCTURALSIDEYARD -LICENSED CONTRACTOR DECLARATION - ❑ TENANT ❑ ELECTICAL ❑MECHANICAL SIDE YARD
I hereby affirm that I am licensed under provisions of Charter 9(com- _ RIGHT
mencing with section 7000) of Division 3 of the Business and ❑ OTHER REAR YARDP L
Professions Code, d my license is In full force and effect.ef( (TO / )
License Class License No. ‘�On 5 PROJECT DESCRIPTION "" PKG.SPACE REQ, PROVIDED
Date ia-ail-t6-D'Signature- VJ(� G. lilt.a...-1 SQ:FT. - - -
WORKERS'COMPENSATION DELLA ATION - - OCCUPANCY_CONSTRUCTION TYPE. STREET WIDTH PARK FEE$
I hereby affirm that I have a certificate of consent to self-insure or a VALUATION- ZONE ZONING APPROVED BY - DATE
certificate of Workers' Compensation Insurance, or a certified copy SPECIAL CONDITIONS: • '
thereof(Section 3800, Lab.C.). nn � �/II GRADING CU.YDS. ACRES -
PolicyNo. ^34to it Company AZi -
❑ Certified copy Is hereby furnished. REMARKS: - -
❑ Certified copy is filed with the city Building Division. - . . .
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION -- -
C - '
-(This section need not-be completed if the permit is for one hundred - . . - _ _
($100) or less). • •
I certify that n the performance of the work for which this permit.is _
issued, I shall not'employ any pergon in any manner so'as to become PLUMBING . . PLAN CHECK - - ELECTRICAL. ' ' -' PLAN CHECK . ••
-
subject to the Workers'Compensation Laws of California. -- uwtLLINtv. (.Al-0.1(.t - • - -
Date Signature _ BATHTUBS SHOWERS I 5O FT SO FT - -
NOTICE: If after making this declaration, you should become subject 'TOILETS • _ URINALS I' • - GENERATOR 0-1 KW-1-10 KW
to the Workers' Compensation provisions of the Labor Code,you must \, TRANSFORMER . - <
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW 50+ KW ' - - -
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS IP. - - MOTORS • 0-1 HP_1-10 HP -
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS - • SUMPS ,1. - (INC.SOLAR) 10-50•HP_ H
50+ P - • -
formance of the work for which this permit is issued (Section 3097
Civ. C.). FLOOR SINKS FLOOR DRAINS ' FIXTURES ' - - OUTLETS SWITCHES - ' --
Lender•s.Name _
Lender's Address DRINKING FOUNTAINS _ .
GAS SIGNS ' "" -
OWNER BUILDER DECLARATION INTERCEPTORSCLARIFIERS '; POLE LIGHTS ' '
I hereby affirm that I am exempt from the Contractor's License Law for
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL - - P TRAP LUu
rv]l Rut-1lN
Any.,city or county which requires a permit to construct, alter, , POLES -METERED SUB - -
improve, demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION - PANELS ` - MAIN SUB _ --
quires the applicant for such permit to file a signed statement that he _ -
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS - SERVICE '" AMP - - - - -
(Chapter 9 (commencing with Section 7000) of Division 3 of the Q -
Business and Professions Code) Or that he is exempt therefrom and the' WATER HEATERS ' • BTU OUTPUT ' 1 3, 9� -
basis for the alleged exemption. Any violation of Section 7031.5 by _ '
any applicant for a permit subjects the applicant'to a civil penalty SEWER CONNECTIONS - - .
of not more than,five hundred dollars-($500). - '
❑ I, as owner of the property, or my employees with'wages as their SOLAR TANK - COLLECTORS • ' - "' -' • - '-
sole compensation,-will do the work, and the structureisnot intended - `��' '
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. '''yyy ���ISSUE FEE' _ - . '
Contractor's License Law-does not apply to an owner of a property- ` �_ Q PLICATION APPROVED BY " ' DATE
who builds or improves thereon, and who does such work himself or ISSUE FEE
through his own employees, provided-that such improvements are not
intended or offered for sale. If, however the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES -
is sold within one-year-of completion, the owner will have the burden
of proving he did not build or improve for the purpose of sale). BUILDING _- • - •- -
HEATING SYSTEM 0-100,000 BTU PERM_ IT $ SMIP • $. - '
0 1, asowner or the property, am exclusively contracting-with AND DUCTING • - - '- - "-
licensed
licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ PERMIT . �/_
and Professions Code:The Contractor's License Law does not apply to -- - O ISSUANCE $
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 UTU PLUMBING $� .J
tracts from'such projects with a contractor(s) Iicesned .pursuant to SYSTEM " . "'" - '-' - - . GRADING $.
the Contractor's License Law). 100,000 +BTU - PLAN CHECK,'$' ) -
... •
•
❑ am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $ - -- $ _
'reason - ' _. - "-" ' - - - PLAN CHECK " $ -''MICROFILM $ •
-
SYSTEM REPAIR,ALTERATION
Date - - Owner - - - - - ' -TOTALFEE$
•
-I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $
PLAN CHECK $ V
information is correct. I agree to comply with all city and county VANCEESS PC $ - "-
ordinances and state laws relating to construction,and hereby authorize -
representatives of -this city to enter upon the above mentioned
property for ' spec n. pur oses, _ _
Signature " ^' Q d.6 " Date IA-as-i _ FINAL FEE $ r
Drivers' License or SS* '< / - ISSUE FEE - - - - - -
CMF 0865.46 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNINGPOOL&SPA, , - - . .. .
•
APPROVALS Permit# P.SQKa Date . Inspector APPROVALS Permit/4 - Date • Inspector
1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location - _ _
2.. Soil Pipe-Undrgrn - 44. Steel Reinforcement . . . . '
_ 3.. .Electrical Conduit Utility-Undrgrn _ 45. Forms . ' . .
. _4. . Electrical Conduit-Undrgrn - . ._ _ - 46. Electrical Bonding •
5. Steel Reinforce• • 47. Rough Plumbing &`Pressure Test -
6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE_ .. .
7. Footings - - 49. Electrical Conduit-Undrqrn - . .
_8. . Foundation _ - 50. Gas Pipe, ❑Undrgrn,Test - .
_9. Water.Pipe-Undrgrn - _ _ 51. Backwash Lines, P-Trap; 0 Undrgrn - -- •• -- - - ••
10. Structural.Floor System •_ - • . 52. APPROVAL TO DECK - ' .. . '- -
. 11.. Property..Sewer Line & House Connection ' 53. Backwash & Receptor-Final 12. - Street Sewer Connection _• • .. :, . 54. Heater & Vent-Final
_13. Rough Plumbing. - - - 55. Plumbina System -Final' -_ -- -•
14. Rough Electric-Conduit - -. - -. . - .56. - Electrical-Final _
15. Rough Electric-Wiring - - - - - - - - 57. Solar System-Final ; ' - ..
•
-16.r Rough Heating & Air Conditioning - . . - - _ . .. _ - b8. _Fencing &Access Approval . -
1.7. Ducts, in Structure. . - _ i _ 59. APPROVED FOR PLASTERING ..
- 18. Ducts, Ventilating - -. . - --
19. Gas Pipe-Rough &Test .- . . - 60. POOL/SPA'SYSTEMS FINAL .. .
20. Roof Framing. - - - r-_. - . . . . . .
21. Roof Sheathing -. . L- .. _ . - -
22. Frame and Flashing - . ._-_ - _. _ _ NOTES: .. ,
23. Insulation - . -- - • _ - . . . . _ _ _. •-
24. Lathing & Siding - . ' : - . _ • __- . -
-- 25.- .Drywall Nailing - ,_ _ ' .
26.-- Plaster Brown Coat - - - - i '_
- 27. Electrical Power Meter-Final . _ -. - . - - '
28. Final Electric -- - . _1. _ _ - • .
29. Final Heating & Air Conditioning - . ._ _. . - -
30. Final Gas Pipe-Test _ . •• __ - . - - _
31. Final Plumbing - /•-_,83 .., e
32. Water Service-Final - ' . . .- _ - _
• 33: Gas Service-Final . _ .. .
34. Solar Domestic-Final -• - . . •
35. Landscape Sprinkling System - •
-
36. Sound Attenuation _ -
37. Handicap Regulations - - '
38: - FINAL STRUCTURE-&BUILDING----- - - - -
PROJECT ADDRESS: 1834 SAMAR DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 048980
OWNER'$jMME: COLE, WILLIAM J
`� ODREs5: 1834 SAMAR DR PERMIT NO: B 048980 PLAN CHECK NO: 05712-90 S GOVT: N SUPP : N
COSTA MESA, CA 92626
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
546-2612
ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION : LEGALIZE 2 SKYLIGHTS SQ FT: 1 , 500
ADDRESS: UNIT:
CLAIM VALUE: 1 , 500 , 00 CALC—VALUE: 1 , 500 .00 GROUP OCC: R-3 /
PERMmEE: DANIEL HARTMAN ( 714 ) 358-0704
ADDRESS: 6826 ADLER PL COMMENTS: LEGALIZE 2 SKYKIGHTS
RIVERSIDE CA 92503 ##****************X*K****f***************************************.$*******Be-**te*#f
LICENSED CONTRACTOR
I hereby
affrmIa licensed
iroisnAter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division the Professions and licensesofull and effect. SETBACKS
T H A C K 5
CmUc.: 051379 STATEU0.:595508 CLASS: B •
— Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
1 'UCY ND.: EXP.DATE:
)MPANY: PARKING REQ: PROV: PARCEL; 13925320 INE: R1 REF NO:
J Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> INSTALL SKYLIGHTS, NO PLANNING APPROVAL NECESSARY
> •
Date: Applicant: ****##**********#************-N***************************************#"#*#***##*
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(3100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N ,T' S
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. ZONING APPROVED BY DATE:
Date: signature: •
BUILDING APPROVED BY
NOTICE:If,after making this declaration,you should become subject to the Workers Compensation provisions of the Labor _ DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y : DATE: 09 1 3 `)v
which this permit Is issued(Section 3097, C). ********************** *********** a . ><*, **************************'iMr3F"#'* 3E3e***
LENDER: **********#*******************#********' *************#*************************
ADDRESS: LEGALIZATION:Y FEE SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTR C MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 70 . 00 , 50
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she Is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN 45 . 50
any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars(3500). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors State License Law TOTALS————> 70 . 50 0 . 00 22 , 75 93 , 25 93 . 25 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If.however the building or REVENUE DIVISION TOTAL S--> COLLECTED• 93 . 25 OVER/SHORT• . 00
improvement iscoldee year of completion,the owner will have the burden of proving he/she did not build or Improve
fororthe purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 7 50 r 22 5
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projectsceth acontractor(s)license pursuant to the Contractors'State License Law).l am aware ****************#**************************************************************
that proof of their Worker's Compensghon insurance should be provided to me. IND I V IDUAL F E E BR EAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY D . E S .0 R I P T I 0 N UNIT COST ' TOTAL COST
• Cate: OwnerSFR 1500STRIX;URAL BY VALUE PER g1 , 00 1 , 00 1 , 500 , 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a 1'"
permit for construction or modification from the Air Qualify Management District.Residential construction applications are exempt from
these provisions. ®A�� 7 C�
Date: Applicant: �y.>;v.�s.a c et CCJ/1_.— /' 95-
I
5"
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county GAS I o /
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. • /75( 93-
- Date: j Signature: -- Ol 00069440 GG089492 TOT '3.25
Driver's license or Social Security �/y3°7� DATE: 09/13'90 TIME: 12:23 /`
1641-4e White—Building;Green—Code Enforcement;Cenery—Applicant:Pink—Revenue;Goldenrod—Assessor Ie 3/ •7 0 /
id�l
I -
CONSTRUCTION AND PLANNING & SPA
rAPPROVALS Permit# Date Inspector APPROVALS Permit + Date Inspector
-4. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms 1,
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF 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, ❑ 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) & Monocoat 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 {I {I
33. Final Electric Notes:
34. Final Heating & Air Conditioning .(;7
35. Final Gas Pipe-Test I�
36. Hood or Canopy ',�
37. Final Factory Fireplace
38. Final Plumbing
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
r`7
47. FINAL STRUCTURE & BUILDING Ike g,s'-
48. FINAL PLANNING l
49. Electric Release to Edison -�
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER MANLEY, K. R. DATE 8_2_61
JOB ADDRESS 1834 Samar Drive BUILDING PERMIT NO. 150_73
GENERALCONTRACTOR C. W. White VALUE $ )18Q.Q0
AP No. LOT 60 TRACT 3380 FIRE ZONE DESCRIPTION OF WORK BJk.wal1
INSPECTIONS Signature DATE GROUP TYPE ZONE R-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Ref rig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. ❑
Sprinkling System
Construction Pole
Underground 0 Power C
Rough Wiring
Trenches a Forms 0 Steel Reinf. DVS 8
Floor System
Bond Beam 0 Steel Reinforce 0 _
Sheathing
Frame and Flashing _
Lathing — In 0 Out ❑
l9 Plaster, brown coat
Refrig. 0 Air Cond. 0 Final
leafing, Final
P. ,.Plumbing Fixtures, Final
14° Final Gas Test
Electric Fixtures, Final _
Building, Final /t?814 et
OCCUPANCY
CORt M r q
M RIM..S - 7-Al 1501 3
FEE RECEIVED
,.�' f 151 a 3 AUG 2
1961
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
Applicant to Fill In Completely ��
For
P Y APPLICATION FOR PERMIT
LOT bO TYPE ORIPIRIINT (� BUILDING
ADD EIS: /S3 Li G�`/NT!'I F7 R I/J�l\
COSTA MESA. CALIFORNIA For Office Use Only
1, {� RECEIPT NO. PERMIT N
OWNER M Ana E y j(h j ? /SO .7
MAIL // �° y�// /� / R[ IV D BY D TE RECEIVED LpATE ISSUED
ADDRESS r��`y .l_ry�(/IR fit • C/,. �1/�J �'I I /T -��1r//
I 1 TEL. BUILDING /g J y �/1
CITY O. //1. NO. ADDRESS tP e'�/�.✓Y_,�L� LJ'I,
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS FIRE ///
/� q /,'/ ZONE TYPE �.(.Q.(.(
CONTRACTOR ( 11.0 tog ITE APPROVED DATE
ADDRESS ///0ST -5�12/�GAROF/Y 6ROU�Num ZONING
CITY LJ II RL/ E 111 �R o�%� IONS�I-t I PLANS C I USE OP a gh " (at/F.
(j/,JJ��} 'T��^ (J/ Si) ,( NO.O USE OP i
LIC.TN O. %'] L�� NO. ,/F /G Q I/ DESCRIPTIONEGALter �Q 7-Of 3380
SIZE I NO. OP BLDGB.
OF LOT NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)
CENTER OP STREET REAR YARD FRONT FT. IN.
SIDE YARD I LEFT I RIGHT R.SIDE C:J FT. IN.
DESCRIPTION OF WORK o
L.SIDE FT. IN.
NEW I.1\II ALTERATION I V ADDITION I REAR 0 FT. IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED cc,/CO- DATE &1/Z/6
BYBUILDING NO. OF Aso-
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
G 'jtiyy1RGCCkt(9A« RLC
tF 9'" Ct
/6b/ LcW/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION ( �;+
SIGNATURE OFIC/G2.� 6f�I�, /l PERMIT FEE $ [If-
PERMITTEE LP ' if Y✓fl 4 G r o
$ O OIOC PLAN CHECK $
K
AUTHORIZED AGENT 'ZSO
TOTAL FEE y
FEE RFCE'kD
. ,f : 14095 1�� MAR ,;3
COSTA MESA BUILDING-SAFETY DEPARTMENT tMANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 1634 samar Drive
COSTA MESA. CALIFORNIA For Office Use Only
I RECEIPT no. I wrHgw?I{+p5
OWNER Carriage $Annhee Inn -
RECEIVED
ISSUE
MAIL RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS p�Rny 7R3 ��'-I'-1 2- 20-6/ I blHtt 6 U 7`JtY
CITY Costa Mesa,Calif. NELLi67763 BUILDING
ADDRESS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER R.LABA nA A NO0r3701 0
ADDRESS / 2Via F FIRE / /� /)
313Orin DT t_128A nh ZONE TYPE // GROUP tat,'
APPROVED
CONTRACTOR Carriage Qnnctrur.tinn C By DATE
ADDRESS 179 Cabrillo Street ZONING M1�
CITY Costa 1Yle sa ,Ca lit• ZONE NO.OP USE OF NEW DnLS1 1Q�.
R-1 I PLANS2 I BUILDING Ii/ att gar.
LIGTNO. 185126 Trac: L187783 LEGAL
DESCRIPTION lot 60, Tract 3380
SIZE8fW x 100
' 1 i gh. NO. OBLOT".
OFP LOT V L/ NOW FON1 LOT".- A.P.NO. none
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM // (CENTER LINE ST.)
CENTER OP STREET 30 1 REAR YARD 281 T FRONT .�� FT. IN.
SIDE YARD I LEFT 5 I 1 It I RIGHT 5 I 1 n R.SIDE rFT. / IN.
DESCRIPTION OF WORK L.SIDE ✓✓✓✓.5---FT. / IN.
NEW .. - ALTERATION I II ADDITION I REARa FT. IN.
REPAIR MOVING I II DEMOLISH I APPROVED
BY W. L. D. DATE 3-20-61
BUILDING NO. OF
SIZE 2503 sq.ftOOM6 10 STORIES 1
EXTERIOR WALL 1 ROOF
COVERING ptuc$o COVERING cd.r.shingl
USE OF BUIL ING AND WORK TO BE PERFORMED
P .3
O LEDGE THAT I HAVE READ THIISPPLICATION
I HEREBY THATHN WTHE AMOUNTE SHOWN UNDER VALUATIONMIIS FOR THE
AND STATE THE NAE IS CORRECT AND LAWS AGREE U COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE REGULATING
BUILDING CONSTRUCTION. VALUATION 44S-
SC
SIGNATURE OF ^ �t PERMIT FEE $ N
PERMITTEE CAR ACE COI TR.CO♦ 25,235.00 o?,Z- S L`W
Q PLAN CHECK $
AUTHORIZED AGENT ` ��� 7, S Q 0
NTOTAL FEE $